Born Naturally Midwifery
3916 16 ST | Vernon, BC V1T 7N6 | 250.550.6850
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Born Naturally Midwifery
</div> <div class="col-md-4"> <p>Phone: <strong>250.550.6850</strong> </p> <p>Email: <strong><a href="mailto:athena@bornnaturally.com">athena@bornnaturally.com</a></strong> </p> <p>Address: <strong>3916 16 ST <br>Vernon, BC V1T 7N6</strong> </p> </div> <div class="clearfix"></div> </div> </div> <div class="row"> <div class="box"> <div class="col-lg-12"> <hr> <h2 class="intro-text text-center">Contact <strong>form</strong> </h2> <hr> <p>Contact via webpage</p> <form role="form"> <div class="row"> <div class="form-group col-lg-4"> <label>Name</label> <input type="text" class="form-control"> </div> <div class="form-group col-lg-4"> <label>Email Address</label> <input type="email" class="form-control"> </div> <div class="form-group col-lg-4"> <label>Phone Number</label> <input type="tel" class="form-control"> </div> <div class="clearfix"></div> <div class="form-group col-lg-12"> <label>Message</label> <textarea class="form-control" rows="6"></textarea> </div> <div class="form-group col-lg-12"> <input type="hidden" name="save" value="contact"> <button type="submit" class="btn btn-default">Submit</button> </div> </div> </form> </div> </div> </div> </div> <!-- /.container --> <footer> <div class="container"> <div class="row"> <div class="col-lg-12 text-center"> <p>Copyright © Your Website 2014</p> </div> </div> </div> </footer> <!-- jQuery --> <script src="js/jquery.js"></script> <!-- Bootstrap Core JavaScript --> <script src="js/bootstrap.min.js"></script> </body> </html>