mirror of
https://github.com/bigchaindb/site.git
synced 2024-11-26 11:38:58 +01:00
116 lines
5.2 KiB
HTML
116 lines
5.2 KiB
HTML
|
||
<form id="form-enterprise" class="form form--enterprise js-parsley" action="" method="POST" accept-charset="UTF-8">
|
||
|
||
<div class="grid grid--full grid-small--half">
|
||
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<input class="form-control" type="text" id="name_first" name="name_first" required>
|
||
<label class="form-label" for="name_first">First Name</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<input class="form-control" type="text" id="name_last" name="name_last" required>
|
||
<label class="form-label" for="name_last">Last Name</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<input class="form-control" type="text" id="company" name="company" required>
|
||
<label class="form-label" for="company">Company</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<input class="form-control" type="email" id="email" name="_replyto" required>
|
||
<label class="form-label" for="email">Email</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<input class="form-control" type="tel" id="phone" name="phone" required>
|
||
<label class="form-label" for="phone">Phone</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<select class="form-control" id="country" name="country" required data-required="true">
|
||
<option value=""> </option>
|
||
{% for country in site.data.countries %}
|
||
<option value="{{ country.abbreviation }}">{{ country.country }}</option>
|
||
{% endfor %}
|
||
</select>
|
||
<label class="form-label" for="country">Country</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<select class="form-control" id="industry" name="industry" required data-required="true">
|
||
<option value=""> </option>
|
||
<option value="Automotive">Automotive</option>
|
||
<option value="Banking">Banking</option>
|
||
<option value="Consulting">Consulting</option>
|
||
<option value="Data">Data</option>
|
||
<option value="Energy">Energy</option>
|
||
<option value="Government">Government</option>
|
||
<option value="Healthcare">Healthcare</option>
|
||
<option value="Identity">Identity & Security</option>
|
||
<option value="Insurance">Insurance</option>
|
||
<option value="Information Technology">Information Technology</option>
|
||
<option value="Logistics">Logistics & Shipping</option>
|
||
<option value="Manufacturing">Manufacturing</option>
|
||
<option value="Media">Media & Content</option>
|
||
<option value="other">Other</option>
|
||
</select>
|
||
<label class="form-label" for="industry">Industry</label>
|
||
</p>
|
||
</div>
|
||
<div class="grid__col">
|
||
<p class="form-group">
|
||
<select class="form-control" id="interest" name="interest" required data-required="true">
|
||
<option value=""> </option>
|
||
<option value="Education">Education</option>
|
||
<option value="Partnership">Partnership</option>
|
||
<option value="Prototype">Proof-of-Concept / Prototype / Pilot</option>
|
||
<option value="Implementation">Implementation</option>
|
||
<option value="BigchainDB Enterprise Edition">BigchainDB Enterprise Subscription</option>
|
||
</select>
|
||
<label class="form-label" for="interest">Interested in</label>
|
||
</p>
|
||
</div>
|
||
</div>
|
||
|
||
<p class="form-group">
|
||
<textarea class="form-control" id="comment" name="comment" rows="1"></textarea>
|
||
<label class="form-label" for="comment">Comments</label>
|
||
</p>
|
||
<p class="form-group text-dimmed mini">
|
||
Fields marked with an <span class="required">*</span> are required.
|
||
</p>
|
||
<p class="form-group">
|
||
<input class="btn btn-primary" type="submit" value="Send">
|
||
</p>
|
||
|
||
<div class="alert alert-success animation-slide-in-from-bottom hide">
|
||
<svg class="alert__icon icon icon-success">
|
||
<use xlink:href="/assets/img/sprite.svg#icon-success"></use>
|
||
</svg>
|
||
<p>
|
||
<strong class="alert__title">Great to hear you’re interested!</strong>
|
||
We’ll get in touch soon.
|
||
</p>
|
||
</div>
|
||
<div class="alert alert-danger hide">
|
||
<svg class="alert__icon icon icon-fail">
|
||
<use xlink:href="/assets/img/sprite.svg#icon-fail"></use>
|
||
</svg>
|
||
<p>
|
||
<strong class="alert__title">Ops, there was an error</strong>
|
||
Would you mind trying again?
|
||
</p>
|
||
</div>
|
||
|
||
<input type="hidden" name="_subject" value="New contact form submission" />
|
||
</form>
|