topical media & game development

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mobile-js-jquery-congress-feedback.htm / htm



  <!DOCTYPE HTML>
  <html>
  <head>
  <meta charset="UTF-8">
  <title>jQM Conference</title>
  <meta name="viewport" content="width=device-width,user-scalable=no">
  <link rel="stylesheet" href="jquery.mobile-1.0.css" />
  <script src="mobile-js-jquery-congress-jquery.js"></script>
  <script src="mobile-js-jquery-congress-script.js"></script>
  <script src="mobile-js-jquery-congress-jquery.mobile-1.0.js"></script>
  </head>
  
  <body>
  
  <div data-role="dialog">
  
    <div data-role="header">
      <h1>Feedback</h1>
    </div>
    
    <div data-role="content">
       <form action=<mobile-js-jquery-congress-feedback.php> method="post" data-transition="none">
  
         <div data-role="fieldcontain">
           <label for="name">Name:</label>
           <input type="text" name="name" id="name" value="" required />
         </div>
  
         <div data-role="fieldcontain">
           <label for="email">Email:</label>
           <input type="email" name="email" id="email" value="" required />
         </div>
         
         <div data-role="fieldcontain">
           <label for="comments">Comments:</label>
           <textarea cols="40" rows="8" name="comments" id="comments"></textarea>
         </div>
         
             <div data-role="fieldcontain">
           <label for="contacted">Can we contact you?</label>
           <select name="contacted" id="contacted" data-role="slider">
             <option value="no">No</option>
             <option value="yes">Yes</option>
           </select>
         </div>
             
         <input type="submit" value="Send" data-theme="a">
       
       </form>
    </div>
    
  </div>
  </body>
  </html>
  


(C) Æliens 04/09/2009

You may not copy or print any of this material without explicit permission of the author or the publisher. In case of other copyright issues, contact the author.