initial commit

This commit is contained in:
erinn@openprivacy.ca 2020-04-14 18:50:58 +00:00
commit c8142283e2
12 changed files with 1149 additions and 0 deletions

54
admin.php Normal file
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<?php
require_once 'php/config.inc.php';
$password = "sexworkiswork";
define('FORMCONTENTS', '<form method="post">
<p>Password: <input type="password" name="password"> <input type="submit" class="button-primary" value="Download encrypted submissions"></p>
</form>');
if (strlen(DL_PASS) < 1) {
include header;
echo "<p>Admin password cannot be blank. Update <tt>DL_PASS</tt> in <tt>php/config.inc.php</tt> to use this feature.</p>";
include footer;
exit();
}
if (strpos(__FILE__, 'admin.php') !== false) {
include header;
echo "<p>Please rename <tt>admin.php</tt> before using this tool. We suggest something like: <tt>".hash("sha256", microtime() . random_int(PHP_INT_MIN, PHP_INT_MAX) . "t08ujli4helfiubhi8uy98yhe4f@#RETHrtg80uj").".php</tt></p>";
include footer;
exit();
}
$ip = $_SERVER['REMOTE_ADDR'];
if (count($ADMIN_IPS) > 0 && array_search($ip, $ADMIN_IPS) === false) {
include header;
echo "<p>Sorry, but your IP address does not have permission to access this tool. Please contact the form maintainer to resolve this.</p>";
echo "<!-- $ip -->";
include footer;
} else {
if (isset($_POST) && isset($_POST['password'])) {
if ($_POST['password'] === $password) {
header('Content-Type: application/octet-stream');
header("Content-Transfer-Encoding: Binary");
header("Content-disposition: attachment; filename=\"submissions.dat\"");
readfile(FILE);
exit();
} else {
include header;
echo "<p>Wrong password, sorry.\n";
echo form;
include footer;
}
} else {
include header;
echo FORMCONTENTS;
date_default_timezone_set('America/Vancouver');
echo "<p>Last submission received at " . date ("F d Y H:i:s", filemtime(FILE)) . ".</p>\n";
include footer;
}
}
?>

30
cmd/decrypt.php.txt Executable file
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<?php
require_once 'config.inc.php';
// Load private key
$privKey = base64_decode(file_get_contents("key.private"));
$pubKey = base64_decode(file_get_contents("key.public"));
$keypair = sodium_crypto_box_keypair_from_secretkey_and_publickey($privKey, $pubKey);
// Load submissions from encrypted file
$encrypted_submissions = explode("\n", file_get_contents("submissions.dat"));
foreach ($encrypted_submissions as $encrypted) {
if (trim($encrypted)=="") continue;
$parts = explode("|", $encrypted);
$decryptedData = sodium_crypto_box_seal_open(base64_decode($parts[1]), $keypair);
// Parse exported variable
eval('$vars = '.$decryptedData.';');
// Print :)
foreach ($vars as $k => $v){
echo "$k: $v\n";
}
echo "\n";
}
?>

21
cmd/genkeys.php.txt Executable file
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<?php
echo "Creating files key.public and key.private....\n";
$keypair = sodium_crypto_box_keypair();
$secretkey = sodium_crypto_box_secretkey($keypair);
$publickey = sodium_crypto_box_publickey($keypair);
if (file_put_contents("key.private", base64_encode($secretkey)) === false) {
exit("Failed to write key.private");
} else {
echo "Wrote key.private\n";
}
if (file_put_contents("key.public", base64_encode($publickey)) === false) {
exit("Failed to write key.public");
} else {
echo "Wrote key.public\n";
}
?>

38
css/custom.css Normal file
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body {
background: #4b3557;
}
body, p {
font-size: 1.5em;
}
.container {
padding:2em;
background: #b09cbc;
}
a {
color: #1A4C5C;
}
textarea {
width: 80%;
height: 10em;
}
div.titlebar {
margin-top: 1em;
margin-bottom: 3em;
}
img.logo {
height: 10em;
float: left;
vertical-align:middle;
}
h1.title {
float:right;
padding-top: 60px;
padding-right: 20px;
}

427
css/normalize.css vendored Normal file
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/*! normalize.css v3.0.2 | MIT License | git.io/normalize */
/**
* 1. Set default font family to sans-serif.
* 2. Prevent iOS text size adjust after orientation change, without disabling
* user zoom.
*/
html {
font-family: sans-serif; /* 1 */
-ms-text-size-adjust: 100%; /* 2 */
-webkit-text-size-adjust: 100%; /* 2 */
}
/**
* Remove default margin.
*/
body {
margin: 0;
}
/* HTML5 display definitions
========================================================================== */
/**
* Correct `block` display not defined for any HTML5 element in IE 8/9.
* Correct `block` display not defined for `details` or `summary` in IE 10/11
* and Firefox.
* Correct `block` display not defined for `main` in IE 11.
*/
article,
aside,
details,
figcaption,
figure,
footer,
header,
hgroup,
main,
menu,
nav,
section,
summary {
display: block;
}
/**
* 1. Correct `inline-block` display not defined in IE 8/9.
* 2. Normalize vertical alignment of `progress` in Chrome, Firefox, and Opera.
*/
audio,
canvas,
progress,
video {
display: inline-block; /* 1 */
vertical-align: baseline; /* 2 */
}
/**
* Prevent modern browsers from displaying `audio` without controls.
* Remove excess height in iOS 5 devices.
*/
audio:not([controls]) {
display: none;
height: 0;
}
/**
* Address `[hidden]` styling not present in IE 8/9/10.
* Hide the `template` element in IE 8/9/11, Safari, and Firefox < 22.
*/
[hidden],
template {
display: none;
}
/* Links
========================================================================== */
/**
* Remove the gray background color from active links in IE 10.
*/
a {
background-color: transparent;
}
/**
* Improve readability when focused and also mouse hovered in all browsers.
*/
a:active,
a:hover {
outline: 0;
}
/* Text-level semantics
========================================================================== */
/**
* Address styling not present in IE 8/9/10/11, Safari, and Chrome.
*/
abbr[title] {
border-bottom: 1px dotted;
}
/**
* Address style set to `bolder` in Firefox 4+, Safari, and Chrome.
*/
b,
strong {
font-weight: bold;
}
/**
* Address styling not present in Safari and Chrome.
*/
dfn {
font-style: italic;
}
/**
* Address variable `h1` font-size and margin within `section` and `article`
* contexts in Firefox 4+, Safari, and Chrome.
*/
h1 {
font-size: 2em;
margin: 0.67em 0;
}
/**
* Address styling not present in IE 8/9.
*/
mark {
background: #ff0;
color: #000;
}
/**
* Address inconsistent and variable font size in all browsers.
*/
small {
font-size: 80%;
}
/**
* Prevent `sub` and `sup` affecting `line-height` in all browsers.
*/
sub,
sup {
font-size: 75%;
line-height: 0;
position: relative;
vertical-align: baseline;
}
sup {
top: -0.5em;
}
sub {
bottom: -0.25em;
}
/* Embedded content
========================================================================== */
/**
* Remove border when inside `a` element in IE 8/9/10.
*/
img {
border: 0;
}
/**
* Correct overflow not hidden in IE 9/10/11.
*/
svg:not(:root) {
overflow: hidden;
}
/* Grouping content
========================================================================== */
/**
* Address margin not present in IE 8/9 and Safari.
*/
figure {
margin: 1em 40px;
}
/**
* Address differences between Firefox and other browsers.
*/
hr {
-moz-box-sizing: content-box;
box-sizing: content-box;
height: 0;
}
/**
* Contain overflow in all browsers.
*/
pre {
overflow: auto;
}
/**
* Address odd `em`-unit font size rendering in all browsers.
*/
code,
kbd,
pre,
samp {
font-family: monospace, monospace;
font-size: 1em;
}
/* Forms
========================================================================== */
/**
* Known limitation: by default, Chrome and Safari on OS X allow very limited
* styling of `select`, unless a `border` property is set.
*/
/**
* 1. Correct color not being inherited.
* Known issue: affects color of disabled elements.
* 2. Correct font properties not being inherited.
* 3. Address margins set differently in Firefox 4+, Safari, and Chrome.
*/
button,
input,
optgroup,
select,
textarea {
color: inherit; /* 1 */
font: inherit; /* 2 */
margin: 0; /* 3 */
}
/**
* Address `overflow` set to `hidden` in IE 8/9/10/11.
*/
button {
overflow: visible;
}
/**
* Address inconsistent `text-transform` inheritance for `button` and `select`.
* All other form control elements do not inherit `text-transform` values.
* Correct `button` style inheritance in Firefox, IE 8/9/10/11, and Opera.
* Correct `select` style inheritance in Firefox.
*/
button,
select {
text-transform: none;
}
/**
* 1. Avoid the WebKit bug in Android 4.0.* where (2) destroys native `audio`
* and `video` controls.
* 2. Correct inability to style clickable `input` types in iOS.
* 3. Improve usability and consistency of cursor style between image-type
* `input` and others.
*/
button,
html input[type="button"], /* 1 */
input[type="reset"],
input[type="submit"] {
-webkit-appearance: button; /* 2 */
cursor: pointer; /* 3 */
}
/**
* Re-set default cursor for disabled elements.
*/
button[disabled],
html input[disabled] {
cursor: default;
}
/**
* Remove inner padding and border in Firefox 4+.
*/
button::-moz-focus-inner,
input::-moz-focus-inner {
border: 0;
padding: 0;
}
/**
* Address Firefox 4+ setting `line-height` on `input` using `!important` in
* the UA stylesheet.
*/
input {
line-height: normal;
}
/**
* It's recommended that you don't attempt to style these elements.
* Firefox's implementation doesn't respect box-sizing, padding, or width.
*
* 1. Address box sizing set to `content-box` in IE 8/9/10.
* 2. Remove excess padding in IE 8/9/10.
*/
input[type="checkbox"],
input[type="radio"] {
box-sizing: border-box; /* 1 */
padding: 0; /* 2 */
}
/**
* Fix the cursor style for Chrome's increment/decrement buttons. For certain
* `font-size` values of the `input`, it causes the cursor style of the
* decrement button to change from `default` to `text`.
*/
input[type="number"]::-webkit-inner-spin-button,
input[type="number"]::-webkit-outer-spin-button {
height: auto;
}
/**
* 1. Address `appearance` set to `searchfield` in Safari and Chrome.
* 2. Address `box-sizing` set to `border-box` in Safari and Chrome
* (include `-moz` to future-proof).
*/
input[type="search"] {
-webkit-appearance: textfield; /* 1 */
-moz-box-sizing: content-box;
-webkit-box-sizing: content-box; /* 2 */
box-sizing: content-box;
}
/**
* Remove inner padding and search cancel button in Safari and Chrome on OS X.
* Safari (but not Chrome) clips the cancel button when the search input has
* padding (and `textfield` appearance).
*/
input[type="search"]::-webkit-search-cancel-button,
input[type="search"]::-webkit-search-decoration {
-webkit-appearance: none;
}
/**
* Define consistent border, margin, and padding.
*/
fieldset {
border: 1px solid #c0c0c0;
margin: 0 2px;
padding: 0.35em 0.625em 0.75em;
}
/**
* 1. Correct `color` not being inherited in IE 8/9/10/11.
* 2. Remove padding so people aren't caught out if they zero out fieldsets.
*/
legend {
border: 0; /* 1 */
padding: 0; /* 2 */
}
/**
* Remove default vertical scrollbar in IE 8/9/10/11.
*/
textarea {
overflow: auto;
}
/**
* Don't inherit the `font-weight` (applied by a rule above).
* NOTE: the default cannot safely be changed in Chrome and Safari on OS X.
*/
optgroup {
font-weight: bold;
}
/* Tables
========================================================================== */
/**
* Remove most spacing between table cells.
*/
table {
border-collapse: collapse;
border-spacing: 0;
}
td,
th {
padding: 0;
}

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/*
* Skeleton V2.0.4
* Copyright 2014, Dave Gamache
* www.getskeleton.com
* Free to use under the MIT license.
* http://www.opensource.org/licenses/mit-license.php
* 12/29/2014
*/
/* Table of contents
- Grid
- Base Styles
- Typography
- Links
- Buttons
- Forms
- Lists
- Code
- Tables
- Spacing
- Utilities
- Clearing
- Media Queries
*/
/* Grid
*/
.container {
position: relative;
width: 100%;
max-width: 960px;
margin: 0 auto;
padding: 0 20px;
box-sizing: border-box; }
.column,
.columns {
width: 100%;
float: left;
box-sizing: border-box; }
/* For devices larger than 400px */
@media (min-width: 400px) {
.container {
width: 85%;
padding: 0; }
}
/* For devices larger than 550px */
@media (min-width: 550px) {
.container {
width: 80%; }
.column,
.columns {
margin-left: 4%; }
.column:first-child,
.columns:first-child {
margin-left: 0; }
.one.column,
.one.columns { width: 4.66666666667%; }
.two.columns { width: 13.3333333333%; }
.three.columns { width: 22%; }
.four.columns { width: 30.6666666667%; }
.five.columns { width: 39.3333333333%; }
.six.columns { width: 48%; }
.seven.columns { width: 56.6666666667%; }
.eight.columns { width: 65.3333333333%; }
.nine.columns { width: 74.0%; }
.ten.columns { width: 82.6666666667%; }
.eleven.columns { width: 91.3333333333%; }
.twelve.columns { width: 100%; margin-left: 0; }
.one-third.column { width: 30.6666666667%; }
.two-thirds.column { width: 65.3333333333%; }
.one-half.column { width: 48%; }
/* Offsets */
.offset-by-one.column,
.offset-by-one.columns { margin-left: 8.66666666667%; }
.offset-by-two.column,
.offset-by-two.columns { margin-left: 17.3333333333%; }
.offset-by-three.column,
.offset-by-three.columns { margin-left: 26%; }
.offset-by-four.column,
.offset-by-four.columns { margin-left: 34.6666666667%; }
.offset-by-five.column,
.offset-by-five.columns { margin-left: 43.3333333333%; }
.offset-by-six.column,
.offset-by-six.columns { margin-left: 52%; }
.offset-by-seven.column,
.offset-by-seven.columns { margin-left: 60.6666666667%; }
.offset-by-eight.column,
.offset-by-eight.columns { margin-left: 69.3333333333%; }
.offset-by-nine.column,
.offset-by-nine.columns { margin-left: 78.0%; }
.offset-by-ten.column,
.offset-by-ten.columns { margin-left: 86.6666666667%; }
.offset-by-eleven.column,
.offset-by-eleven.columns { margin-left: 95.3333333333%; }
.offset-by-one-third.column,
.offset-by-one-third.columns { margin-left: 34.6666666667%; }
.offset-by-two-thirds.column,
.offset-by-two-thirds.columns { margin-left: 69.3333333333%; }
.offset-by-one-half.column,
.offset-by-one-half.columns { margin-left: 52%; }
}
/* Base Styles
*/
/* NOTE
html is set to 62.5% so that all the REM measurements throughout Skeleton
are based on 10px sizing. So basically 1.5rem = 15px :) */
html {
font-size: 62.5%; }
body {
font-size: 1.5em; /* currently ems cause chrome bug misinterpreting rems on body element */
line-height: 1.6;
font-weight: 400;
font-family: "Raleway", "HelveticaNeue", "Helvetica Neue", Helvetica, Arial, sans-serif;
color: #222; }
/* Typography
*/
h1, h2, h3, h4, h5, h6 {
margin-top: 0;
margin-bottom: 2rem;
font-weight: 300; }
h1 { font-size: 4.0rem; line-height: 1.2; letter-spacing: -.1rem;}
h2 { font-size: 3.6rem; line-height: 1.25; letter-spacing: -.1rem; }
h3 { font-size: 3.0rem; line-height: 1.3; letter-spacing: -.1rem; }
h4 { font-size: 2.4rem; line-height: 1.35; letter-spacing: -.08rem; }
h5 { font-size: 1.8rem; line-height: 1.5; letter-spacing: -.05rem; }
h6 { font-size: 1.5rem; line-height: 1.6; letter-spacing: 0; }
/* Larger than phablet */
@media (min-width: 550px) {
h1 { font-size: 5.0rem; }
h2 { font-size: 4.2rem; }
h3 { font-size: 3.6rem; }
h4 { font-size: 3.0rem; }
h5 { font-size: 2.4rem; }
h6 { font-size: 1.5rem; }
}
p {
margin-top: 0; }
/* Links
*/
a {
color: #1EAEDB; }
a:hover {
color: #0FA0CE; }
/* Buttons
*/
.button,
button,
input[type="submit"],
input[type="reset"],
input[type="button"] {
display: inline-block;
height: 38px;
padding: 0 30px;
color: #555;
text-align: center;
font-size: 11px;
font-weight: 600;
line-height: 38px;
letter-spacing: .1rem;
text-transform: uppercase;
text-decoration: none;
white-space: nowrap;
background-color: transparent;
border-radius: 4px;
border: 1px solid #bbb;
cursor: pointer;
box-sizing: border-box; }
.button:hover,
button:hover,
input[type="submit"]:hover,
input[type="reset"]:hover,
input[type="button"]:hover,
.button:focus,
button:focus,
input[type="submit"]:focus,
input[type="reset"]:focus,
input[type="button"]:focus {
color: #333;
border-color: #888;
outline: 0; }
.button.button-primary,
button.button-primary,
input[type="submit"].button-primary,
input[type="reset"].button-primary,
input[type="button"].button-primary {
color: #FFF;
background-color: #33C3F0;
border-color: #33C3F0; }
.button.button-primary:hover,
button.button-primary:hover,
input[type="submit"].button-primary:hover,
input[type="reset"].button-primary:hover,
input[type="button"].button-primary:hover,
.button.button-primary:focus,
button.button-primary:focus,
input[type="submit"].button-primary:focus,
input[type="reset"].button-primary:focus,
input[type="button"].button-primary:focus {
color: #FFF;
background-color: #1EAEDB;
border-color: #1EAEDB; }
/* Forms
*/
input[type="email"],
input[type="number"],
input[type="search"],
input[type="text"],
input[type="tel"],
input[type="url"],
input[type="password"],
textarea,
select {
height: 38px;
padding: 6px 10px; /* The 6px vertically centers text on FF, ignored by Webkit */
background-color: #fff;
border: 1px solid #D1D1D1;
border-radius: 4px;
box-shadow: none;
box-sizing: border-box; }
/* Removes awkward default styles on some inputs for iOS */
input[type="email"],
input[type="number"],
input[type="search"],
input[type="text"],
input[type="tel"],
input[type="url"],
input[type="password"],
textarea {
-webkit-appearance: none;
-moz-appearance: none;
appearance: none; }
textarea {
min-height: 65px;
padding-top: 6px;
padding-bottom: 6px; }
input[type="email"]:focus,
input[type="number"]:focus,
input[type="search"]:focus,
input[type="text"]:focus,
input[type="tel"]:focus,
input[type="url"]:focus,
input[type="password"]:focus,
textarea:focus,
select:focus {
border: 1px solid #33C3F0;
outline: 0; }
label,
legend {
display: block;
margin-bottom: .5rem;
font-weight: 600; }
fieldset {
padding: 0;
border-width: 0; }
input[type="checkbox"],
input[type="radio"] {
display: inline; }
label > .label-body {
display: inline-block;
margin-left: .5rem;
font-weight: normal; }
/* Lists
*/
ul {
list-style: circle inside; }
ol {
list-style: decimal inside; }
ol, ul {
padding-left: 0;
margin-top: 0; }
ul ul,
ul ol,
ol ol,
ol ul {
margin: 1.5rem 0 1.5rem 3rem;
font-size: 90%; }
li {
margin-bottom: 1rem; }
/* Code
*/
code {
padding: .2rem .5rem;
margin: 0 .2rem;
font-size: 90%;
white-space: nowrap;
background: #F1F1F1;
border: 1px solid #E1E1E1;
border-radius: 4px; }
pre > code {
display: block;
padding: 1rem 1.5rem;
white-space: pre; }
/* Tables
*/
th,
td {
padding: 12px 15px;
text-align: left;
border-bottom: 1px solid #E1E1E1; }
th:first-child,
td:first-child {
padding-left: 0; }
th:last-child,
td:last-child {
padding-right: 0; }
/* Spacing
*/
button,
.button {
margin-bottom: 1rem; }
input,
textarea,
select,
fieldset {
margin-bottom: 1.5rem; }
pre,
blockquote,
dl,
figure,
table,
p,
ul,
ol,
form {
margin-bottom: 2.5rem; }
/* Utilities
*/
.u-full-width {
width: 100%;
box-sizing: border-box; }
.u-max-full-width {
max-width: 100%;
box-sizing: border-box; }
.u-pull-right {
float: right; }
.u-pull-left {
float: left; }
/* Misc
*/
hr {
margin-top: 3rem;
margin-bottom: 3.5rem;
border-width: 0;
border-top: 1px solid #E1E1E1; }
/* Clearing
*/
/* Self Clearing Goodness */
.container:after,
.row:after,
.u-cf {
content: "";
display: table;
clear: both; }
/* Media Queries
*/
/*
Note: The best way to structure the use of media queries is to create the queries
near the relevant code. For example, if you wanted to change the styles for buttons
on small devices, paste the mobile query code up in the buttons section and style it
there.
*/
/* Larger than mobile */
@media (min-width: 400px) {}
/* Larger than phablet (also point when grid becomes active) */
@media (min-width: 550px) {}
/* Larger than tablet */
@media (min-width: 750px) {}
/* Larger than desktop */
@media (min-width: 1000px) {}
/* Larger than Desktop HD */
@media (min-width: 1200px) {}

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<?php
session_start();
require_once 'php/config.inc.php';
include header;
if (isset($_POST) && count($_POST)>0) {
// add a few misc maybe-useful fields to the data before encrypting
$_POST['00a_received'] = date(DATE_RSS);
$_POST['00b_spam'] = isset($_POST['email']) && trim($_POST['email']) != "" ? "probably" : "unlikely";
$_POST['00c_ip'] = $_SERVER['REMOTE_ADDR'];
$_POST['00d_session'] = session_id();
// serialize post data -- creates a risk of extraneous data being submitted by pests
$data = json_encode($_POST);
// pubkey is a base64-encoded key generated by sodium_crypto_box_keypair
$pubKey = base64_decode(file_get_contents("key.public"));
// for now, data is stored by encrypting each submission individually, base64 encoding it,
// and appending it as a separate line onto the end of the data file (prepending with a
// unix timestamp so later we can tell if new data has arrived without decrypting)
$encrypted = sodium_crypto_box_seal($data, $pubKey);
if (file_put_contents(FILE, time() . "|" . base64_encode($encrypted)."\n", FILE_APPEND | LOCK_EX) !== false) {
echo MSG_SUCCESS;
} else {
echo MSG_FAIL;
}
} else {
include form;
}
include footer;
?>

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<?php
// This is the submissions file -- it should not be in your web directory!!!
define('FILE', '/var/www/data/lockbox.dat');
// Page/form title
define('MSG_TITLE', 'Lockbox by Open Privacy');
// Message given to successful submissions
define('MSG_SUCCESS', '
<h1>Submission Received</h1>
<p>Thank you for your submission to '.MSG_TITLE.'!</p>
');
// Message for when a submission error occurred
define('MSG_FAIL', '
<h1>Error receiving submission</h1>\n";
<p>There was a problem with your submission. Please hit the Back button on your browser and try again in a few minutes, or contact the form\'s administrator if the problem persists.</p>
');
// Displayed at the bottom of every page
define('MSG_FOOTER', '&copy;2020 <a href="https://openprivacy.ca/" target="_blank">Our Awesome Org</a> - All rights reserved. Form powered by <a href="https://git.openprivacy.ca/openprivacy/lockbox" target="_blank">Lockbox</a> by <a href="https://openprivacy.ca" target="_blank">Open Privacy</a>');
// restrict the (optional) admin form to these IPs
$ADMIN_IPS = array(
/* "1.2.3.501", // erinn
"9.5.1.06", // sarah
"92.102.94.l" // dan*/
);
// if you would like you disable the IP check (not recommended!) you can use this line instead:
// $ADMIN_IPS = array();
// password for downloading submissions from the admin form
define('DL_PASS', "");
// ============ include file locations -- you shouldn't need to change below this line
define('header', 'php/header.tpl.php');
define('footer', 'php/footer.tpl.php');
define('form', 'php/form.inc.php');
?>

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<div style="margin-left:auto;margin-right:auto;">
<?= MSG_FOOTER ?>
</div>
</body>
</html>

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<p>Welcome to Lockbox by Open Privacy! To get started, replace the contents of this form in <tt>php/form.inc.php</tt> with your own. If you know HTML you can write the form yourself. Otherwise you can use any form building tool that outputs to HTML.</p>
<form method="post">
<h2>Application Questions</h2>
<input type="text" name="email" style="display:none">
<p>1. What is your name (preferred or legal)?</p>
<input type="text" name="01_name">
<p>2. What city/neighbourhood do you live in?</p>
<input type="text" name="02_where">
<p>3. Is there anything else you'd like us to know?</p>
<textarea name="03_misc"></textarea>
<p>4. What is your favourite flavour?</p>
<select name="04_fav">
<option>Strawberry</option>
<option>Lettuce</option>
<option>Shoelace</option>
<option>Other</option>
</select>
<p>5. Pick one?</p>
<label><input type="radio" name="05_pick" value="10-12"> 10-12</label>
<label><input type="radio" name="05_pick" value="13+"> 13+</label>
<label><input type="radio" name="05_pick" value="25 and a pickle"> 25 and a pickle</label>
<p>Please remember to click the Submit button below once you are ready.</p>
<script type="text/javascript">
function h(cb) {
const btn = document.getElementById("btnsubmit");
if (cb.checked) {
btn.disabled = false;
btn.classList.remove('button-disabled');
btn.classList.add('button-primary');
} else {
btn.disabled = true;
btn.classList.remove('button-primary');
btn.classList.add('button-disabled');
}
}
</script>
<br>
<label>
<input type="checkbox" name="09_agree" onchange="h(this)">
I acknowledge that everything in this form is true to the best of my knowledge.
</label>
<br>
<input type="submit" class="button-disabled" id="btnsubmit" value="Submit" disabled>
</form>

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<!DOCTYPE html>
<html>
<head>
<title><?= MSG_TITLE ?></title>
<link rel="stylesheet" href="css/normalize.css">
<link rel="stylesheet" href="css/skeleton.css">
<link rel="stylesheet" href="css/custom.css">
</head>
<body>
<div class="container">
<div class="titlebar">
<img src="img/logo.png" alt="logo" class="logo">
<h1 class="title"><?= MSG_TITLE ?></h1>
<div style="clear:both"></div>
</div>