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<?php include("site-header.php");?> <?php include("send-enquiry-code-product.php");?> <!-- slider area start --> <div class="breadcumb-area black-opacity bg-img-3" style="background:url(<?=$site_url."/uploaded_files/".db_scalar("select header_flash_image_name from tbl_header_flash WHERE header_flash_type='Inner'")?>) no-repeat center; background-size:cover;"> <div class="container"> <div class="row"> <div class="col-xs-12"> <div class="breadcumb-wrap"> <h2> <?=ucwords(strtolower($pgHeading));?></h2> </div> </div> </div> </div> <div class="breadcumb-menu"> <div class="container"> <div class="row"> <div class="col-xs-12"> <ul> <li><a href="<?=$site_url?>/index.html">Home</a></li> <li>/</li> <li> <?=ucwords(strtolower($pgHeading));?></li> </ul> </div> </div> </div> </div> </div> <!-- about-area start --> <div class="contact-area ptb-100"> <div class="container"> <div class="row"> <div class="col-md-8"> <div class="contact-wrap form-style"> <div class="col-md-12 text-center <?=$clrerr?>" ><?=display_sess_msg()?></div> <form method="post" action="" name="enqFrm" onSubmit="return EnqValidation();" enctype="multipart/form-data"> <div class="row clearfix"> <!--Form Group--> <div class="form-group col-md-6 col-sm-6 col-xs-12"> <input class="form-control" type="text" placeholder="Your Name" maxlength="70" value="" name="enquiry_nam" id="enquiry_nam"> </div> <!--Form Group--> <div class="form-group col-md-6 col-sm-6 col-xs-12"> <input class="form-control" type="text" placeholder="Mobile" maxlength="15" value="" name="enquiry_mobil" id="enquiry_mobil"> </div> <!--Form Group--> <div class="form-group col-md-12 col-sm-12 col-xs-12"> <input class="form-control" type="email" placeholder="Email Address" maxlength="200" value="" name="enquiry_emai" id="enquiry_emai"> </div> <div class="form-group col-md-12 col-sm-12 col-xs-12"> <input class="form-control" type="text" placeholder="Enter Subject" maxlength="200" value="<?php if($_REQUEST['prd']!=""){ echo $_REQUEST['prd'];}?>" name="enquiry_sub" id="enquiry_sub"> </div> <!--Form Group--> <!--Form Group--> <div class="form-group col-md-12 col-sm-12 col-xs-12"> <textarea class="form-control" rows="3" cols="20" placeholder="Your Message" name="enquiry_detai" id="enquiry_detai"></textarea> </div> <!--Form Group--> <div class="form-group col-md-12 col-sm-12 col-xs-12"> <input id="security_cod" name="captcha" class="form-control" type="text" placeholder="Enter Security Code" maxlength="4" style="width:85%"> <img src="<?=$site_url?>/amitabhcaptcha.php" class="pull-right" width="60" height="32" style="margin-top:-51px" alt="Captcha" id="cap" /> </div> <!--Form Group--> <div class="col-md-12 col-sm-12 col-xs-12"> <button id="submit" class="cont-submit btn-contact btn-style" name="EnqSubmit">SEND MESSAGE</button> </div> </div> </form> </div> </div> <div class="col-md-4 hidden-xs enqs"> <img src="assets/images/enqu.png" class="img-responsive"> </div> </div> </div> </div> <?php include("site-footer.php");?>