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<!DOCTYPE html> <head> <meta name="viewport" content="width=device-width,initial-scale=1.0"/> <title>Contact Us - Shantam Diabetes & Medical Center</title> <meta name="description" content="Visit our Clinic at Flat Number 33, GH 8, Sehyog Apartment, Paschim Vihar, New Delhi, Delhi 110087 | contact us at ridhasingh@yahoo.com | +91-9971317999 " /> <meta name="keywords" content="" /> <meta name="page-topic" content="Contact Us"> <?php include 'top-link.php';?> <style> .service-icon-box a { height: 45px; width: 40px; line-height: 57px; } .mb-0d { margin-bottom: 0!important; padding-top: 10px; } .d-mt { margin-top: 10px !important; } .pd-10 { padding: 10px; } </style> </head> <body class=""> <div id="wrapper"> <div id="preloader"> <div id="spinner"> <div class="preloader-dot-loading"> <div class="cssload-loading"><i></i><i></i><i></i><i></i></div> </div> </div> <div id="disable-preloader" class="btn btn-default btn-sm">Disable Preloader</div> </div> <?php include 'header.php'?> <div class="main-content"> <section class="inner-header divider parallax layer-overlay overlay-white-5" data-bg-img="images/bg/b1.jpg"> <div class="container pt-60 pb-60"> <div class="section-content"> <div class="row"> <div class="col-md-12 text-center"> <h2 class="title">Contact Us</h2> <ol class="breadcrumb text-center text-black mt-10"> <li><a href="index.php">Home</a></li> <li class="active text-theme-colored">Contact Us</li> </ol> </div> </div> </div> </div> </section> <section> <div class="container-fluid pt-0 pb-0"> <div class="row"> <iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d3500.9654337950233!2d77.07843476446693!3d28.66075363955532!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x390d0460beb45e8d%3A0x37bea6d1e321ff3c!2sBlock+GH+8%2C+Paschim+Vihar%2C+Delhi%2C+110087!5e0!3m2!1sen!2sin!4v1524563081472" width="100%" height="350" frameborder="0" style="border:0" allowfullscreen></iframe> </div> </div> </section> <section class="divider"> <div class="container"> <div class="row pt-30"> <div class="col-md-4"> <div class="row"> <div class="col-xs-12 col-sm-12 col-md-12"> <div class="icon-box left media bg-deep p-30 mb-20"> <a class="media-left pull-left" href="#"> <i class="pe-7s-map-2 text-theme-colored"></i></a> <div class="media-body"> <h5 class="mt-0">Our Office Location</h5> <p>Flat Number 33, GH 8, Sehyog Apartment, Paschim Vihar, New Delhi, Delhi 110087</p> <!-----<p>GH 8, Paschim Vihar, Landmark: Near GH 8, Delhi</p>----> </div> </div> </div> <div class="col-xs-12 col-sm-6 col-md-12"> <div class="icon-box left media bg-deep p-30 mb-20"> <a class="media-left pull-left" href="#"> <i class="pe-7s-call text-theme-colored"></i></a> <div class="media-body"> <h5 class="mt-0">Contact Number</h5> <p>+91 9971 317 999</p> </div> </div> </div> <div class="col-xs-12 col-sm-6 col-md-12"> <div class="icon-box left media bg-deep p-30 mb-20"> <a class="media-left pull-left" href="#"> <i class="pe-7s-mail text-theme-colored"></i></a> <div class="media-body"> <h5 class="mt-0">Email Address</h5> <p>ridha_singh@yahoo.com</p> </div> </div> </div> <div class="col-xs-12 col-sm-6 col-md-12"> <div class="icon-box left media bg-deep p-30 mb-20"> <a class="media-left pull-left" href="#"> <i class="fa fa-globe text-theme-colored"></i></a> <div class="media-body"> <h5 class="mt-0">Website</h5> <p>www.shantamdiabetes.org</p> </div> </div> </div> </div> </div> <div class="col-md-8"> <h3 class="line-bottom mt-0 mb-30">Interested in discussing?</h3> <form id="contact_form" name="contact_form" class="" action="" method="post"> <div class="row"> <div class="col-sm-12"> <div class="form-group"> <label>Name <small>*</small></label> <input name="form_name" class="form-control" type="text" placeholder="Enter Name" required> </div> </div> <div class="col-sm-12"> <div class="form-group"> <label>Email <small>*</small></label> <input name="form_email" class="form-control required email" type="email" placeholder="Enter Email"> </div> </div> </div> <div class="row"> <div class="col-sm-6"> <div class="form-group"> <label>Subject <small>*</small></label> <input name="form_subject" class="form-control required" type="text" placeholder="Enter Subject"> </div> </div> <div class="col-sm-6"> <div class="form-group"> <label>Phone</label> <input name="form_phone" class="form-control" type="text" placeholder="Enter Phone"> </div> </div> </div> <div class="form-group"> <label>Message</label> <textarea name="form_message" class="form-control required" rows="5" placeholder="Enter Message"></textarea> </div> <div class="form-group"> <input name="form_botcheck" class="form-control" type="hidden" value="" /> <button type="submit" class="btn btn-dark btn-theme-colored btn-flat mr-5" data-loading-text="Please wait...">Send your message</button> <button type="reset" class="btn btn-default btn-flat btn-theme-colored">Reset</button> </div> </form> <script> $("#contact_form").validate({ submitHandler: function(form) { var form_btn = $(form).find('button[type="submit"]'); var form_result_div = '#form-result'; $(form_result_div).remove(); form_btn.before('<div id="form-result" class="alert alert-success" role="alert" style="display: none;"></div>'); var form_btn_old_msg = form_btn.php(); form_btn.php(form_btn.prop('disabled', true).data("loading-text")); $(form).ajaxSubmit({ dataType: 'json', success: function(data) { if( data.status === 'true' ) { $(form).find('.form-control').val(''); } form_btn.prop('disabled', false).php(form_btn_old_msg); $(form_result_div).php(data.message).fadeIn('slow'); setTimeout(function(){ $(form_result_div).fadeOut('slow') }, 6000); } }); } }); </script> </div> </div> </div> </section> </div> <section style="background-color:#0cb8b6; padding:10px;"> <div class="container" style="padding:10px 0px;"> <div class="row"> <div class="col-md-10"> <h2 style="color:#fff;">Get In Touch With Us!!!!</h2> </div> <div class="col-md-2"> <a class="rd-mr" href="contact-us.php" style="position:relative; top:25px;">Contact Us <i class="fa fa-angle-double-right"></i></a> </div> </div> </div> </section> <?php include 'footer.php'?> <a class="scrollToTop" href="#"><i class="fa fa-angle-up"></i></a> </div> <script src="js/custom.js"></script> </body> </html>