203 lines
10 KiB
PHP
203 lines
10 KiB
PHP
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<?php include('partials/header.php'); ?>
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<!-- BREADCRUMB AREA START -->
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<div class="ltn__breadcrumb-area ltn__breadcrumb-area-2 ltn__breadcrumb-color-white bg-overlay-theme-black-90 bg-image"
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data-bg="img/bg/breadcrumb.png">
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<div class="container">
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<div class="row">
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<div class="col-lg-12">
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<div class="ltn__breadcrumb-inner ltn__breadcrumb-inner-2 justify-content-between">
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<div class="section-title-area ltn__section-title-2">
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<h1 class="section-title white-color">Inquire</h1>
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</div>
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<div class="ltn__breadcrumb-list">
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<ul>
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<li><a href="index.html">Home</a></li>
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<li>Inquire</li>
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</ul>
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</div>
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</div>
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</div>
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</div>
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</div>
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</div>
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<!-- BREADCRUMB AREA END -->
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<!-- CONTACT MESSAGE AREA START -->
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<div class="ltn__contact-message-area mt-120 mb--100">
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<div class="container">
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<div class="row">
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<div class="col-lg-12">
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<div class="ltn__form-box contact-form-box box-shadow white-bg">
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<h4 class="title-2">Your Details</h4>
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<hr>
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<form id="contact-form" action="" method="post">
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<div class="row">
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<div class="col-md-6">
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<div class="input-item ">
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<input type="text" name="name" placeholder="Enter your name">
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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="input-item ">
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<input type="email" name="email" placeholder="Position">
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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="input-item">
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<select class="nice-select">
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<option>Individual / Business</option>
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<option>Individual</option>
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<option>Business</option>
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</select>
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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="input-item ">
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<input type="text" name="phone" placeholder="Enter phone number">
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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="input-item ">
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<input type="email" name="email" placeholder="Address">
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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="input-item ">
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<input type="email" name="email" placeholder="Town/City">
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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="input-item ">
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<input type="email" name="email" placeholder="Post Code">
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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="input-item ">
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<input type="email" name="email" placeholder="Country">
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</div>
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</div>
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</div>
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<div class="row">
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<h4 class="title-2">Contact information</h4>
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<div class="col-md-6">
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<div class="input-item ">
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<input type="text" name="name" placeholder="Telephone Number">
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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="input-item ">
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<input type="email" name="email" placeholder="Fax">
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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="input-item ">
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<input type="text" name="phone" placeholder="Email Address">
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</div>
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</div>
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</div>
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<div class="row">
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<h4 class="title-2">Other Details</h4>
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<div class="col-md-6">
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<div class="input-item">
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<label for="" class="custom-text">How did you hear about us ?</label>
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<select class="nice-select">
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<option>Select one of the following</option>
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<option>Facebook</option>
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<option>Instagram</option>
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<option>Google</option>
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<option>Email</option>
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<option>Magazine</option>
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</select>
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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="input-item">
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<label for="" class="custom-text">Type of industry</label>
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<select class="nice-select">
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<option>Select one of the following</option>
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<option>Hospital</option>
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<option>Hotels and Restaurant</option>
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</select>
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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="input-item ">
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<label for="" class="custom-text">If others, please specify</label>
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<input type="text" name="name" placeholder="">
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</div>
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</div>
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<div class="col-md-6">
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<label for="" class="custom-text">If other, please specify</label>
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<div class="input-item ">
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<input type="text" name="name" placeholder="">
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</div>
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</div>
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</div>
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<div class="row">
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<h4 class="title-2">Employees requiring clothing</h4>
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<div class="col-md-6">
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<div class="input-item">
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<label for="" class="custom-text">Men</label>
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<select class="nice-select">
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<option>Select one of the following</option>
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<option>Over 50</option>
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<option>Over 250</option>
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</select>
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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="input-item">
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<label for="" class="custom-text">Women</label>
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<select class="nice-select">
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<option>Select one of the following</option>
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<option>Over 50</option>
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<option>Over 250</option>
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</select>
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</div>
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</div>
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</div>
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<div class="row">
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<h4 class="title-2">When would you require our services?</h4>
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<div class="col-md-4">
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<div class="input-item">
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<select class="nice-select">
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<option>Select one of the following</option>
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<option>Now</option>
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<option>0 - 3 months</option>
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<option>3 - 6 months</option>
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<option>6 -12 months months</option>
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</select>
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</div>
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</div>
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</div>
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<div class="btn-wrapper mt-0">
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<button class="btn theme-btn-1 btn-effect-1 text-uppercase" type="submit">Submit
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Request</button>
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</div>
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<p class="form-messege mb-0 mt-20"></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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</div>
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<!-- CONTACT MESSAGE AREA END -->
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<!-- GOOGLE MAP AREA START -->
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<div class="google-map mb-120">
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<iframe
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src="https://www.google.com/maps/embed?pb=!1m14!1m8!1m3!1d3531.8687959507097!2d85.295601!3d27.721337!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x39eb199bbcb1140f%3A0x90d296e19a734de8!2sROBHA%C2%AE%20(Hospitality%20Uniform%2FLinen)%20On%20robhanepal.com!5e0!3m2!1sen!2snp!4v1704186767816!5m2!1sen!2snp"
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width="100%" height="100%" frameborder="0" allowfullscreen="" aria-hidden="false" tabindex="0"></iframe>
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</div>
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<!-- GOOGLE MAP AREA END -->
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<?php include('partials/footer.php'); ?>
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