42 lines
1.3 KiB
PHP
42 lines
1.3 KiB
PHP
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<!DOCTYPE html>
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<html>
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<head>
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<title>Wiby Feedback Form</title>
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<meta http-equiv="content-type" content="text/html; charset=utf-8"/>
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<meta name="viewport" content="width=device-width, initial-scale=1">
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<LINK REL=STYLESHEET HREF="/styles.css" TYPE="text/css">
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</head>
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<body>
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<form method="post" >
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<div>
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<label for="feedback">Feedback:</label><br>
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<?php if(isset($_POST['feedback'])) : ?>
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<textarea id="feedback" name="feedback" maxlength="8000" rows="10" cols="60"><?php echo htmlspecialchars($_POST['feedback'], ENT_QUOTES, 'UTF-8') ?></textarea>
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<?php else : ?>
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<textarea id="feedback" name="feedback" maxlength="8000" rows="10" cols="60"></textarea>
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<?php endif; ?>
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</div>
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<br>
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<div>
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<img id="captcha" src="/securimage/securimage_show.php" alt="CAPTCHA Image" />
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</div>
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<div>
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<input type="text" name="captcha_code" size="10" maxlength="6" />
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<a href="#" onclick="document.getElementById('captcha').src = '/securimage/securimage_show.php?' + Math.random(); return false">Reload Image</a>
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<br><p class="pin">* Cookies must be enabled for the captcha.</p>
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</div><br>
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<div><input type="submit" value="Submit"/></div>
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</form>
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</body>
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</html>
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