<div class = "box main">

    <div class="info-text form-text">

        <h2>Contact Us</h2>

        <!-- 
        - Three dots, get prefilled link.  
        - Fill in fields with memorable data (we'll use that to search, then press 'get link')
        - Paste link into browser and view source
        - Search for input, then look for entry.#### BEFORE input
        
        -->

        <!-- Script to redirect success page to custom page -->
        <script type="text/javascript">var submitted=false;</script>

        <iframe name="hidden_iframe" id="hidden_iframe" style="display:none;"     
    onload="if(submitted) {window.location='index.php?page=form_success';}"></iframe>

        <form action="https://docs.google.com/forms/u/1/d/e/1FAIpQLSdBsZQW_0DLNvB3xPxKvvkmz5Y0-MTTSXqCGyzw40Fgx9E5hg/formResponse" method="post" target="hidden_iframe" onsubmit="submitted=true;" >

        <p>
            <input type="name" name="entry.1319625157" placeholder="Name" required />
        </p>

        <p>
            <input type="email" name="entry.179474299" placeholder="Email Address" required />
        </p>

        <textarea name="entry.1103701853" placeholder="Your message" required></textarea>

        <p>
            <button type="submit">Submit</button>
        </p>

        </form>

    </div>  <!-- / info-text -->


    </div>  <!-- / main div -->




    