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<?php if (isset($_POST['submit'])) { $name = mysqli_real_escape_string($db, $_POST['name']); $phone = mysqli_real_escape_string($db, $_POST['phone']); $email = mysqli_real_escape_string($db, $_POST['email']); $subject = mysqli_real_escape_string($db, $_POST['subject']); $message = mysqli_real_escape_string($db, $_POST['message']); $insert = "INSERT INTO tbl_queries(name, phone, email, subject, message) VALUES ('$name', '$phone', '$email', '$subject', '$message')"; $query = mysqli_query($db, $insert); if ($query) { echo ("<script> window.alert('Successfully Sent Your Query.'); window.location.href='index.php'; </script>"); mysqli_close($db); } else { echo ("<script> window.alert('Failed To Send Your Query.'); window.location.href='index.php'; </script>"); } } ?> <div class="appoitment-area"> <div class="images-overlay"></div> <div class="container"> <div class="row"> <div class="col-md-6 col-sm-6 col-xs-12"> <div class="faq-sec"> <div class="faq-single"> <div class="media"> <div class="media-left"> <div class="icon"> <img src="<?php echo $wspath ?>img/icon/question.png" alt /> </div> </div> <div class="media-body"> <h2>Can I help 24/7</h2> <p>HA Finserv: Your 24/7 partner for seamless Finance, Insurance,GST and Consulting support.</p> </div> </div> </div> <div class="faq-single"> <div class="media"> <div class="media-left"> <div class="icon"> <img src="<?php echo $wspath ?>img/icon/question.png" alt /> </div> </div> <div class="media-body"> <h2>Can I refund payment</h2> <p>Explore our refund policy for Finance, GST, and Insurance services.</p> </div> </div> </div> <div class="faq-single"> <div class="media"> <div class="media-left"> <div class="icon"> <img src="<?php echo $wspath ?>img/icon/question.png" alt /> </div> </div> <div class="media-body"> <h2>How many year's exprience</h2> <p>HA Finserv: With 10-13 years' expertise in Finance, GST, and Insurance services.</p> </div> </div> </div> </div> </div> <div class="col-md-6 col-sm-6 col-xs-12"> <div class="appointment-form"> <h2>Get A Quote</h2> <form action="<?php $_PHP_SELF ?>" method="POST"> <fieldset> <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12"> <div class="sngl-field"> <input placeholder="Name" name="name" type="text"/> </div> </div> <div class="col-lg-6 col-md-6 col-sm-6 col-xs-12"> <div class="sngl-field"> <input placeholder="Phone" name="phone" type="text"/> </div> </div> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="sngl-field"> <input placeholder="E-mail" name="email" type="email" required/> </div> </div> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="sngl-field"> <label for="cars" name="subject" style="color:white;">Choose Service:</label> <select id="cars" name="cars"> <option value="Insurance" style="color:white;">Insurance</option> <option value="Loans" style="color:white;">Loans</option> <option value="Credit Cards" style="color:white;">Credit Cards</option> <option value="Income Tax" style="color:white;">Income Tax</option> <option value="GST Service" style="color:white;">GST Service</option> <option value="New Business Registration" style="color:white;">New Business Registration</option> <option value="Government Registration" style="color:white;">Government Registration</option> <option value="Other Services" style="color:white;">Other Services</option> <option value="IT Services" style="color:white;">IT Services</option> <!--<option value="audi">Audi</option>--> </select> <!--<input type="text" placeholder="Subject" name="subject">--> </div> </div> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="sngl-field mt-2"> <textarea placeholder="Message" rows="4" cols="50" name="message"></textarea> </div> </div> <div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"> <div class="filed-submitbtn"> <input value="Submit Message" name="submit" type="submit" /> </div> </div> </fieldset> </form> </div> </div> </div> </div> </div>