Access_Website/parts/form.php
2024-08-30 16:14:28 +05:45

88 lines
4.1 KiB
PHP

<!-- Start of Form Section -->
<section class="wpo-get-quate-section section-padding">
<div class="container">
<div class="row align-items-center">
<div class="col-lg-6 col-12">
<div class="left-content">
<div class="wpo-section-title">
<h3>Need Help with Your Study Abroad Plans?</h3>
<p class="paragraph-padding text-white">We're here to guide you through every step of your study abroad journey, providing expert advice and support tailored to your needs.</p>
</div>
</div>
</div>
<div class="col-lg-6 col-12">
<div class="quote-form">
<div class="title">
<h3>Reach Out for Assistance</h3>
</div>
<form id="quoteForm">
<div class="row">
<div class="item col-lg-6 col-12">
<label>Personal Information</label>
<input class="form-control" type="text" name="name" id="name" placeholder="Full Name">
</div>
<div class="item col-lg-6 col-12">
<label>Study Destination</label>
<select name="city" id="city" class="form-control">
<option value="">Select Country</option>
<option value="city1">Australia</option>
<option value="city2">USA</option>
<option value="city3">UK</option>
<option value="city4">Canada</option>
<option value="city5">New Zealand</option>
</select>
</div>
<div class="item col-lg-6 col-12">
<label>Email Address</label>
<input class="form-control" type="email" name="email" id="email" placeholder="Email">
</div>
<div class="item col-lg-6 col-12">
<label>Contact Number</label>
<input class="form-control" type="text" name="phone" id="phone" placeholder="Phone">
</div>
<div class="item col-lg-6 col-12">
<label>Office Location</label>
<select name="type" id="type" class="form-control">
<option value="">Select Location</option>
<option value="type1">Putalisadak Office</option>
<option value="type2">Baneshwor Office</option>
<option value="type3">Pokhara Office</option>
<option value="type4">Kumaripati Office</option>
<option value="type5">Chitwan Office</option>
<option value="type6">Butwal Office</option>
<option value="type7">Biratnagar Office</option>
<option value="type8">Access Canada Office</option>
<option value="type9">Access New Zealand Office</option>
</select>
</div>
<div class="item col-lg-6 col-12">
<label>Counseling Options</label>
<select name="incoter" id="incoter" class="form-control">
<option value="">Select Options</option>
<option value="incoter1">In-Person / Visit Office Location</option>
<option value="incoter2">Online / Distance Counselling</option>
</select>
</div>
<div class="item col-lg-12 col-12">
<label>Enquiry Details</label>
<textarea name="message" class="form-control field-message" placeholder="Enquiry Message"></textarea>
</div>
<div class="item col-12">
<input class="submit-btn" type="submit" value="Submit">
</div>
</div>
</form>
</div>
</div>
</div>
</div>
<div class="left-bg">
<!--
<div class="img1"> <img src="assets/images/get1.png" alt=""> </div>
<div class="img2"> <img src="assets/images/get2.svg" alt=""> </div>
<div class="img3"> <img src="assets/images/get3.svg" alt=""> </div>
-->
</div>
<div class="rigth-bg"> <img src="assets/images/access-images/abroad-bg.png" alt=""> </div>
</section>
<!-- Form Section End -->