killermediagroup.com/request.html

202 lines
6.7 KiB
HTML
Executable File

<!DOCTYPE html>
<html>
<head>
<!--Import Google Icon Font-->
<link href="http://fonts.googleapis.com/icon?family=Material+Icons" rel="stylesheet">
<!--Import Google Fonts-->
<link href='https://fonts.googleapis.com/css?family=Gloria+Hallelujah' rel='stylesheet' type='text/css'>
<link href='https://fonts.googleapis.com/css?family=Architects+Daughter' rel='stylesheet' type='text/css'>
<!--Import materialize.css-->
<link type="text/css" rel="stylesheet" href="../css/materialize.min.css"/>
<!--Import Style Sheet-->
<link type="text/css" rel="stylesheet" href="../css/style.css"/>
<!--Let browser know website is optimized for mobile-->
<meta name="viewport" content="width=device-width, initial-scale=1.0"/>
<meta charset="utf-8"/>
<meta http-equiv="cache-control" content="max-age=330" />
<title>Killer Media Group</title>
</head>
<body>
<!-- Title Bar -->
<div class = "title">
<div class = "container">
<div id = "title_header" class = "center-align">
<h1 class = "title_text">Killer Media Group</h1>
</div>
<div id = "title_footer" class = "center-align">
<h5 class = "sub_text">The new style media for the web.</h5>
<h5 class = "sub_text">Here at Killer Media we not only help with design we can host your web site.</h5>
</div>
</div>
</div>
<!-- End Title Bar -->
<div class="navbar">
<nav>
<div class="nav-wrapper container">
<a data-activates="mobile" class="button-collapse"><div class="material-icons">menu</div></a>
<!-- Main Link-->
<ul class="left hide-on-med-and-down">
<li><a href="index.html">Home</a></li>
<li class="active"><a href="request.html">Request</a></li>
<li><a class="dropdown-button" data-constrainwidth="false" data-beloworigin="true" data-hover="false" data-alignment="right" data-activates="dropdown2" >About</a></li>
</ul>
<!-- End Main Link-->
<!--Mobile Link-->
<ul class="side-nav" id="mobile">
<li class=""><a href="../index.html">Home</a></li>
<li class="active"><a href="../request.html">Request</a></li>
<li>
<ul class="collapsible" data-collapsible="accordion">
<li>
<div class="collapsible-header">About</div>
<div class="collapsible-body">
<ul>
<li><a href="../about/killermediagroup.html">Killer Media Group</a></li>
<li><a href="../about/justinfrasier.html">Justin Frasier</a></li>
</ul>
</div>
</li>
</ul>
</li>
</ul>
<!--End Mobile Link-->
<!--Dropdown About-->
<ul id='dropdown2' class='dropdown-content about-dropdown'>
<li>
<a class="about-link" href="../about/killermediagroup.html">
<div class="about">Killer Media Group</div>
</a>
</li>
<li>
<a class="about-link" href="../about/justinfrasier.html">
<div class="about">Justin Frasier</div>
</a>
</li>
</ul>
<!--End Dropdown About-->
</div>
</nav>
</div>
<!-- End Nav Bar -->
<main>
<!-- Form -->
<div class = "container">
<div class = "row">
<form class = "col s12" action="http://killerpc.ddns.net:9090/register_account.html" method="get" name="order_form" id="orderform">
<div class="row">
<!-- First Name -->
<div class="input-field col s12 m12 l6">
<div class="material-icons prefix">account_circle</div>
<input id="firstname" name="firstname" type="text" class="validate">
<label for="firstname">First Name</label>
</div>
<!-- End Last Name -->
<!-- Last Name -->
<div class="input-field col s12 m12 l6">
<div class="material-icons prefix">account_circle</div>
<input id="lastname" name="lastname" type="text" class="validate">
<label for="lastname">Last Name</label>
</div>
<!-- End Last Name -->
<!-- Company Name -->
<div class="input-field col s12 m12 l6">
<div class="material-icons prefix">perm_identity</div>
<input id="compamy_name" name="compamy_name" type="text" class="">
<label for="compamy_name">Company Name</label>
</div>
<!-- End Company Name -->
<!-- Phone Number -->
<div class="input-field col s12 m12 l6">
<div class="material-icons prefix">phone</div>
<input id="telephone" name="telephone" type="tel" class="validate">
<label for="telephone">Telephone</label>
</div>
<!-- End Phone Number -->
<!-- Email -->
<div class="input-field col s12 m12 l6">
<div class="material-icons prefix">email</div>
<input id="email" name="email"type="email" class="validate">
<label for="email">Email</label>
</div>
<!-- End Email -->
<!-- Check Box -->
<div class="col s12 l6">
<div class="container">
<div class="row">
<!-- Title Check Box -->
<div class="col s12 center">Request for</div>
<!-- Web Design Box -->
<div class="col s6">
<input type="checkbox" id="web_design" name="request_for_web_design" value="true"/>
<label for="web_design">Web Design</label>
</div>
<!-- End Web Design Box -->
<!-- Web Hosting Box -->
<div class="col s6">
<input type="checkbox" id="web_hosting" name="request_for_web_hosting" value="true"/>
<label for="web_hosting">Web Hosting</label>
</div>
<!-- End Web Hosting Box -->
</div>
</div>
</div>
<!-- End Check Box -->
<!-- Text field Name -->
<div class="input-field col s12">
<textarea id="textarea1" name="other_info" class="materialize-textarea" maxlength="120"></textarea>
<label for="textarea1">Comment Area</label>
</div>
<!-- Text field Name -->
<!-- Buttons -->
<div class="col s12">
<div class="right-align">
<!-- Submit Button -->
<button class="btn waves-effect waves-light button" type="submit" id="submit">Submit
<div class="material-icons right">send</div>
</button>
<!-- End Submit Button -->
<!-- Clear Button -->
<button class="btn waves-effect waves-light button" type="Reset">Clear
<div class="material-icons right">clear_all</div>
</button>
<!-- End Clear Button -->
</div>
</div>
<!-- End Button -->
</div>
</form>
</div>
</div>
<!-- End Form -->
</main>
<!-- Footer -->
<footer class="footers">
<div class="container">
<div class="row center">
<div class="col s12 l2 "><b>Killer Media Group&copy;<b></div>
<div class="col s12 l5"> &nbsp;</div>
<div class="col s12 l2 "><div class="tiny material-icons">phone</div><b>&nbsp;(318)564-1918</b></div>
<div class="col s12 l1"> &nbsp;</div>
<div class="col s12 l2 ">
<div class="row">
<div class="col s12 l5">
<div class="fb-follow" data-href="https://www.facebook.com/killerMediaGroup" data-layout="button" data-show-faces="false"></div>
</div>
<div class="col s12 l2">&nbsp;</div>
<div class="col s12 l5">
<a class="twitter-follow-button" data-show-count="false" data-show-screen-name="false" href="https://twitter.com/Mclovin1918"></a>
</div>
</div>
</div>
</div>
</div>
</footer>
<!-- End Footer -->
<!--Import jQuery before materialize.js-->
<script type="text/javascript" src="https://code.jquery.com/jquery-2.1.1.min.js"></script>
<script type="text/javascript" src="../js/materialize.min.js"></script>
<script type="text/javascript" src="../js/main.js"></script>
<!-- Color -->
<!-- http://paletton.com/#uid=53y1m0khqnyGrhqeg6lkyLpGrhq -->
</body>
</html>