LEARN TO MAKE A SINGLE PHP FORM

CREATE FIRTS FILE steemitcontact.html or steemitcontact.php and paste this

!doctype html>
html>
head>
title>Tloconsigo.com
meta name="viewport" content="width=device-width, initial-scale=1">
meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
meta name="keywords" content="One Movies Responsive web template, Bootstrap Web Templates, Flat Web Templates, Android Compatible web template,
Smartphone Compatible web template, free webdesigns for Nokia, Samsung, LG, SonyEricsson, Motorola web design" />
link rel="shortcut icon" type="image/x-icon" href="">
link href="https://file.myfontastic.com/NNzmukmFpcX2EusA9zjCif/icons.css" rel="stylesheet">

link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/css/bootstrap.min.css">
script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.1/jquery.min.js">
script src="https://maxcdn.bootstrapcdn.com/bootstrap/3.3.7/js/bootstrap.min.js">
/head>

body>
div class="container">
div class="row">
div class="col-md-7">
a href="#">
img class="img-rounded; img-responsive" src="https://tloconsigo.com/steemitcontacto#" style="width: 100%" alt="">
/a>
/div>

    style>

.header {
color: #36A0FF;
font-size: 27px;
padding: 10px;

}

.bigicon {
font-size: 35px;
color: #36A0FF;
}
/style>
div class="col-md-5">

 div class="container">
div class="row">
    div class="col-md-5">
        div class="well well-sm">
            form class="form-horizontal" action="steemitform.php"  method="post" autocomplete="off">
                fieldset>
                    legend class="text-center header">Contact us</legend>

                    div class="form-group">
                        span class="col-md-1 col-md-offset-2 text-center"><i class="fa fa-user bigicon"></i></span>
                        div class="col-md-8">
                            input id="name" name="name" type="text" placeholder="First Name" class="form-control" required>
                        /div>
                    /div>
                    
                    div class="form-group">
                        span class="col-md-1 col-md-offset-2 text-center"><i class="fa fa-user bigicon"></i></span>
                        div class="col-md-8">
                            input id="lastname" name="lastname" type="text" placeholder="Last Name" class="form-control" required>
                        /div>
                    /div>

                    div class="form-group">
                        span class="col-md-1 col-md-offset-2 text-center"><i class="fa fa-envelope-o bigicon"></i></span>
                        div class="col-md-8">
                            input id="email" name="email" type="email" placeholder="Email Address" class="form-control" required>
                        /div>
                    /div>
                    
     div class="form-group"> (html comment removed:  State Button )
     span class="col-md-1 col-md-offset-2 text-center"><i class="fa fa-map-marker bigicon"></i></span>
   div class="col-md-8">

    select class="form-control" id="pais_id" name="country" required>
      option value="" selected>Country</option>
       option value="AF">Afganistán</option>

option value="AL">Albania
option value="DE">Alemania

    /select>                    
                        /div></div>

                    div class="form-group">
                        span class="col-md-1 col-md-offset-2 text-center"><i class="fa fa-phone-square bigicon"></i></span>
                        div class="col-md-8">
                            <input id="phone" name="phone" type="number" placeholder="Phone" class="form-control" required>
                        /div>
                    /div>

                    div class="form-group">
                        span class="col-md-1 col-md-offset-2 text-center"><i class="fa fa-pencil-square-o bigicon"></i></span>
                        div class="col-md-8">
                            textarea class="form-control" id="message" name="message" placeholder="Enter your massage for us here. We will get back to you within 2 business days." rows="7" required></textarea>
                        /div>
                    /div>

                    div class="form-group">
                        div class="col-md-12 text-center">
                            button type="submit" class="btn btn-primary btn-lg">Submit</button>
                       </div>
                    /div>
                /fieldset>
            /form>
        /div>
    /div>
/div>

/div>

    /div>
  /div>

/body>
/html>

THEN CREATE ANOTHER FILE BUT PHP CALL: steemitform.php and paste this:

<?php $destino = "your email hosting only change this"; $name = $_POST["name"]; $lastname = $_POST["lastname"]; $email = $_POST["email"]; $country = $_POST["country"]; $phone = $_POST["phone"]; $message = $_POST["message"]; $content = "\Name: " . $name . "\nLastname: " . $lastname . "\nEmail: " . $email . "\nCountry: " . $country . "\nPhone: " . $phone . "\nMessage: " . $message;

mail ("yout email hosting here", "Contact", $content);
header("Location:change this for what html page you want see it or redirect");

?>

PD:

remember to place the symbol <in each line of the code since steemit generates an error if I put it in and ready you already have a form response
if you need more help please reply the form its response