ID-C/form.php at master · jaruesink/ID-C · GitHub

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<div dir="ltr" class="ss-base-body"><div itemscope itemtype="http://schema.org/CreativeWork/FormObject"><meta itemprop="name" content="Website Contact Form">
<div class="ss-form-container"><div class="ss-header-image"></div>
<div class="ss-top-of-page"><div class="ss-form-heading">
<div class="ss-required-asterisk" aria-hidden="true">* Required</div></div></div>
<div class="ss-form"><form action="https://docs.google.com/a/idandc.org/forms/d/17aRFsMmKOWKBGlCcvT_ttFo93815heQi9G0Kbl-S534/formResponse" method="POST" id="ss-form" target="_self" onsubmit=""><ol role="list" class="ss-question-list" style="padding-left: 0">
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-text"><div class="ss-form-entry"><label class="ss-q-item-label" for="entry_802631620"><div class="ss-q-title">Name
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.802631620" value="" class="ss-q-short" id="entry_802631620" dir="auto" aria-label="Name  " aria-required="true" required="" title="">
<div class="error-message"></div>
<div class="required-message">This is a required question</div>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-text"><div class="ss-form-entry"><label class="ss-q-item-label" for="entry_1129460938"><div class="ss-q-title">Email
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="email" name="entry.1129460938" value="" class="ss-q-short" id="entry_1129460938" dir="auto" aria-label="Email  please enter a valid email" aria-required="true" required="" title="please enter a valid email">
<div class="error-message">please enter a valid email</div>
<div class="required-message">This is a required question</div>

</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-paragraph-text"><div class="ss-form-entry"><label class="ss-q-item-label" for="entry_1773892493"><div class="ss-q-title">Message
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<textarea name="entry.1773892493" rows="8" cols="0" class="ss-q-long" id="entry_1773892493" dir="auto" aria-label="Message  " aria-required="true" required=""></textarea>
<div class="error-message"></div>
<div class="required-message">This is a required question</div>

</div></div></div>
<input type="hidden" name="draftResponse" value="[,,&quot;3815436821961334986&quot;]
">
<input type="hidden" name="pageHistory" value="0">
<input type="hidden" name="fromEmail" value="false">

<input type="hidden" name="fbzx" value="3815436821961334986">

<div class="ss-item ss-navigate"><table id="navigation-table"><tbody><tr><td class="ss-form-entry goog-inline-block" id="navigation-buttons" dir="ltr">
<input type="submit" name="submit" value="Submit" id="ss-submit">
</td>
</tr></tbody></table></div></ol></form></div>

<div id="docs-aria-speakable" class="docs-a11y-ariascreenreader-speakable docs-offscreen" aria-live="assertive" role="region" aria-atomic></div></div>

<script type='text/javascript' src='//docs.google.com/static/forms/client/js/3093193988-formviewer_prd.js'></script>
<script type="text/javascript">H5F.setup(document.getElementById('ss-form'));_initFormViewer(
          "[100,\x22#CCC\x22,[[[1129460938,[[2,102,,\x22please enter a valid email\x22]\n]\n]\n]\n]\n]\n");
      </script>
</div>
</div>