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Viewing / Editing File: contact.php

<?php
include('header.php');
?>

<div class="contact-inner" style="">
    <div class="container">
        <div class="contact-block" style="">
            <div class="left-con">
                <h2>Gate in touch </h2>
                <p>Please contact us for any needs and fill out this form.</p>
                <form action="" method="post">
                    <div class="fill-box">
                        <input id="name" type="text" title="name" name="name" placeholder="Name" required="">
                    </div>
                    <div class="fill-box">
                        <input id="email" type="email" title="email" name="email" placeholder="Email" required="">
                    </div>
                    <div class="fill-box subject">
                        <input id="phone" type="text" title="ph" name="phone" placeholder="Phone No" required="">
                    </div>
                    <div class="fill-box subject">
                        <select name="requirement" class="user-valid valid">
                            <option value="">~ Select Category ~</option>
                            <option value="">Men's Topwear </option>
                            <option value="">Women's Topwear </option>  
                            <option value="">Kid's Topwear </option>
                            <option value="">Home & Accessories </option>  
                            <option value="">Jewellery </option>  
                            <option value="">Grocery  </option>                                                                               
                        </select>
                    </div>                    
                    <div class="fill-box message">
                        <textarea placeholder="Message" name="msg" required=""></textarea>
                    </div>
                    <div class="fill-box">
                        <input type="text" name="captcha" style="   background: url(images/captcha.png) repeat;color: #ffffffd6;font-family: &quot;Abel-Regular&quot;;text-align: center;letter-spacing: 5px;" abel-regular";="" text-align:="" center;="" letter-spacing:="" 5px;"="" value="668" readonly=""> 
                    </div>
                    <div class="fill-box">
                        <label>Fill Captcha</label>
                        <input id="text" type="text" title="captcha" name="put_captcha" placeholder="Captcha Please ">
                    </div>
                    <div class="content-submit">
                        <button type="submit" name="sub">Submit</button>
                    </div>
                </form>
             </div>
            <div class="right-con aos-init aos-animate" data-aos="zoom-in" style="transition: all 1300ms ease-in-out;">
                <h2>Contact us </h2>
                <ul class="contact-addres">
                    <li><i class="fa fa-map"></i><a href="#"><b>Office : </b>A6, Kiran Shankar Roy Road, Kol- 700001</a> </li>                    
                    <li><i class="fa fa-phone"></i><a href="tel:00000 00000"><b>Call : </b>+91 00000 00000</a> </li>
                    <li><i class="fa fa-envelope"></i><a href="mailto:info@gmail.com"><b>Email : </b>info@gmail.com</a></li>
                </ul>
                <ul class="contact-social">
                    <li class="aos-init aos-animate"><a href="#"><i class="fab fa-facebook-f"></i></a></li>
                    <li class="aos-init aos-animate"><a href="#"><i class="fab fa-instagram"></i></a></li>
                    <li class="aos-init aos-animate"><a href="#"><i class="fab fa-twitter"></i></a></li>
                    <li class="aos-init aos-animate"><a href="#"><i class="fab fa-youtube"></i></a></li>
                </ul>

</div>
        </div>        
    </div>
</div>

<?php 
    include("footer.php");
?>

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