Psyduck - 可達鴨 之 鴨力山大

Current Path : home/irplbiz/public_html/demo_dev/demo_crm4/
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Current File : /home/irplbiz/public_html/demo_dev/demo_crm4/index.php

<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Contact Form</title>
</head>
<body>

    <h2>Contact Us</h2>
    <form action="submit_form.php" method="post">
        <label for="first_name">First Name:</label><br>
        <input type="text" id="first_name" name="first_name" required><br><br>

        <label for="last_name">Last Name:</label><br>
        <input type="text" id="last_name" name="last_name" required><br><br>

        <label for="email">Email:</label><br>
        <input type="email" id="email" name="email" required><br><br>

        <label for="phone">Phone:</label><br>
        <input type="text" id="phone" name="phone"><br><br>

        <label for="message">Message:</label><br>
        <textarea id="message" name="message" required></textarea><br><br>

        <input type="submit" value="Submit">
    </form>

</body>
</html>