Median Ui contact form code

<div class='ContactForm' id='ContactForm1'>

  <form name='contact-form'>

    <div class='input-area'>

      <label for='ContactForm1_contact-form-name'>Name</label><input class='contact-form-name' id='ContactForm1_contact-form-name' name='name' type='text' value='' /></div>

    <div class='input-area'>

      <label for='ContactForm1_contact-form-email'>Email<span>*</span></label><input class='contact-form-email' id='ContactForm1_contact-form-email' name='email' type='text' value='' /></div>

    <div class='input-area'>

      <label for='ContactForm1_contact-form-email-message'>Message<span>*</span></label><textarea class='contact-form-email-message' id='ContactForm1_contact-form-email-message' name='email-message'></textarea></div>

    <div class='input-area'>

      <input class='contact-form-button contact-form-button-submit' id='ContactForm1_contact-form-submit' type='button' value='Send' /></div>

    <div class='notif-area'>

      <p class='contact-form-error-message' id='ContactForm1_contact-form-error-message'></p>

      <p class='contact-form-success-message' id='ContactForm1_contact-form-success-message'></p>

    </div>

  </form>

</div>

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_WidgetManager._RegisterWidget('_ContactFormView', new _WidgetInfo('ContactForm1', 'footer1', null, document.getElementById('ContactForm1'), {'contactFormMessageSendingMsg': 'Sending...', 'contactFormMessageSentMsg': 'Your message has been sent.', 'contactFormMessageNotSentMsg': 'Message could not be sent. Please try again later.', 'contactFormInvalidEmailMsg': 'A valid email address is required.', 'contactFormEmptyMessageMsg': 'Message field cannot be empty.', 'title': 'Contact Form', 'blogId': '40000000000000000', 'contactFormNameMsg': 'Name', 'contactFormEmailMsg': 'Email', 'contactFormMessageMsg': 'Message', 'contactFormSendMsg': 'Send', 'submitUrl': 'https://www.blogger.com/contact-form.do'}, 'displayModeFull')); //]]></script>