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<?php
if(isset($_POST['submit']))
{
include "admin/config.php";
$name = htmlspecialchars($_POST['name'],ENT_QUOTES);
$phone = htmlspecialchars($_POST['phone'],ENT_QUOTES);
$email = htmlspecialchars($_POST['email'],ENT_QUOTES);
$message = htmlspecialchars($_POST['message'],ENT_QUOTES);
$subject = htmlspecialchars($_POST['subject'],ENT_QUOTES);
$sql="INSERT INTO `tb7_user_issue`( `name`, `phone`, `email`, `message`,`state`) VALUES ('$name','$phone','$email','$message','$subject')";
$result = mysqli_query($db, $sql) or die("Query unsuccessful");
if($result){
// header('location:blog-list.php');
echo ("<script LANGUAGE='JavaScript'>
window.alert('Your Query for Appointment has been submited. Our team will contact you soon!');
window.location.href='index.php';
</script>");
// echo "submited";
mysqli_close($db);
}else{
// header('location:add-blog.php');
echo 'Error';
}
}
?>
<!doctype html>
<html lang="en">
<meta http-equiv="content-type" content="text/html;charset=utf-8" />
<head>
<meta charset="utf-8">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<title></title>
<style>
form {
margin: 20px;
}
label {
display: block;
margin-bottom: 5px;
font-weight: bold;
}
input[type="text"],
input[type="email"],
input[type="tel"],
textarea {
width: 100%;
padding: 10px;
margin-bottom: 10px;
border: 1px solid #ccc;
border-radius: 4px;
box-sizing: border-box;
}
input[type="submit"] {
background-color: #4CAF50;
color: white;
padding: 10px 20px;
border: none;
border-radius: 4px;
cursor: pointer;
}
input[type="submit"]:hover {
background-color: #45a049;
}
</style>
<meta name="viewport" content="width=device-width, initial-scale=1">
<?php include 'toplink.php';?>
</head>
<body id="index" class="lang-en country-us currency-usd layout-full-width page-index tax-display-disabled fullwidth">
<main>
<?php include 'header.php';?>
<section>
<form>
<label for="name">Name:</label>
<input type="text" id="name" name="name" required>
<label for="email">Email:</label>
<input type="email" id="email" name="email" required>
<label for="phone">Phone:</label>
<input type="tel" id="phone" name="phone" required>
<label for="address">Address:</label>
<textarea id="address" name="address" required></textarea>
<input type="submit" value="Submit">
</form>
</section>
<?php include 'footer.php';?>
</body>
</html>