83 lines
4.6 KiB
PHP
83 lines
4.6 KiB
PHP
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<?php include( 'header.php' );?>
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<!-- PAGE HERO START -->
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<div class="pages-hero page-hero-video">
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<div class="pages-hero-diagonal hero-diagonal-bg-2"></div>
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<div class="container">
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<div class="pages-title-center">
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<h1>Request for Services</h1>
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</div>
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<div class="left-page-nav">
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<!-- Breadcrumbs -->
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<ul class="breadcrumb">
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<li><a href="#">Home</a></li>
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<li>Employers</li>
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<li class="current">Request for Services</li>
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</ul>
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<!--/ Breadcrumbs -->
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</div>
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</div>
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</div>
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<!-- PAGE HERO END -->
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<section>
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<div class="container mt-5 mb-5 ">
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<div class="row g-5">
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<div class="col-md-12">
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<div class="contact-left-form">
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<h2>Request for Services</h2>
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<p>Send us your message and we will be contacting you shortly.</p>
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<form action="https://api.web3forms.com/submit" method="POST" id="form">
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<input type="hidden" name="access_key" value="96ae1f65-5889-4359-beff-104fd343114a" />
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<input type="hidden" name="subject" value="New Submission from Web3Forms" />
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<input type="checkbox" name="botcheck" id="" style="display: none;" />
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<div class="form-layer">
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<div class="row">
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<div class="col-lg-6">
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<label for="name" class="fl-custom mb-2">Full Name</label>
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<input type="text" class="form-control fc-custom" id="name" name="name" required placeholder="">
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</div>
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<div class="col-lg-6">
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<label for="lastname" class="fl-custom mb-2">Last Name</label>
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<input type="text" class="form-control fc-custom" id="lastname" name="lastname" required placeholder="">
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</div>
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<div class="col-lg-6">
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<label for="email" class="fl-custom mb-2">Email Address</label>
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<input type="email" class="form-control fc-custom" name="email" id="email" required placeholder="">
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</div>
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<div class="col-lg-6">
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<label for="phone" class="fl-custom mb-2">Phone Number</label>
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<input type="text" class="form-control fc-custom" name="phone" id="phone" required placeholder="">
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</div>
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<div class="col-lg-6">
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<label for="country" class="fl-custom mb-2">Country </label>
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<input type="text" class="form-control fc-custom" id="country" name="country" required placeholder="">
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</div>
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<div class="col-lg-6">
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<label for="jobtype" class="fl-custom mb-2">Job Type</label>
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<input type="text" class="form-control fc-custom" id="jobtype" name="jobtype" required placeholder="">
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</div>
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<div class="col-lg-12">
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<label for="message" class="fl-custom mb-2">Your Message</label>
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<textarea id="message" name="message" class="form-control fc-custom" placeholder="" rows="5"></textarea>
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</div>
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<div class="col-lg-12">
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<button type="submit" class="tp-btn-primary">
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Send Message
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</button>
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</div>
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</div>
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</div>
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<p class="text-base text-center text-gray-400" id="result"></p>
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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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</section>
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<?php include( 'footer.php' );?>
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