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Viewing / Editing File: enquiry.php

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

<div class="enquiry-inquiry">
		  <div class="container-inquiry">
            <h2>Enquiry now </h2>
            <h4>Fulfilling your happiness</h4>
		      
                <div class="row">
                    <div class="col-md-12 col-sm-12 col-xm-12">
                        <div class="enquiry-box-form">
    						<form method="post" id="form">
    							<div class="form-left-to-enquiry " id="b_name">
    							    <label>Product name :</label>
    								<input type="text" placeholder="Product id" name="name" required="">
    							</div>    						    
    							<div class="form-left-to-enquiry " id="b_name">
    							    <label>Full Name :</label>
    								<input type="text" placeholder="Full Name" name="name" required="">
    							</div>
    							<div class="form-left-to-enquiry">
    							    <label>Email id :</label>
    								<input type="email" placeholder="Email id" onblur="return check_em()" name="email_c" id="em" required="">
    							</div>
    							<div class="form-left-to-enquiry">
    							    <label>Phone No :</label>
    								<input type="text" value="" name="phone" placeholder="Phone No" required="">
    							</div>
    							<div class="form-left-to-enquiry">
    							    <label>Purchase date :</label>
    								<input type="date" value="" name="date" placeholder="Purchase date" required="">
    							</div>    							
    							<div class="form-left-to-enquiry">
    							    <label>Message :</label>
    								<textarea name="message" id="message" placeholder="Message"></textarea>
    							</div>		
    							<div class="form-left-to-enquiry">
    		            			<div class="form-sub">
    		            			    <input type="submit" class="" name="sub" id="btn" value="Sign in">
    		            			</div>
    		        			</div>
    						</form>
    					</div>
                    </div>
                  
                </div>

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

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