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Update index.html
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nima-maghooli authored Apr 26, 2024
1 parent 840ff9d commit 9ae13b8
Showing 1 changed file with 33 additions and 28 deletions.
61 changes: 33 additions & 28 deletions index.html
Original file line number Diff line number Diff line change
Expand Up @@ -950,34 +950,39 @@ <h4>Open Hours</h4>
<script id="ratufa_loader" src="https://www.ratufa.io/c/ld.js?f=fi90d3ey&n=n1.ratufa.io"></script>-->


<form id="myform" name="myform" accept-charset="utf-8" method="post" enctype="multipart/form-data">
<fieldset id="fs-frm-inputs">
<div class="row">
<div class="col-md-6 form-group">
<input type="text" name="name" class="form-control" id="full-name" placeholder="Your Name" required>
</div>
<div class="col-md-6 form-group mt-3 mt-md-0">
<input type="email" name="email" class="form-control" id="email-address" placeholder="Your Email" required>
</div>
<div class="form-group mt-3">
<input type="tel" name="telephone" class="form-control" id="telephone" placeholder="Subject" required>
</div>
<div class="form-group mt-3">
<textarea rows="6" name="message" class="form-control" id="complaint" placeholder="Message" required></textarea>
</div>
<div class="form-group">
<p> </p>
<label for="photo_upload">Upload File (Optional)</label>
<input type="file" class="form-control-file" id="exampleFormControlFile1" name="file_upload">
</div>
<p> </p>
<div class="g-recaptcha" data-sitekey="6Ldv170pAAAAAL6a34dWnfhJ9ulT8BrwRPBl12eT" data-callback="correctCaptcha" required></div>
<input type="hidden" name="_subject" id="email-subject" value="Complaint Form Submission">
</div>
<p> </p>
<div class="text-center"><button type="submit">Send Message</button></div>
</fieldset>
</form>
<div class="container">
<form method="post" id="myform">
<div class="row mb-3">
<div class="col-md-6">
<input type="text" class="form-control" name="FullName" id="FullName" placeholder="Your Name"/>
</div>
<div class="col-md-6">
<input type="email" class="form-control" name="Email" id="Email" placeholder="Your Email"/>
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<input type="text" name="Textbox" id="Textbox" class="form-control" placeholder="Subject"/>
</div>
<div class="col-md-6">
<input type="file" class="form-control" name="SimpleFileUpload" id="SimpleFileUpload"/>
</div>
</div>
<div class="row mb-3">
<div class="col-md-12">
<textarea name="Message" class="form-control" id="Message" rows="5" maxlength="2048" placeholder="Message"></textarea>
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<div class="g-recaptcha" data-sitekey="6Ldv170pAAAAAL6a34dWnfhJ9ulT8BrwRPBl12eT" data-callback="correctCaptcha"></div>
</div>
<div class="col-md-6 d-flex align-items-center">
<button class="btn btn-lg px-4" style="background-color:#007bff;border-color:#007bff;color:white;" type="submit">Submit</button>
</div>
</div>
</form>
</div>

<script src="https://www.google.com/recaptcha/api.js?explicit&hl=en"></script>

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