Contact Form

Working HTML contact Form

by will525

HTML

<form id="contact_form" action="http://www.eventureinternet.com/form.asp" method="post">
<p style="display: none;"><input type="hidden" name="Var_URL" value="http://jsfiddle.net/will525/VGcmP/1/" /> <input type="hidden" name="Var_Subject" value="Concrete Repair Advice - Call Back Form" /> <input type="hidden" name="Var_Email" value="[email protected]" /> <input type="hidden" name="Var_Email_Header" value="Brian West Art - Contact Us Form" /></p>

<fieldset style="border:none;">
<table id="form_contact" border="0" cellspacing="0">
<tbody>
<tr>
<td class="input_text">* Name:</td>
<td><input title="Enter Name" accesskey="1" type="text" name="Name" /></td>
</tr>
<tr>
<td class="input_text">* Email:</td>
<td><input title="Email Address" accesskey="2" type="text" name="Email Address" /></td>
</tr>
<tr>
<td class="input_text">Telephone:</td>
<td><input title="Telephone Number" accesskey="5" type="text" name="Telephone Number" /></td>
</tr>
<!--<tr>
<td class="input_text">Your Message:</td>
<td><textarea id="Enquiry" title="Enquiry" name="Enquiry" rows="8" cols="30"></textarea></td>
</tr>-->
<tr>
<td></td>
<td><input class="Submit rollover" type="image" src="http://www.brianwestart.com/wp-content/themes/Brian West White/images/sendBTN_off.jpg" /></td>
</tr>
</tbody>
</table>
</fieldset>
</form>

CSS

images/sprites/submit_btn.jpg