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| Dir : /home/distinctdesign/codenwebz.com/includes/ |
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| Dir : /home/distinctdesign/codenwebz.com/includes/banner-form.php |
<div class="form-banner">
<form class="form_submission" id="regForm" method="POST">
<input type="hidden" name="url" value='<?php echo (isset($_SERVER['HTTPS']) && $_SERVER['HTTPS'] === 'on' ? "https" : "http") . "://$_SERVER[HTTP_HOST]$_SERVER[REQUEST_URI]"; ?>'>
<input type="hidden" name="domain" value="<?php echo $_SERVER['SERVER_NAME']; ?>">
<input type="hidden" name="subject" value="footer Form (<?php echo $_SERVER['SERVER_NAME']; ?>)">
<div class="row">
<div class="col-md-12">
<ul>
<li> <input type="text" name="cn" class="banner-field" placeholder="Name" required=""></li>
<li><input type="number" minlength="10" maxlength="12" pattern="\d{12}"
class="phone-country banner-field" placeholder="Phone Number" name="pn" required=""></li>
<li><input type="email" name="em" class="banner-field" placeholder="Email Address" required="">
</li>
</ul>
</div>
<div class="col-md-12">
<input class="submit" name="submit" type="submit" value="Submit Now" required="">
<div class="error mt-3 alert alert-danger text-left mb-0" style="display: none"></div>
<div class="success mt-3 alert alert-success text-left mb-0" style="display: none"></div>
<div class="loader" style="display: none">
<img alt="loader" src="loader.gif">
</div>
<a href="javascript:void(0);" class="btn btn-live chatt"><i class='fas fa-comment'></i>Live Chat</a>
</div>
</div>
</form>
</div>