TanchoToplineCargo/resources/views/client/sunsari/new/request-for-services.php
2024-05-05 10:32:49 +05:45

83 lines
4.6 KiB
PHP

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