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Directory (0750) :  /home2/ppcad7no/aviationpestcontrolcorporation.in/../adowoods.com/

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Current File : /home2/ppcad7no/aviationpestcontrolcorporation.in/../adowoods.com/inquiry.php
<form method="post" action="mail.php" onsubmit="return valid()">
<div class="field-wrapper row">
<div class="container">
<div class="row">
<div class="col-md-6 col-sm-6 col-xs-6 col-md-offset-3" >
<input type="text" class="form-control" id="name" name="name" placeholder="Your Name" onkeyup="clear1()" />
<span id="errorName" style="color: red; float: left;"></span>
<input type="text" class="form-control" id="phone" name="phone" placeholder="Your Phone" onkeyup="clear2()"/>
<span id="errorPhone" style="color: red; float: left;"></span>
<input type="text" class="form-control" id="email" name="email" placeholder="Your Email" onkeyup="clear3()"/>
<span id="errorEmail" style="color: red; float: left;"></span>
<input type="text" class="form-control" id="address" name="address" placeholder="Location" onkeyup="clear4()"/>
<span id="errorAddress" style="color: red; float: left;"></span>

<!--<div class="col-md-6">
<input type="text" class="form-control" id="state" name="state" placeholder="State" required />
</div>
<div class="col-md-6">
<input type="text" class="form-control" id="zip" name="Zip" placeholder="Zip/Postal Code" />
</div>
<div class="col-md-6">
<input type="text" class="form-control" value="" name="Country" name="Countrypicker" placeholder="Country" required />
</div>-->

<textarea cols="60" rows="3" id="comment" name="comment" class="form-control" placeholder="Write your comment here..." onkeyup="clear5()"></textarea>
<span id="errorComment" style="color: red; float: left;"></span>
<br><br>
<input type="text" id="security" name="security" class="form-control hide" value="" />
<input type="submit" value="Submit &#xf138;" class="btn btn-primary btn-lg" id="submit" name="submit" />
</div>
</div>
</div>
</div>
</form>

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