43 lines
1.8 KiB
PHP
43 lines
1.8 KiB
PHP
<div class="modal fade" id="modalForm" role="dialog">
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<div class="modal-dialog">
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<div class="modal-content">
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<!-- Modal Header -->
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<div class="modal-header">
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<button type="button" class="close" data-dismiss="modal">
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<span aria-hidden="true">×</span>
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<span class="sr-only">Close</span>
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</button>
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</div>
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<div class="col-md-12">
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<h4 class="modal-title" id="myModalLabel">Contact Form</h4>
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</div>
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<!-- Modal Body -->
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<div class="modal-body">
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<p class="statusMsg"></p>
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<form role="form" id="formContact">
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<div class="form-group">
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<label for="inputemail">Email</label>
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<input type="text" class="form-control" name="email" placeholder="Enter your email" />
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</div>
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<div class="form-group">
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<button type="button" class="btn btn-primary" id="checkButton">Check</button>
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</div>
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<div class="form-group">
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<label for="exampleFormControlTextarea1" class="form-label">Hasil</label>
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<textarea class="form-control" rows="10" cols="10" readonly id="resultArea""></textarea>
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</div>
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</form>
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</div>
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<!-- Modal Footer -->
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<div class="modal-footer">
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<button type="button" class="btn btn-default" data-dismiss="modal">Close</button>
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<button type="button" class="btn btn-primary submitBtn"
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id="tambahkanContact">Tambahkan Data</button>
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</div>
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</div>
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</div>
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</div>
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