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POST contacts.php

<form action="contacts.php" method="post">
  <h4>Personal Details</h4>
  <input type="text" placeholder="Full Name">
  <input type="email" placeholder="Email Address">
  <h4>Consolidated Bank Client?</h4>
  <select name="client">
    <option>Yes</option>
    <option>No</option>
  </select>
  <p>Any comment, suggestion, query, complaint or anything that you would like Consolidated Bank to know.</p>
  <h4>Query type</h4>
  <select name="querytype">
    <option>Comment</option>
    <option>Suggestion</option>
    <option>Complaint</option>
    <option>Query</option>
  </select>
  <textarea placeholder="Your comment" name="comment"></textarea>
  <button name="feedback" type="submit" value="send">SEND</button>
</form>

Text Content

Feedback? Send us a message
x

PERSONAL DETAILS

CONSOLIDATED BANK CLIENT?

Yes No

Any comment, suggestion, query, complaint or anything that you would like
Consolidated Bank to know.

QUERY TYPE

Comment Suggestion Complaint Query SEND

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