Your IP : 216.73.217.117

Current Path : /var/www/v3.cesa.co.za/src/ContactBundle/Resources/views/Form/
Upload File :
Current File : /var/www/v3.cesa.co.za/src/ContactBundle/Resources/views/Form/contact.us.html.twig

<div class="space"></div>
<form action="{{ path('iga_contact_us', { 'cultureString': cultureString } ) }}" method="POST">

    <div class="form-group row">
        <div class="col-lg-3 formLabel">
            {{ form_label(form.fromName) }}
        </div>
        <div class="col-lg-9 formPrompt">
            {{ form_widget(form.fromName) }}
            <span class="formError">{{ form_errors(form.fromName) }}</span>
        </div>
        <div class="clearfix"></div>
    </div>

    <div class="form-group row">
        <div class="col-lg-3 formLabel">
            {{ form_label(form.fromEmail) }}
        </div>
        <div class="col-lg-9 formPrompt">
            {{ form_widget(form.fromEmail) }}
            <span class="formError">{{ form_errors(form.fromEmail) }}</span>
        </div>
        <div class="clearfix"></div>
    </div>

    <div class="form-group row">
        <div class="col-lg-3 formLabel">
            {{ form_label(form.subscribed) }}
        </div>
        <div class="col-lg-9 formPrompt">
            {{ form_widget(form.subscribed) }}
            <span class="formError">{{ form_errors(form.subscribed) }}</span>
        </div>
        <div class="clearfix"></div>
    </div>

    <div class="form-group row">
        <div class="col-lg-3 formLabel">
            {{ form_label(form.text) }}
        </div>
        <div class="col-lg-9 formPrompt">
            {{ form_widget(form.text) }}
            <span class="formError">{{ form_errors(form.text) }}</span>
        </div>
        <div class="clearfix"></div>
    </div>

    <div class="form-group row">
        <div class="col-lg-3 formLabel">
            {{ form_label(form.captcha) }}
        </div>
        <div class="col-lg-9 formPrompt">
            {{ form_widget(form.captcha) }}
            <span class="formError">{{ form_errors(form.captcha) }}</span>
        </div>
        <div class="clearfix"></div>
    </div>

    <div class="row form-actions formActions">
        <button type="submit" class="btn btn-primary">{{ 'Send'|phrase }}</button>
    </div>

    {{ form_rest(form) }}

</form>