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POST mail.php

<form action="mail.php" method="post">
  <div class="card border-primary rounded-0">
    <div class="card-header p-0">
      <div class="bg-info text-white text-center py-2">
        <h3><i class="fa fa-envelope"></i> Contact Form</h3>
        <p class="m-0">Send us a message</p>
      </div>
    </div>
    <div class="card-body p-3">
      <div class="form-group">
        <div class="input-group mb-2">
          <div class="input-group-prepend">
            <div class="input-group-text"><i class="fa fa-user text-info"></i></div>
          </div>
          <input type="text" class="form-control" id="name" name="nombre" placeholder="Name" required="">
        </div>
      </div>
      <div class="form-group">
        <div class="input-group mb-2">
          <div class="input-group-prepend">
            <div class="input-group-text"><i class="fa fa-envelope text-info"></i></div>
          </div>
          <input type="email" class="form-control" id="nombre" name="email" placeholder="Email" required="">
        </div>
      </div>
      <div class="form-group">
        <div class="input-group mb-2">
          <div class="input-group-prepend">
            <div class="input-group-text"><i class="fa fa-comment text-info"></i></div>
          </div>
          <textarea class="form-control" placeholder="Enter your message" required=""></textarea>
        </div>
      </div>
      <div class="text-center">
        <input type="submit" value="Send" onclick="alert('Thank you for the message!'); $('#myModal').modal('hide');" class="btn btn-info btn-block rounded-0 py-2">
      </div>
    </div>
  </div>
</form>

Text Content

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 * American Spirit Cigarette Coupons
 * Basic Cigarette Coupons
 * Camel Cigarette Coupons
 * Gambler Tobacco & Tubes Coupons
 * Kool Cigarette Coupons
 * L&M Cigarette Coupons
 * Marlboro Cigarette Coupons
 * Maverick Cigarette Coupons
 * Newport Cigarette Coupons
 * Pall Mall Cigarette Coupons
 * Virginia Slims Cigarette Coupons
 * Winston Cigarette Coupons

Scan our bar codes at local retailers and get free cigarette coupons for all
major brands including but not limited to: Marlboro, Newport, Camel, L&M,
Winston, American Spirit, Kool, and Gambler. More will become available as the
website evolves.

Send us a message to learn more.

Send Message


CONTACT FORM

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