File "from_info.php"

Full Path: /home/ptgoldenvisa/public_html/visabyinvestment/from_info.php
File size: 5.12 KB
MIME-type: text/html
Charset: utf-8

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html lang="en-gb" xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-gb">
  <head>
    <meta http-equiv="content-type" content="application/xhtml+xml; charset=UTF-8" />
    <style type="text/css">
body, div, dl, dt, dd, ul, ol, li, h1, h2, h3, h4, h5, h6, pre, form, fieldset, input, textarea, p, blockquote, th, td {
	margin: 0;
	padding: 0;
}
body {
	background: transparent;
}
table {
	border-collapse: collapse;
	border-spacing: 0;
}
fieldset, img {
	border: 0;
}
address, caption, cite, code, dfn, em, strong, th, var {
	font-style: normal;
	font-weight: normal;
}
ol, ul {
	list-style: none;
}
caption, th {
	text-align: left;
}
h1, h2, h3, h4, h5, h6 {
	font-size: 100%;
	font-weight: normal;
}
q:before, q:after {
	content: '';
}
abbr, acronym {
	border: 0;
}
*:focus {
	outline: none;
}
</style> <link href="http://fonts.googleapis.com/css?family=Open+Sans:400,300"
      rel="stylesheet"
      type="text/css" />
    <title>Golden Visa Portugal | Visto Portugal</title>
    <meta name="robots" content="index,follow" />
    <meta name="author" content="David Machado" />
    <meta name="description" content="Investor Visa Portugal is an opportunity for a citizen of any country. " />
    <meta name="keywords" content="gold visa portugal, gold visa,investors visa, investor visa, residence permit" />
    <link rel="shortcut icon" href="favicon.ico" />
    <link rel="stylesheet" href="validationEngine.jquery.css" type="text/css" />
    <!--[if lt IE 9]>
<link rel="stylesheet" type="text/css" href="golden_8.css" /><![endif]-->
    <!--[if lt IE 8]>
<link rel="stylesheet" type="text/css" href="golden_7.css" /><![endif]-->
    <script src="jquery-1.5.1.min.js" type="text/javascript"></script>
    <script src="jquery.validationEngine-pt.js" type="text/javascript" charset="utf-8"></script>
    <script src="jquery.validationEngine.js" type="text/javascript" charset="utf-8"></script>
    <script>
	jQuery(document).ready(function(){
		jQuery("#formID").validationEngine('attach', {promptPosition : "bottomLeft"});
	});
	function validate(evt) {
		var theEvent = evt || window.event;
		var key = theEvent.keyCode || theEvent.which;
		key = String.fromCharCode( key );
		var regex = /[0-9]|\./;
		if( !regex.test(key) ) {
			theEvent.returnValue = false;
			if(theEvent.preventDefault) theEvent.preventDefault();
		}
	}
</script> <link rel="stylesheet" href="validationEngine.jquery.css" type="text/css" />
    <style type="text/css">
body {margin:0;padding:0;
	font-family: 'Open Sans', Arial, serif;
}
label {
	font-size: 13px;
	margin-right: 10px;
	text-align: right;
}
input, textarea {
    border: 1px solid #acacac;
    font-size: 13px;
    height: 24px;
    margin: 2px 0;
    padding-left: 3px;
    width: 90% !important;
}

input#submit {
    background: url("submit_info.png") no-repeat scroll 50% 0 rgba(0, 0, 0, 0);
    border: 0 none;
    display: inline-block;
    height: 42px;
    line-height: 3000;
    margin: 0 auto;
    text-indent: -999em;
    width: 63% !important;
}

input#submit:hover {
    background: url("submit_info.png") no-repeat scroll 50% -42px rgba(0, 0, 0, 0);
    cursor: pointer;
}
</style> </head>
  <body>
      <?
if (!empty($_SERVER['HTTP_CLIENT_IP'])) {
   $ip = $_SERVER['HTTP_CLIENT_IP'];
} elseif (!empty($_SERVER['HTTP_X_FORWARDED_FOR'])) {                   
   $ip = $_SERVER['HTTP_X_FORWARDED_FOR'];
} else {
   $ip = $_SERVER['REMOTE_ADDR'];
}
?>
    <form id="formID" class="formular" method="post" action="submit_info.php">
         <input type="hidden" name="ip" value=""> 
      <table width="100%" cellspacing="0" cellpadding="0" border="0" align="center"
        style="text-align:center;">
        <tbody>
          <tr>
            <td width="40" align="right"><label for="Nome">Name</label></td>
            <td width="310" align="left"><input type="text" class="validate[required,minSize[2]] text-input"
                value=""
                name="Nome"
                id="Nome" /></td>
          </tr>
          <tr>
            <td align="right"><label for="email">Email</label></td>
            <td align="left"><input type="text" class="validate[required,custom[email]] text-input"
                value=""
                name="email"
                id="email" /></td>
          </tr>
          <tr>
            <td align="right"><label for="Telefone">Phone</label></td>
            <td align="left"><input type="text" class="validate[required,minSize[9]] text-input"
                style="width:30%"
                onkeypress="validate(event)"
                value=""
                name="Telefone"
                id="Telefone" /></td>
          </tr>
          <tr>
            <td align="right"><label for="msg">Message</label></td>
            <td align="left"><textarea name="msg" rows="4" id="msg" style="height:70px"></textarea></td>
          </tr>
          <tr>
            <td height="5" colspan="2"><br />
            </td>
          </tr>
          <tr>
            <td colspan="2"><input type="submit" id="submit" value="submit" /></td>
          </tr>
        </tbody>
      </table>
    </form>
  </body>
    </html>