CINXE.COM

Email Report

<!DOCTYPE html> <html xmlns="http://www.w3.org/1999/xhtml"> <head> <title>Email Report</title> <meta http-equiv="X-UA-Compatible" content="IE=edge" /> <meta http-equiv="Content-Type" content="text/html; charset=utf-8" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <meta name="robots" content="noindex, nofollow" /> <link rel="stylesheet" href="/Content/bootstrap-form.css" type="text/css" media="" /> <link rel="stylesheet" href="/Content/ValidationEngine.css" type="text/css" media="" /> <script type="text/javascript" src="/Scripts/jquery.min.js"></script> <script type="text/javascript" src="/Scripts/jquery.valEngine-en.js"></script> <script type="text/javascript" src="/Scripts/jquery.valEngine.js"></script> <style> .dark, .dark * { background-color: #222222; color: #E6E6E6; border-color: #E6E6E6; } </style> </head> <body class=""> <form method="post" id="form"> <input type="hidden" id="formHeight" name="formHeight" /> <input type="hidden" id="formWidth" name="formWidth" /> <div class="container"> <div class="row"> <div class="col-md-9" id="content"> <h2>Email your report</h2> <div class="form-horizontal"> <fieldset> <!-- Form Name --> <!-- Text input--> <div class="form-group"> <label class="col-md-3 control-label" for="textinput">Recipient's email address*</label> <div class="col-md-6"> <input type="email" name="txtEmail" id="txtEmail" placeholder="email" class="validate[required,custom[email]] form-control" /> </div> </div> <!-- Text input--> <div class="form-group"> <label class="col-md-3 control-label" for="textinput">Subject</label> <div class="col-md-6"> <input id="txtSubject" name="txtSubject" placeholder="subject" class="form-control" type="text" /> </div> </div> <!-- Textarea --> <div class="form-group"> <label class="col-md-3 control-label" for="textarea">Optional Message</label> <div class="col-md-6"> <textarea id="txtMsg" name="txtMsg" class="form-control" placeholder="type message here"></textarea> <p>A link to the content will be sent to the email address specified.</p> <p>* denotes a required field</p> </div> </div> <!-- Button --> <div class="form-group"> <label class="col-md-3 control-label" for="singlebutton"></label> <div class="col-lg-6"> <input type="submit" id="singlebutton" class="btn btn-primary" value="Submit" /> or <a onclick='event.preventDefault(); parent.$.fancybox.close();' href="">Cancel</a> </div> </div> </fieldset> </div> </div> </div> </div> </form> <script type="text/javascript"> $('document').ready(function () { var hgt = $(window).height(); var wdt = $(window).width(); $('#formHeight').val(hgt); $('#formWidth').val(wdt); }); $(function () { $("#form").validationEngine('attach', { promptPosition: "topLeft" }); }); (function (i, s, o, g, r, a, m) { i['GoogleAnalyticsObject'] = r; i[r] = i[r] || function () { (i[r].q = i[r].q || []).push(arguments) }, i[r].l = 1 * new Date(); a = s.createElement(o), m = s.getElementsByTagName(o)[0]; a.async = 1; a.src = g; m.parentNode.insertBefore(a, m) })(window, document, 'script', '//www.google-analytics.com/analytics.js', 'ga'); ga('create', 'UA-27589713-9', 'virginia.gov'); ga('send', 'pageview'); </script> </body> </html>