Your IP : 216.73.216.95
<?php // Don't load directly
if ( ! defined('ABSPATH') ) { die(_("Don't load directly")); }
?>
<div id="ipray-submit-container">
<div class="ipray-links">
<a class="btn btn-primary" data-close="<?php _e('Close Prayer Request Form','ipray-plugin') ?>" data-open="<?php _e('Share Your Request or Praise','ipray-plugin') ?>" id="ipray-share-button" href="javascript:;">
<?php _e('Share Your Request or Praise','ipray-plugin') ?>
</a>
<a class="btn btn-default" data-close="<?php _e('Close alerts Form','ipray-plugin') ?>" data-open="<?php _e('Get alerts when new prayers post','ipray-plugin') ?>" id="ipray-subscribe-button" href="javascript:;">
<?php _e('Get alerts when new prayers post','ipray-plugin') ?>
</a>
</div>
<div id="ipray-prayers-container" style="display: none;">
<h3><?php _e('Add new prayer','ipray-plugin') ?></h3>
<p class="ipray-instructions"> <?php echo $prayer_instruction ?></p>
<form id="ipray-prayer-submit-form" name="ipray-prayer-submit-form" method="post" action="">
<div class="row">
<div class="col-md-6">
<div class="row">
<div class="col-md-4"><label for="name"><?php _e('Your Name:','ipray-plugin') ?></label></div>
<div class="col-md-8"><input type="text" tabindex="1" id="name" value="" name="name" class="form-control"></div>
</div>
<div class="row">
<div class="col-md-4"><label for="email"><?php _e('Your Email:','ipray-plugin') ?></label></div>
<div class="col-md-8"><input type="text" tabindex="2" id="email" value="" name="email" class="form-control"></div>
</div>
<div class="row">
<div class="col-md-4"><label for="phone"><?php _e('Your Phone:','ipray-plugin') ?></label></div>
<div class="col-md-8"><input type="text" tabindex="3" id="phone" value="" name="phone" class="form-control"></div>
</div>
<div class="row">
<div class="col-md-4"><label for="desired_share_option"><?php _e('Share it','ipray-plugin') ?></label></div>
<div class="col-md-8">
<select tabindex="4" id="desired_share_option" name="desired_share_option" class="form-control">
<option value="0"><?php _e('Share this','ipray-plugin') ?></option>
<?php if($prayer_subscribe == 1) { ?>
<option value="1">
<?php _e('Share this anonymously','ipray-plugin') ?>
</option>
<?php } ?>
<option value="2">
<?php _e('Do not share this','ipray-plugin') ?>
</option>
</select>
</div>
</div>
<div class="row">
<div class="col-md-4"><label for="prayer"><?php _e('Your prayer request:','ipray-plugin') ?></label></div>
<div class="col-md-8"><textarea tabindex="5" id="prayer" cols="" rows="5" name="prayer" class="form-control"></textarea></div>
</div>
<div class="row">
<div class="col-md-4"> </div>
<div class="col-md-8">
<div id="ipray-submit-area">
<?php if($prayer_subscribe == 1) { ?>
<label class="checkbox">
<input type="checkbox" tabindex="6" class="check" value="1" id="notifyme" name="notifyme">
<?php _e('Email me when someone prays for me','ipray-plugin') ?>
</label>
<?php } ?>
<input type="hidden" name="requesturi" value="<?php echo base64_encode($_SERVER['REQUEST_URI']) ?>" />
<input type="hidden" name="action" value="prayer_submit" />
<input type="submit" tabindex="9" class="submit btn btn-primary btn-block" value="<?php _e('Submit Request','ipray-plugin'); ?>">
</div>
</div>
</div>
</div>
</div>
</form>
</div>
</div>