【问题标题】:Submitting form with different input values based off select drop down根据选择下拉提交具有不同输入值的表单
【发布时间】:2017-07-20 15:52:18
【问题描述】:

大家好,我目前的代码有问题需要帮助,而且大部分情况下它都可以工作,但是我需要帮助解决一两个问题。

下面的代码是这样的,它从 1 个输入字段和两个选择下拉菜单开始。第二个下拉列表确定需要显示哪些其他输入字段。一旦发生这种情况,用户将填写字段并提交表单。然后转到名为 newformprocess.php 的 php 文件来处理值、验证等。

下拉菜单与 JavaScript 一起使用,以确定要显示的内容和隐藏的内容。因此,在作为索引页面的 newform.html 中,有三个不同的部分,每个部分都带有“Display:none;”根据下拉菜单隐藏或显示的代码。所有这一切都很好,我认为这是下一部分,但无法弄清楚。

发生的情况是我在代码中进行的少数验证,即使填写所有字段,它仍然会向我发送一个错误,告诉我填写所有字段,但是我已经全部填写了。第二个问题,如果我取出所有验证并只留下一个,它会起作用,但是,当我点击提交并在收到电子邮件时发送表单时,我错过了很多输入字段,这意味着用户输入的内容我没有得到它并不是所有的输入字段我都能得到用户输入的一些内容。

newform.php 下面的索引页。

<!DOCTYPE html>
<html>
  <head>
    <meta charset="UTF-8">
    <title>Offer Submission Form</title>
    <link rel="stylesheet" type="text/css" href="css/mystyle.css">
    <link href="https://fonts.googleapis.com/css?family=Lato" rel="stylesheet">
    <script src="http://ajax.googleapis.com/ajax/libs/jquery/2.0.0/jquery.min.js"></script>
    <script type="text/javascript" src="js/newForm.js"></script>
  </head>

<body>
 <div class="form-style-10">

  <div class="inner-wrap">

   <form action="newformprocess.php" method="post">

    <label>Dealership Name:<em class="required-star">*</em></label><input id="dealerName" name="dealerName" type="text" placeholder="Dealership Name" style="background-color: white;"/>

    <label>Which Marketing Medium?<em class="required-star">*</em></label><select id="market" type="select" name="marketing">
        <option id="market1" value="Facebook">Facebook</option>
        <option id="market2" value="Website Banner">Website Banner</option>
        <option id="market3" value="Radio">Radio</option>
        <option id="market4" value="TV">TV</option>
        <option id="market5" value="Email">Email</option>
        <option id="market6" value="Direct Mail">Direct Mail</option>
        <option id="market7" value="All Channels">All Channels</option>
    </select>


        <label>Offer Type?</label><select id="offertype" type="select" name="offerType">
            <option id="option_1" value="New">New Purchase</option>
            <option id="option_2" value="Leased">New Lease</option>
            <option id="option_3" value="Used">Used Purchase</option>
        </select>


    <!--This div section is for when client select puchased as their new opiton....--->
    <div id="purchased" style="display:none;">
        <label>Start Date:<em class="required-star">*</em></label><input id="pur_startDate" name="startDate" type="text" placeholder="01/01/2012" style="background-color: white;"/>
        <label>End Date:<em class="required-star">*</em></label><input id="pur_endDate" name="endDate" type="text" placeholder="05/07/2015" style="background-color: white;"/>
        <label>Year:<em class="required-star">*</em></label><input id="pur_vehicleYear" name="yearOfVehicle" type="text" placeholder="Vehicle Year" style="background-color: white;"/>
        <label>Make:<em class="required-star">*</em></label><input id="pur_make" name="makeOfVehicle" type="text" placeholder="Make" style="background-color: white;"/>
        <label>Model:<em class="required-star">*</em></label><input id="pur_model" name="modelOfVehicle" type="text" placeholder="Model" style="background-color: white;"/>
        <label>Trim:<em class="required-star">*</em></label><input id="pur_trim" name="trimOfVehicle" type="text" placeholder="Trim of Vehicle" style="background-color: white;"/>
        <label>Model #:<em class="required-star">*</em></label><input id="pur_input_5" name="modelNumber" type="text" placeholder="14325" style="background-color: white;"/>
        <label>Stock #:<em class="required-star">*</em></label><input id="pur_input_5" name="stockNumber" type="text" placeholder="1234" style="background-color: white;"/>
        <label>MSRP:<em class="required-star">*</em></label><input id="pur_input_5" name="msrpNumber" type="text" placeholder="15995" style="background-color: white;"/>
        <label>Selling Price:<em class="required-star">*</em></label><input id="pur_input_5" name="sellingPrice" type="text" placeholder="12895" style="background-color: white;"/>
        <label>Down Payment:<em class="required-star">*</em></label><input id="pur_input_5" name="downPayment" type="text" placeholder="1000" style="background-color: white;"/>
        <label>$XXX/ Monthly Payment:<em class="required-star">*</em></label><input id="pur_input_5" name="monthlyPayment" type="text" placeholder="$198" style="background-color: white;"/>
        <label>Last 6 of VIN:<em class="required-star">*</em></label><input id="pur_input_5" name="lastVin" type="text" placeholder="123456" style="background-color: white;"/>
        <label>Rebate:</label><input id="pur_input_5" name="rebateInfo" type="text" placeholder="Rebate on Vehicle" style="background-color: white;"/>
        <label>APR:<em class="required-star">*</em></label><input id="pur_input_5" name="aprAmount" type="text" placeholder="ARP on Vehicle" style="background-color: white;"/>
        <label>Term:<em class="required-star">*</em></label><input id="pur_input_5" name="termOfVehicle" type="text" placeholder="Residual Payment on Vehicle" style="background-color: white;"/>
        <label>Other Notes(Rebate Info, Special Details etc):</label> <textarea id="pur_textArea" name="msg" placeholder="Notes" style="background-color: white;" rows=2></textarea>
    </div>

    <!--This div section is for when client select leased as their new opiton....--->
    <div id="leased" style="display:none;">
        <label>Start Date:<em class="required-star">*</em></label><input id="lsd_startDate" name="startDate" type="text" placeholder="01/01/2012" style="background-color: white;"/>
        <label>End Date:<em class="required-star">*</em></label><input id="lsd_endDate" name="endDate" type="text" placeholder="05/07/2015" style="background-color: white;"/>
        <label>Year:<em class="required-star">*</em></label><input id="lsd_vehicleYear" name="yearOfVehicle" type="text" placeholder="Vehicle Year" style="background-color: white;"/>
        <label>Make:<em class="required-star">*</em></label><input id="lsd_make" name="makeOfVehicle" type="text" placeholder="Make" style="background-color: white;"/>
        <label>Model:<em class="required-star">*</em></label><input id="lsd_model" name="modelOfVehicle" type="text" placeholder="Model" style="background-color: white;"/>
        <label>Trim:<em class="required-star">*</em></label><input id="lsd_trim" name="trimOfVehicle" type="text" placeholder="Trim of Vehicle" style="background-color: white;"/>
        <label>Model #:<em class="required-star">*</em></label><input id="lsd_model#" name="modelNumber" type="text" placeholder="14325" style="background-color: white;"/>
        <label>Stock #:<em class="required-star">*</em></label><input id="lsd_stock#" name="stockNumber" type="text" placeholder="1234" style="background-color: white;"/>
        <label>MSRP:<em class="required-star">*</em></label><input id="lsd_msrp" name="msrpNumber" type="text" placeholder="$15,995" style="background-color: white;"/>
        <label>Selling Price:<em class="required-star">*</em></label><input id="lsd_selling_price" name="sellingPrice" type="text" placeholder="12895" style="background-color: white;"/>
        <label>Down Payment:<em class="required-star">*</em></label><input id="lsd_down_payment" name="downPayment" type="text" placeholder="1000" style="background-color: white;"/>
        <label>$XXX/ Monthly Payment:<em class="required-star">*</em></label><input id="lsd_monthly_payment" name="monthlyPayment" type="text" placeholder="198" style="background-color: white;"/>
        <label>Last 6 of VIN:<em class="required-star">*</em></label><input id="lsd_vin" name="lastVin" type="text" placeholder="123456" style="background-color: white;"/>
        <label>Rebate:</label><input id="lsd_rebate" name="rebateInfo" type="text" placeholder="Rebate on Vehicle" style="background-color: white;"/>
        <label>Term:<em class="required-star">*</em></label><input id="lsd_term" name="termOfVehicle" type="text" placeholder="ARP on Vehicle" style="background-color: white;"/>
        <label>Residual Value:<em class="required-star">*</em></label><input id="lsd_residual_value" name="residualValue" type="text" placeholder="Residual Payment on Vehicle" style="background-color: white;"/>
        <label>Miles Per Year:<em class="required-star">*</em></label><input id="lsd_miles_year" name="milesPerYear" type="text" placeholder="Residual Payment on Vehicle" style="background-color: white;"/>
        <label>Other Notes(Rebate Info, Special Details etc):</label> <textarea id="lsd_textArea" name="msg" placeholder="Notes" style="background-color: white;" rows=2></textarea>
    </div>

    <!-- IF users picks USED it will go to this section of the form...-->
    <div id="used" style="display:none;">
        <label>Start Date:<em class="required-star">*</em></label><input id="fin_startDate" name="startDate" type="text" placeholder="01/01/2012" style="background-color: white;"/>
        <label>End Date:<em class="required-star">*</em></label><input id="fin_endDate" name="endDate" type="text" placeholder="05/07/2015" style="background-color: white;"/>
        <label>Year:<em class="required-star">*</em></label><input id="fin_vehicleYear" name="yearOfVehicle" type="text" placeholder="Vehicle Year" style="background-color: white;"/>
        <label>Make:<em class="required-star">*</em></label><input id="fin_make" name="makeOfVehicle" type="text" placeholder="Make" style="background-color: white;"/>
        <label>Model:<em class="required-star">*</em></label><input id="fin_model" name="modelOfVehicle" type="text" placeholder="Model" style="background-color: white;"/>
        <label>Trim:</label><input id="fin_trim" name="trimOfVehicle" type="text" placeholder="Trim of Vehicle" style="background-color: white;"/>
        <label>Stock #:<em class="required-star">*</em></label><input id="fin_input_5" name="stockNumber" type="text" placeholder="1234" style="background-color: white;"/>
        <label>Selling Price:<em class="required-star">*</em></label><input id="fin_input_5" name="sellingPrice" type="text" placeholder="12895" style="background-color: white;"/>
        <label>Down Payment:<em class="required-star">*</em></label><input id="fin_input_5" name="downPayment" type="text" placeholder="1000" style="background-color: white;"/>
        <label>APR:<em class="required-star">*</em></label><input id="fin_input_5" name="aprAmount" type="text" placeholder="ARP on Vehicle" style="background-color: white;"/>
        <label>Term:<em class="required-star">*</em></label><input id="used_term" name="termOfVehicle" type="text" placeholder="" style="background-color: white;"/>
        <label>Other Notes(Rebate Info, Special Details etc):</label><textarea id="fin_textArea" name="msg" placeholder="Notes" style="background-color: white;" rows=2></textarea>
    </div>

        <div class="button-section"><br />
            <input type="submit" name="submit" value="Submit Offer" />
        </div>


</form> 
</body>
  </div>
</div>
</html>

newformprocess.php 发送表单的位置。

<?php 

//THIS SECTION IS FOR WHEN THE PURCHASED SECTION OF THE FORM IS FILLED OUT..........////        
        if(isset($_POST["submit"]))
        {

            // Checking For Blank Fields....
            if($_POST['dealerName']=="" || $_POST['startDate']=="" || $_POST['endDate']=="" || $_POST['yearOfVehicle']=="" || $_POST['makeOfVehicle']=="" || $_POST['modelOfVehicle']=="" || 
               $_POST['stockNumber']=="" || $_POST['sellingPrice']=="" || $_POST['downPayment']=="" || $_POST['termOfVehicle']=="")
                { 
?>
                    <script type="text/javascript">
                        alert("Please complete the text marked with an *."); //java script telling user to fill in all required fields..
                    </script>
<?php
                }


        //THIS IS THE INFO THAT WILL BE SENT TO INDIVIDUALS IN THE EMAIL SECTION BELOW AS LONG AS ALL THE REQUIRED FIELDS ARE FILLED IN.....//////              
        else{

            $offer = $_POST["offerType"];
            $typeOfPurchase = $_POST["typeOfPurchase"];
            $marketing = $_POST["marketing"];
            $dealerName = $_POST["dealerName"];
            $startDate = $_POST["startDate"];
            $endDate = $_POST["endDate"];
            $vehicleYear = $_POST["yearOfVehicle"];
            $vehicleMake = $_POST["makeOfVehicle"];
            $vehicleModel = $_POST["modelOfVehicle"];
            $vehicleTrim = $_POST["trimOfVehicle"];
            $modelNumber = $_POST["modelNumber"];
            $stockNumber = $_POST["stockNumber"];
            $msrp = $_POST["msrpNumber"];
            $sellingPrice = $_POST["sellingPrice"];
            $downPayment = $_POST["downPayment"];
            $monthlyPayment = $_POST["monthlyPayment"];
            $lastVin = $_POST["lastVin"];
            $aprAmount = $_POST["aprAmount"];
            $vehicleTerm = $_POST["termOfVehicle"];
            $rebate = $_POST["rebateInfo"];
            $residualValue = $_POST["residualValue"];
            $yearPerMiles = $_POST["milesPerYear"];
            $message = $_POST["msg"];


            $message = wordwrap($message, 70);
            $msrpAmount = number_format($msrp, 2, '.', ',');
            $sellPrice = number_format($sellingPrice, 2, '.', ',');
            $dwnPayment = number_format($downPayment, 2, '.', ',');
            $monthPayment = number_format($monthlyPayment, 2, '.', ',');
            $apr = number_format($aprAmount, 2, '.', ',');
            $rebateAmount = number_format($rebate, 2, '.', ',');
            $miles = number_format($yearPerMiles);
            $residual = number_format($residualValue, 2, '.', ',');

            $form_content = 
            "What Type of Offer: $offer
            If your purhcase was new what was your type of purchase: $typeOfPurchase
            Which Marketing Medium: $marketing
            Dealership Name: $dealerName
            Start Date: $startDate
            End Date: $endDate
            Year of Vehicle: $vehicleYear
            Make of Vehicle: $vehicleMake
            Model of Vehicle: $vehicleModel
            Trim of Vehicle: $vehicleTrim
            Model #: $modelNumber 
            Stock #: $stockNumber
            MSRP:$$msrpAmount
            Vehicle Selling Price:$$sellPrice
            Down Payment on Vehicle:$ $dwnPayment
            '$'XXX/ Monthly Payment:$ $monthPayment
            Last 6 of VIN: $lastVin
            Vehicle Rebate:$$rebateAmount
            Residual Value:$$residual
            Vehicle APR:$$apr
            Miles Per Year: $miles
            Other Notes (Rebate Info, Special Details etc): $message";

            $email_subject = "Online Offer Submission Form";

            //THIS IS THE ARRAY THAT WILL HOLD EVERYONE THAT WILL GET THE EMAIL....//////
            $arrEmail = array('Jonathan <jonathan@mywebsite.com>');


                foreach($arrEmail as $key => $email_to)
                mail($email_to, $email_subject, $form_content);

            header('location: http://www.website.com/thank-you-for-contacting-dealer-world/');
        }
        }
?>

** JavaScript 文件,用于处理表单中包含输入字段的 div 元素的隐藏或显示。**

$(document).ready(function() {
$select = $("#offertype");
$("#offertype").on("change",function(){

    if($(this).val() == "New"){
        if($("#purchased").is(":hidden")){
            $("#purchased").show();
            $("#leased").hide();
            $("#used").hide();
        }           
    }

    if($(this).val() == "Leased"){
        if($("#leased").is(":hidden")){
            $("#leased").show();
            $("#purchased").hide();
            $("#used").hide();
        }           
    }

    if($(this).val() == "Used"){
        if($("#used").is(":hidden")){
            $("#used").show();
            $("#purchased").hide();
            $("#leased").hide();
        }           
    }

    });
});

我遇到的问题如下。如果我在上面的 newformprocess.php 文件中添加所有验证以确保输入不为空,我会弹出一个警报弹出窗口来填写所有字段,但是,我将它们全部填写在我添加的每个字段中。第二个问题是,如果我删除所有验证并只使用一个验证,我不会收到弹出警报并且表单会发送,但是当我收到电子邮件时,大多数表单输入值都是空的,就像用户将它们提升为空白一样事实并非如此,因为我是用户,并且我填写了所有字段。非常感谢您抽出宝贵时间为您提供帮助的任何人。

电子邮件的外观 即使我填写了所有字段,也会发生这种情况。正如你所看到的,我得到了一些价值,但不是全部,这是从下拉列表中新购买的。当我从下拉列表中选择 Lease 时,电子邮件的值比它下面的值更多,但仍然遗漏了一些。当我在下拉列表中选择 Used 并提交时,我会返回所有值,因此 Used 可以正常工作。是另外两个。

 What Type of Offer:New
                    Which Marketing Medium: Email
                    Dealership Name: test 1
                    Start Date:
                    End Date:
                    Year of Vehicle:
                    Make of Vehicle:
                    Model of Vehicle:
                    Trim of Vehicle:
                    Model #:
                    Stock #:
                    MSRP:$
                    Vehicle Selling Price:$
                    Down Payment on Vehicle:$
                    '$'XXX/ Monthly Payment:$
                    Last 6 of VIN:
                    Vehicle Rebate:$
                    Residual Value:$
                    Term:
                    Vehicle APR:$
                    Miles Per Year:
                    Other Notes (Rebate Info, Special Details etc):

【问题讨论】:

    标签: javascript php jquery html forms


    【解决方案1】:

    对于可能遇到相同问题的任何人,我需要做的是,当我只使用一个表单并在输入元素中使用相同 name='VALUE' 的所有输入时,它会覆盖其他输入并显示为空白在我的电子邮件中。

    因此,对于每个可能隐藏或显示的 div,我将它们全部以自己的形式放置,这对我来说就像魔术一样。这是我使用三个下拉选择中的两个所做的预览...

    <!--This div section is for when client select puchased as their new opiton....--->
    <div id="purchased" style="display:none;">
        <form action="" method="post">
            <label>Dealership Name:<em class="required-star">*</em></label><input id="dealerName" name="dealerName" type="text" placeholder="Dealership Name" style="background-color: white;"/>
            <label>Which Marketing Medium?<em class="required-star">*</em></label><select id="market" type="select" name="marketing">
                <option id="pick1" selected="selected" value="">Select One</option>
                <option id="market1" value="Facebook">Facebook</option>
                <option id="market2" value="Website Banner">Website Banner</option>
                <option id="market3" value="Radio">Radio</option>
                <option id="market4" value="TV">TV</option>
                <option id="market5" value="Email">Email</option>
                <option id="market6" value="Direct Mail">Direct Mail</option>
                <option id="market7" value="All Channels">All Channels</option>
            </select>
                <label>Start Date:<em class="required-star">*</em></label><input id="pur_startDate" name="startDate" type="text" placeholder="01/01/2012" style="background-color: white;"/>
                <label>End Date:<em class="required-star">*</em></label><input id="pur_endDate" name="endDate" type="text" placeholder="05/07/2015" style="background-color: white;"/>
                <label>Year:<em class="required-star">*</em></label><input id="pur_vehicleYear" name="yearOfVehicle" type="text" placeholder="Vehicle Year" style="background-color: white;"/>
                <label>Make:<em class="required-star">*</em></label><input id="pur_make" name="makeOfVehicle" type="text" placeholder="Make" style="background-color: white;"/>
                <label>Model:<em class="required-star">*</em></label><input id="pur_model" name="modelOfVehicle" type="text" placeholder="Model" style="background-color: white;"/>
                <label>Trim:<em class="required-star">*</em></label><input id="pur_trim" name="trimOfVehicle" type="text" placeholder="Trim of Vehicle" style="background-color: white;"/>
                <label>Model #:<em class="required-star">*</em></label><input id="pur_input_5" name="modelNumber" type="text" placeholder="14325" style="background-color: white;"/>
                <label>Stock #:<em class="required-star">*</em></label><input id="pur_input_5" name="stockNumber" type="text" placeholder="1234" style="background-color: white;"/>
                <label>MSRP:<em class="required-star">*</em></label><input id="pur_input_5" name="msrpNumber" type="text" placeholder="15995" style="background-color: white;"/>
                <label>Selling Price:<em class="required-star">*</em></label><input id="pur_input_5" name="sellingPrice" type="text" placeholder="12895" style="background-color: white;"/>
                <label>Down Payment:<em class="required-star">*</em></label><input id="pur_input_5" name="downPayment" type="text" placeholder="1000" style="background-color: white;"/>
                <label>$XXX/ Monthly Payment:<em class="required-star">*</em></label><input id="pur_input_5" name="monthlyPayment" type="text" placeholder="$198" style="background-color: white;"/>
                <label>Last 6 of VIN:<em class="required-star">*</em></label><input id="pur_input_5" name="lastVin" type="text" placeholder="123456" style="background-color: white;"/>
                <label>Rebate:</label><input id="pur_input_5" name="rebateInfo" type="text" placeholder="Rebate on Vehicle" style="background-color: white;"/>
                <label>APR:<em class="required-star">*</em></label><input id="pur_input_5" name="aprAmount" type="text" placeholder="ARP on Vehicle" style="background-color: white;"/>
                <label>Term:<em class="required-star">*</em></label><input id="pur_input_5" name="termOfVehicle" type="text" placeholder="Residual Payment on Vehicle" style="background-color: white;"/>
                <label>Other Notes(Rebate Info, Special Details etc):</label> <textarea id="pur_textArea" name="msg" placeholder="Notes" style="background-color: white;" rows=2></textarea>
                    <div class="button-section"><br />
                        <input type="submit" name="submit" value="Submit Offer" />
                    </div>  
        </form>
    </div>
    
    <!--This div section is for when client select leased as their new opiton....--->
    <div id="leased" style="display:none;">
       <form action="" method="post">
            <label>Dealership Name:<em class="required-star">*</em></label><input id="dealerName" name="dealerName" type="text" placeholder="Dealership Name" style="background-color: white;"/>
            <label>Which Marketing Medium?<em class="required-star">*</em></label><select id="market" type="select" name="marketing">
                <option id="pick1" selected="selected" value="">Select One</option>
                <option id="market1" value="Facebook">Facebook</option>
                <option id="market2" value="Website Banner">Website Banner</option>
                <option id="market3" value="Radio">Radio</option>
                <option id="market4" value="TV">TV</option>
                <option id="market5" value="Email">Email</option>
                <option id="market6" value="Direct Mail">Direct Mail</option>
                <option id="market7" value="All Channels">All Channels</option>
            </select>
                <label>Start Date:<em class="required-star">*</em></label><input id="lsd_startDate" name="startDate" type="text" placeholder="01/01/2012" style="background-color: white;"/>
                <label>End Date:<em class="required-star">*</em></label><input id="lsd_endDate" name="endDate" type="text" placeholder="05/07/2015" style="background-color: white;"/>
                <label>Year:<em class="required-star">*</em></label><input id="lsd_vehicleYear" name="yearOfVehicle" type="text" placeholder="Vehicle Year" style="background-color: white;"/>
                <label>Make:<em class="required-star">*</em></label><input id="lsd_make" name="makeOfVehicle" type="text" placeholder="Make" style="background-color: white;"/>
                <label>Model:<em class="required-star">*</em></label><input id="lsd_model" name="modelOfVehicle" type="text" placeholder="Model" style="background-color: white;"/>
                <label>Trim:<em class="required-star">*</em></label><input id="lsd_trim" name="trimOfVehicle" type="text" placeholder="Trim of Vehicle" style="background-color: white;"/>
                <label>Model #:<em class="required-star">*</em></label><input id="lsd_model#" name="modelNumber" type="text" placeholder="14325" style="background-color: white;"/>
                <label>Stock #:<em class="required-star">*</em></label><input id="lsd_stock#" name="stockNumber" type="text" placeholder="1234" style="background-color: white;"/>
                <label>MSRP:<em class="required-star">*</em></label><input id="lsd_msrp" name="msrpNumber" type="text" placeholder="$15,995" style="background-color: white;"/>
                <label>Selling Price:<em class="required-star">*</em></label><input id="lsd_selling_price" name="sellingPrice" type="text" placeholder="12895" style="background-color: white;"/>
                <label>Down Payment:<em class="required-star">*</em></label><input id="lsd_down_payment" name="downPayment" type="text" placeholder="1000" style="background-color: white;"/>
                <label>$XXX/ Monthly Payment:<em class="required-star">*</em></label><input id="lsd_monthly_payment" name="monthlyPayment" type="text" placeholder="198" style="background-color: white;"/>
                <label>Last 6 of VIN:<em class="required-star">*</em></label><input id="lsd_vin" name="lastVin" type="text" placeholder="123456" style="background-color: white;"/>
                <label>Rebate:</label><input id="lsd_rebate" name="rebateInfo" type="text" placeholder="Rebate on Vehicle" style="background-color: white;"/>
                <label>Term:<em class="required-star">*</em></label><input id="lsd_term" name="termOfVehicle" type="text" placeholder="ARP on Vehicle" style="background-color: white;"/>
                <label>Residual Value:<em class="required-star">*</em></label><input id="lsd_residual_value" name="residualValue" type="text" placeholder="Residual Payment on Vehicle" style="background-color: white;"/>
                <label>Miles Per Year:<em class="required-star">*</em></label><input id="lsd_miles_year" name="milesPerYear" type="text" placeholder="Residual Payment on Vehicle" style="background-color: white;"/>
                <label>Other Notes(Rebate Info, Special Details etc):</label> <textarea id="lsd_textArea" name="msg" placeholder="Notes" style="background-color: white;" rows=2></textarea>
            <div class="button-section"><br />
                <input type="submit" name="submit" value="Submit Offer" />
            </div>  
        </form> 
    </div>
    

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