36 lines
1.7 KiB
HTML
36 lines
1.7 KiB
HTML
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<div class="container marginBottom">
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<div class="cb-box clearfix row ">
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<div class="col-md-12">
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<h2>{lang code="contact_us"}</h2>
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<p class="bs-callout bs-callout-info">{lang code="contact_us_msg"}</p>
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<div class="col-md-6">
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<form id="form1" name="form1" method="post" action="" class="contact_form">
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<label for="name">{lang code="name"}</label>
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<input type="text" name="name" id="name" class="form-control" />
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<div style="height:10px;"></div>
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<label for="email">{lang code="email"|capitalize}</label>
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<input type="text" name="email" id="email" class="form-control" />
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<div style="height:10px;"></div>
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<label for="reason">{lang code="pelase_enter_reason"}</label>
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<input type="text" name="reason" id="reason" class="form-control" />
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<div style="height:10px;"></div>
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<label for="message">{lang code="message"}</label>
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<textarea name="message" id="message" cols="45" rows="5" class="form-control"></textarea>
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<div style="height:10px;"></div>
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{assign var=captcha value=get_captcha()}
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{if $captcha}
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{if $captcha.show_field}
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<label for="verification_code">Verification Code</label>
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{load_captcha captcha=$captcha load=field field_params = ' id="verification_code" '}
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{/if}
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<div align="right" style="width:480px"> {load_captcha captcha=$captcha load=function}</div>
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{/if}
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<input type="submit" name="contact" id="button" value="Contact Us" class="btn btn-primary" />
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</form>
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</div>
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</div>
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</div>
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</div>
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