<link href="//netdna.bootstrapcdn.com/bootstrap/3.0.0/css/bootstrap.min.css" rel="stylesheet" id="bootstrap-css">
<script src="//netdna.bootstrapcdn.com/bootstrap/3.0.0/js/bootstrap.min.js"></script>
<script src="//code.jquery.com/jquery-1.11.1.min.js"></script>
<!------ Include the above in your HEAD tag ---------->
<div class="container">
<form class="well form-horizontal" action=" " method="post" id="contact_form">
<fieldset>
<!-- Form Name -->
<legend>Contact Us Today!</legend>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Nome Completo</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="first_name" placeholder="First Name" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label" >Empresa</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-user"></i></span>
<input name="last_name" placeholder="Last Name" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">E-Mail</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-envelope"></i></span>
<input name="email" placeholder="E-Mail Address" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Telefone</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-earphone"></i></span>
<input name="phone" placeholder="(00) 0000-0000" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Celular</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-earphone"></i></span>
<input name="address" placeholder="(00) 00000-0000" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Cidade</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-home"></i></span>
<input name="city" placeholder="city" class="form-control" type="text">
</div>
</div>
</div>
<!-- Select Basic -->
<div class="form-group">
<label class="col-md-4 control-label">State</label>
<div class="col-md-4 selectContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-list"></i></span>
<select name="state" class="form-control selectpicker" >
<option value="estado">Por favor, selecione o Estado</option>
<option value="ac">Acre</option>
<option value="al">Alagoas</option>
<option value="am">Amazonas</option>
<option value="ap">Amapá</option>
<option value="ba">Bahia</option>
<option value="ce">Ceará</option>
<option value="df">Distrito Federal</option>
<option value="es">Espírito Santo</option>
<option value="go">Goiás</option>
<option value="ma">Maranhão</option>
<option value="mt">Mato Grosso</option>
<option value="ms">Mato Grosso do Sul</option>
<option value="mg">Minas Gerais</option>
<option value="pa">Pará</option>
<option value="pb">Paraíba</option>
<option value="pr">Paraná</option>
<option value="pe">Pernambuco</option>
<option value="pi">Piauí</option>
<option value="rj">Rio de Janeiro</option>
<option value="rn">Rio Grande do Norte</option>
<option value="ro">Rondônia</option>
<option value="rs">Rio Grande do Sul</option>
<option value="rr">Roraima</option>
<option value="sc">Santa Catarina</option>
<option value="se">Sergipe</option>
<option value="sp">São Paulo</option>
<option value="to">Tocantins</option>
</select>
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Cep</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-home"></i></span>
<input name="zip" placeholder="00000-00" class="form-control" type="text">
</div>
</div>
</div>
<!-- Text input-->
<div class="form-group">
<label class="col-md-4 control-label">Website or domain name</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-globe"></i></span>
<input name="website" placeholder="Website or domain name" class="form-control" type="text">
</div>
</div>
</div>
<!-- radio checks -->
<div class="form-group">
<label class="col-md-4 control-label">Como prefere ser contatado?</label>
<div class="col-md-4">
<div class="radio">
<label>
<input type="radio" name="hosting" value="yes" /> Telefone
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="hosting" value="no" /> Celular
</label>
</div>
<div class="radio">
<label>
<input type="radio" name="hosting" value="no" /> E-mail
</label>
</div>
</div>
</div>
<!-- Text area -->
<div class="form-group">
<label class="col-md-4 control-label">Mensagem</label>
<div class="col-md-4 inputGroupContainer">
<div class="input-group">
<span class="input-group-addon"><i class="glyphicon glyphicon-pencil"></i></span>
<textarea class="form-control" name="comment" placeholder="Project Description"></textarea>
</div>
</div>
</div>
<!-- Success message -->
<div class="alert alert-success" role="alert" id="success_message">Success <i class="glyphicon glyphicon-thumbs-up"></i> Thanks for contacting us, we will get back to you shortly.</div>
<!-- Button -->
<div class="form-group">
<label class="col-md-4 control-label"></label>
<div class="col-md-4">
<button type="submit" class="btn btn-warning" >Enviar <span class="glyphicon glyphicon-send"></span></button>
</div>
</div>
</fieldset>
</form>
</div>
</div><!-- /.container -->
#success_message{ display: none;}
$(document).ready(function() {
$('#contact_form').bootstrapValidator({
// To use feedback icons, ensure that you use Bootstrap v3.1.0 or later
feedbackIcons: {
valid: 'glyphicon glyphicon-ok',
invalid: 'glyphicon glyphicon-remove',
validating: 'glyphicon glyphicon-refresh'
},
fields: {
first_name: {
validators: {
stringLength: {
min: 2,
},
notEmpty: {
message: 'Please supply your first name'
}
}
},
last_name: {
validators: {
stringLength: {
min: 2,
},
notEmpty: {
message: 'Please supply your last name'
}
}
},
email: {
validators: {
notEmpty: {
message: 'Please supply your email address'
},
emailAddress: {
message: 'Please supply a valid email address'
}
}
},
phone: {
validators: {
notEmpty: {
message: 'Please supply your phone number'
},
phone: {
country: 'US',
message: 'Please supply a vaild phone number with area code'
}
}
},
address: {
validators: {
stringLength: {
min: 8,
},
notEmpty: {
message: 'Please supply your street address'
}
}
},
city: {
validators: {
stringLength: {
min: 4,
},
notEmpty: {
message: 'Please supply your city'
}
}
},
state: {
validators: {
notEmpty: {
message: 'Please select your state'
}
}
},
zip: {
validators: {
notEmpty: {
message: 'Please supply your zip code'
},
zipCode: {
country: 'US',
message: 'Please supply a vaild zip code'
}
}
},
comment: {
validators: {
stringLength: {
min: 10,
max: 200,
message:'Please enter at least 10 characters and no more than 200'
},
notEmpty: {
message: 'Please supply a description of your project'
}
}
}
}
})
.on('success.form.bv', function(e) {
$('#success_message').slideDown({ opacity: "show" }, "slow") // Do something ...
$('#contact_form').data('bootstrapValidator').resetForm();
// Prevent form submission
e.preventDefault();
// Get the form instance
var $form = $(e.target);
// Get the BootstrapValidator instance
var bv = $form.data('bootstrapValidator');
// Use Ajax to submit form data
$.post($form.attr('action'), $form.serialize(), function(result) {
console.log(result);
}, 'json');
});
});
