Template:Join: Difference between revisions
(Created page with "<html> <script src="https://www.google.com/recaptcha/api.js"> function onSubmit(token) { document.getElementById("contactform").submit(); } </script> </html> <div class="conta...") |
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</html> | </html> | ||
<div class="container-contact"> | <div class="container-contact"> | ||
<_form action="email" id="joinform" messageonsuccess="Thank you for your message." recaptcha-v3-action="joinform"> | <_form action="email" id="joinform" messageonsuccess="Thank you for your message." recaptcha-v3-action="joinform" restrictions="lifted"> | ||
<_email template="MediaWiki:FlexForm_join_template"></_email> | <_email template="MediaWiki:FlexForm_join_template"></_email> | ||
<_label for="name">Full Name</_label> | <_label for="name">Full Name</_label> | ||
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<_input type="text" id="registration" name="registration" required="required" placeholder="Your registration number.."/> | <_input type="text" id="registration" name="registration" required="required" placeholder="Your registration number.."/> | ||
<_label class="left" for="specialty">What is your specialty?</_label> | <_label class="left" for="specialty">What is your specialty?</_label> | ||
< | <_input type="text" id="specialty" name="specialty" required="required" placeholder="Your specialty.."/> | ||
<p>Are you an NZCMM member?</p> | <p>Are you an NZCMM or AAMM member?</p> | ||
<div style="display:flex; flex-direction:row; gap:1em;"><div> | <div style="display:flex; flex-direction:row; gap:1em;"><div class="radio"> | ||
<_input type="radio" id="no" name="nzcmm" value="no" /> | <_input type="radio" id="no" name="nzcmm" value="no" class="radio-button"/> | ||
<_label for="huey">No</_label> | <_label for="huey" class="radio-label">No</_label> | ||
</div> | </div> | ||
<div> | <div class="radio"> | ||
<_input type="radio" id="yes" name="nzcmm" value="yes"/> | <_input type="radio" id="yes" name="nzcmm" value="yes" class="radio-button"/> | ||
<_label for="dewey">Yes</_label> | <_label for="dewey" class="radio-label">Yes</_label> | ||
</div></div> | </div></div> | ||
<_label for="message">Message</_label> | <_label for="message" style="margin-top:1.25em;">Message</_label> | ||
<_input type="textarea" rows="10" id="message" name="message" required="required" placeholder="Your message.."/> | <_input type="textarea" rows="10" id="message" name="message" required="required" placeholder="Your message.."/> | ||
<_input type="submit" value="Submit"/> | <_input type="submit" value="Submit"/> | ||
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</div> | </div> | ||
<templatestyles src="Contact/styles.css" /> | <templatestyles src="Contact/styles.css" /> | ||
<noinclude>[[Category:Templates]]</noinclude> | <noinclude>[[Category:FlexForm Templates]]</noinclude> | ||
Latest revision as of 19:26, 9 July 2022
<_form action="email" id="joinform" messageonsuccess="Thank you for your message." recaptcha-v3-action="joinform" restrictions="lifted"> <_email template="MediaWiki:FlexForm_join_template"></_email> <_label for="name">Full Name</_label> <_input type="text" id="name" name="name" required="required" placeholder="Your full name.."/> <_label for="email">Email</_label> <_input type="text" id="email" name="email" required="required" placeholder="Your email.."/> <_label for="email">Registration Number</_label> <_input type="text" id="registration" name="registration" required="required" placeholder="Your registration number.."/> <_label class="left" for="specialty">What is your specialty?</_label> <_input type="text" id="specialty" name="specialty" required="required" placeholder="Your specialty.."/>
Are you an NZCMM or AAMM member?
<_input type="radio" id="no" name="nzcmm" value="no" class="radio-button"/> <_label for="huey" class="radio-label">No</_label>
<_input type="radio" id="yes" name="nzcmm" value="yes" class="radio-button"/> <_label for="dewey" class="radio-label">Yes</_label>
<_label for="message" style="margin-top:1.25em;">Message</_label> <_input type="textarea" rows="10" id="message" name="message" required="required" placeholder="Your message.."/> <_input type="submit" value="Submit"/> </_form>
