40 lines
No EOL
1.8 KiB
HTML
40 lines
No EOL
1.8 KiB
HTML
<div id="main" class="clearfix container">
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<div class="cb-box clearfix">
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<div class="well well-sm">
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<h2>{lang code="contact_us"}</h2>
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<div class="panel-heading">
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<h4 id="contactLabel" class="panel-title"><span class="glyphicon glyphicon-info-sign"></span> {lang code="contact_us_msg"}</h4>
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</div>
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<form id="form1" name="form1" method="post" action="" class="contact_form">
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<div class="row">
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<div class="col-md-6">
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<div class="form-group">
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<label for="name">{lang code="name"}</label>
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<input type="text" required="required" placeholder="Enter name" id="name" name="name" class="form-control">
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</div>
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<div class="form-group">
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<label for="email">{lang code="email"|capitalize}</label>
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<div class="input-group">
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<span class="input-group-addon"><span class="glyphicon glyphicon-envelope"></span>
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</span>
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<input type="email" required="required" placeholder="Enter email" id="email" name="email" class="form-control"></div>
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</div>
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<div class="form-group">
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<label for="reason">{lang code="pelase_enter_reason"}</label>
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<input type="text" required="required" placeholder="Enter why you want to contact" id="reason" name="reason" class="form-control">
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</div>
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</div>
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<div class="col-md-6">
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<div class="form-group">
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<label for="message">{lang code="message"}</label>
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<textarea placeholder="Message" required="required" cols="25" rows="9" class="form-control" id="message" name="message"></textarea>
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</div>
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</div>
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<div class="col-md-12">
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<button id="button" class="btn btn-primary pull-right" name="contact" type="submit">Send Message</button>
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</div>
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</div>
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</form>
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</div>
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</div>
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</div> |