form on one page, header text
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---
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template: index.html
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---
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Come and see the painting live in Amersfoort.
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## Make your reservation now
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<p>Enter your name, telephone number and email address and we will reserve the painting for you. We'll confirm your reservation by email. It will be reserved for you for at least 1 week.</p>
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<form role="form" class="form-horizontal" method="POST" action="reservation.php">
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<div class="form-group">
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<label for="name" class="col-sm-2">Name</label>
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<div class="col-sm-10">
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<input type="text" class="form-control" name="name" placeholder="Enter name">
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</div>
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</div>
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<div class="form-group">
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<label for="phone" class="col-sm-2">Telephone</label>
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<div class="col-sm-10">
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<input type="text" class="form-control" name="phone" placeholder="Enter telephone number">
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</div>
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</div>
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<input type="hidden" name="email"> <!-- Fake hidden field for spam blocking -->
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<div class="form-group">
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<label for="email" class="col-sm-2">Email</label>
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<div class="col-sm-10">
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<input type="email" class="form-control" name="e-mail" placeholder="Enter e-mail">
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</div>
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</div>
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<div class="form-group">
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<div class="col-sm-offset-2 col-sm-10">
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<button type="submit" class="btn btn-default">Send</button>
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</div>
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</div>
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</form>
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