pasalino/TinyLanding

<div id="error_box">
    <h3>Ops! Something went wrong</h3>
    <p>Please retry</p>
</div>
<form id="lead">
    <input type="hidden" name="landing" id="landing" value="{{landingHash}}">
    <input type="hidden" name="_csrf" id="_csrf" value="{{csrfToken}}">
    <label for="name">Name</label><input type="text" name="name" id="name" placeholder="Name*">
    <!--<label for="surname">Surname</label><input type="text" name="surname" id="surname" placeholder="Surname">-->
    <label for="email">Email</label><input type="email" name="email" id="email" placeholder="E-mail*">
    <!--<label for="phone">Phone</label><input type="text" name="phone" id="phone" placeholder="Phone">-->
    <!--<label for="company">Company</label><input type="text" name="company" id="company" placeholder="Company">-->
    <label for="message">Message</label><textarea name="message" id="message" placeholder="Message*"></textarea>
    <button id="send_lead">Send</button>
</form>
<div id="thanks">
    <h3>Thanks for your contact</h3>
    <p>We will contact you as soon as possible!</p>
</div>