<script src="http://max.jotfor.ms/min/g=jotform?3.1.273" type="text/javascript"></script>
<script type="text/javascript">
JotForm.init(function(){
$('input_5').hint('مثال : mr.a_e_acc@yahoo.com');
});
</script>
<link href="http://max.jotfor.ms/min/g=formCss?3.1.273" rel="stylesheet" type="text/css" />
<link type="text/css" rel="stylesheet" href="http://jotform.me/css/styles/pastel.css?3.1.273" />
<style type="text/css">
.form-label{
width:170px !important;
}
.form-label-left{
width:170px !important;
}
.form-line{
padding-top:12px;
padding-bottom:12px;
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.form-label-right{
width:170px !important;
}
.form-all{
width:598px;
background:#abcadb;
color:#000000 !important;
font-family:'Tahoma';
font-size:14px;
}
</style>
<link type="text/css" rel="stylesheet" href="http://jotform.me/css/styles/buttons/form-submit-button-light.css?3.1.273"/>
<form class="jotform-form" action="http://submit.jotform.me/submit/22656863757468/" method="post" enctype="multipart/form-data" name="form_22656863757468" id="22656863757468" accept-charset="utf-8">
<input type="hidden" name="formID" value="22656863757468" />
<div class="form-all">
<ul class="form-section">
<li class="form-line" id="id_4">
<label class="form-label-right" id="label_4" for="input_4">
اسم المرسل :<span class="form-required">*</span>
</label>
<div id="cid_4" class="form-input">
<input type="text" class="form-textbox validate[required]" id="input_4" name="q4_4" size="23" />
</div>
</li>
<li class="form-line" id="id_5">
<label class="form-label-right" id="label_5" for="input_5">
البريد الإلكترونى :<span class="form-required">*</span>
</label>
<div id="cid_5" class="form-input">
<input type="email" class="form-textbox validate[required, Email]" id="input_5" name="q5_5" size="30" />
</div>
</li>
<li class="form-line" id="id_6">
<label class="form-label-right" id="label_6" for="input_6"> المدونة أو الموقع : </label>
<div id="cid_6" class="form-input">
<input type="text" class="form-textbox" id="input_6" name="q6_6" size="23" />
</div>
</li>
<li class="form-line" id="id_7">
<label class="form-label-right" id="label_7" for="input_7">
نص الرسالة :<span class="form-required">*</span>
</label>
<div id="cid_7" class="form-input">
<textarea id="input_7" class="form-textarea validate[required]" name="q7_7" cols="40" rows="6"></textarea>
</div>
</li>
<li class="form-line" id="id_8">
<label class="form-label-right" id="label_8" for="input_8"> ارفاق ملف : </label>
<div id="cid_8" class="form-input">
<input class="form-upload" type="file" id="input_8" name="q8_8" file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" file-maxsize="10300" />
</div>
</li>
<li class="form-line" id="id_9">
<div id="cid_9" class="form-input-wide">
<div style="margin-left:176px" class="form-buttons-wrapper">
<button id="input_9" type="submit" class="form-submit-button form-submit-button-light">
إرسال
</button>
<button id="input_reset_9" type="reset" class="form-submit-reset form-submit-button-light">
Clear Form
</button>
</div>
</div>
</li>
<li style="display:none">
Should be Empty:
<input type="text" name="website" value="" />
</li>
</ul>
</div>
<input type="hidden" id="simple_spc" name="simple_spc" value="22656863757468" />
<script type="text/javascript">
document.getElementById("si" + "mple" + "_spc").value = "22656863757468-22656863757468";
</script>
</form>
