| Current File : /home/inlingua/public_html/sensoriumpsychologists.com/panel/franchise/contact.php |
<!DOCTYPE html>
<html>
<head>
<title>Shristi</title>
<?php require("../common/head_links.php");?>
</head>
<body class="hold-transition skin-blue sidebar-mini">
<div class="wrapper">
<?php require("common/header.php");?>
<?php require("common/left_side_bar.php");?>
<!-- Content Wrapper. Contains page content -->
<div class="content-wrapper">
<!-- Content Header (Page header) -->
<section class="content-header">
<h1> Contact Us</h1>
</section>
<!-- Main content -->
<section class="content">
<form role="form" method="post" enctype="multipart/form-data" onSubmit="return validate_form()">
<div class="row">
<!-- left column -->
<div class="col-md-12">
<!-- general form elements -->
<div class="box box-primary">
<div class="box-header with-border">
</div>
<!-- /.box-header -->
<!-- form start -->
<div class="box-body">
<div class="row">
<div class="col-md-12">
<div class="col-md-12">
<h3>We’d love to hear from you</h3>
<p>Just fill out and submit the form below and we will respond to you as quickly as possible.</p>
<p>Thanks for your input, it is important to us! </p>
<h3>Business hours</h3>
<p>
<strong>
Monday – Friday 9am to 5pm
<br>
Saturday – 9am to 2pm
<br>
Sunday – Closed
<br /><br />
<i class="fa fa-phone" aria-hidden="true" style="font-size:20px;"></i>  08079450376,  +(91)-9810021054,  +(91)-8860061027
</strong>
</p>
</div>
</div>
</div>
</div>
<!-- /.box-body -->
</div>
<!-- /.box -->
<div class="box box-primary">
<div class="box-header with-border">
<h2 class="box-title">Send Us a Message</h2>
</div>
<!-- /.box-header -->
<!-- form start -->
<div class="box-body">
<div class="form-group">
<div class="col-md-3">
<label for="">Name</label>
<input type="text" class="form-control" id="" name="" value="">
</div>
<div class="col-md-3">
<label for="">E-mail</label>
<input type="email" class="form-control" id="" name="" value="">
</div>
<div class="col-md-3">
<label for="">Subject</label>
<input type="text" class="form-control" id="" name="" value="" >
</div>
<div class="col-md-3">
<label for="">Phone No.</label>
<input type="text" class="form-control" id="" name="" value="" >
</div>
</div>
<div class="form-group">
<div class="col-md-12">
<label for="">Message </label>
<textarea class="form-control" rows="5" id=""></textarea>
</div>
</div>
</div>
<!-- /.box-body -->
</div>
</div>
</div>
<!-- /.row -->
<div class="row">
<div class="col-md-12">
<button type="button" onClick="window.location.href='index.php'" class="btn btn-danger" style="margin-right:10px;margin-top:10px;">Back</button>
<button type="submit" class="btn btn-success" style="margin-top:10px;">Send Message</button>
</div>
</div>
</form>
</section>
<!-- /.content -->
</div><!-- /.content-wrapper -->
<?php require("../common/footer.php");?>
</div><!-- ./wrapper -->
<?php require("../common/footer_links.php");?>
</body>
</html>