forked from thunix/www
20 lines
974 B
Markdown
20 lines
974 B
Markdown
If you have any questions or problems relating to our service, or this website, please fill in the form below. Be sure to include a contact name, email address, subject line and your message below. Once you've filled in the form, click on the send button; the message will be sent and you'll receive a response within a reasonable amount of time.
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<form action='/includes/contact.php'>
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<table>
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<tr><td>Contact Name:</td> <td> <input type='text' name='contact_name'><br></td></tr>
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<tr><td>Email Address:</td> <td> <input type='text' name='email_address'><br></td></tr>
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<tr><td>Subject:</td> <td>
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<select name="type">
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<option value="abuse">Abuse</option>
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<option value="support">Support</option>
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<option value="copyright">Copyright Problem</option></td></tr>
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<tr><td>Type the word tildeverse here:</td> <td> <input type='textarea' name='tv'>
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</select><br> </td></tr>
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</table>
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Message: <input type='textarea' name='message'><br>
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<input type='submit'>
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</form>
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