PAL.C.T MINI SHELL
<div class='news_tittle'>
<h4> Share Ppoduk melalui Email </h4>
</div>
<div class="col-md-12">
<div id='alert' style="display:block; color:red; text-algin:center;"></div>
<br>
<form id='myForm1' role="form" method="POST" class="form-horizontal" action="aksi-email.html" enctype='multipart/form-data'>
<input type='hidden' value='<?php echo $_GET[id]; ?>' name='id'>
<div class="form-group">
<label class="col-sm-3 control-label" ></label>
<div class="col-sm-8">
<input type='radio' value='Bpk' name='genre' checked> Bapak
<input type='radio' value='Ibu' name='genre'> Ibu
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" ><span class='red'>*</span>Nama Anda</label>
<div class="col-sm-8">
<input name="nama_pengirim" id='nama_pengirim' type="text" placeholder="Nama Anda" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" ><span class='red'>*</span>Email Anda</label>
<div class="col-sm-8">
<input name="email_pengirim" type="email" id="email_pengirim" placeholder="Email Anda" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" ><span class='red'>*</span>Email Tujuan</label>
<div class="col-sm-8">
<input name="email_tujuan" type="email" id="email_tujuan" placeholder="Email Tujuan" class="form-control">
</div>
</div>
<div class="form-group">
<label class="col-sm-3 control-label" >Komentar / Pesan</label>
<div class="col-sm-8">
<textarea class="form-control" id='komentar' name="isi_testimoni" cols="40" placeholder='Komentar / Pesan'></textarea>
</div>
</div>
<div class="form-group">
<div class="col-sm-offset-3 col-sm-9">
<button class="btn btn-primary" type="submit">Submit</button>
<br><br><i>Note : Form yang bertanda <span class='red'>*</span> harus di isi.</i>
</div>
</div>
</form>
</div>
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