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contact.html
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<!DOCTYPE html>
<html lang="en">
<head>
<title>Remedic - Free Bootstrap 4 Template by Colorlib</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<link href="https://fonts.googleapis.com/css?family=Roboto:300,400,700" rel="stylesheet">
<link rel="stylesheet" href="css/open-iconic-bootstrap.min.css">
<link rel="stylesheet" href="css/animate.css">
<link rel="stylesheet" href="css/owl.carousel.min.css">
<link rel="stylesheet" href="css/owl.theme.default.min.css">
<link rel="stylesheet" href="css/magnific-popup.css">
<link rel="stylesheet" href="css/aos.css">
<link rel="stylesheet" href="css/ionicons.min.css">
<link rel="stylesheet" href="css/bootstrap-datepicker.css">
<link rel="stylesheet" href="css/jquery.timepicker.css">
<link rel="stylesheet" href="css/flaticon.css">
<link rel="stylesheet" href="css/icomoon.css">
<link rel="stylesheet" href="css/style.css">
</head>
<body>
<nav class="navbar navbar-expand-lg navbar-dark ftco_navbar bg-dark ftco-navbar-light" id="ftco-navbar">
<div class="container">
<a class="navbar-brand" href="index.html"><i class="flaticon-pharmacy"></i><span>Re</span>Medic</a>
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#ftco-nav" aria-controls="ftco-nav" aria-expanded="false" aria-label="Toggle navigation">
<span class="oi oi-menu"></span> Menu
</button>
<div class="collapse navbar-collapse" id="ftco-nav">
<ul class="navbar-nav ml-auto">
<li class="nav-item"><a href="index.html" class="nav-link">Home</a></li>
<li class="nav-item"><a href="about.html" class="nav-link">About</a></li>
<li class="nav-item"><a href="departments.html" class="nav-link">Departments</a></li>
<li class="nav-item"><a href="doctor.html" class="nav-link">Doctors</a></li>
<li class="nav-item"><a href="blog.html" class="nav-link">Blog</a></li>
<li class="nav-item active"><a href="contact.html" class="nav-link">Contact</a></li>
<li class="nav-item cta"><a href="contact.html" class="nav-link" data-toggle="modal" data-target="#modalAppointment"><span>Make an Appointment</span></a></li>
</ul>
</div>
</div>
</nav>
<!-- END nav -->
<div class="hero-wrap" style="background-image: url('images/bg_6.jpg'); background-attachment:fixed;">
<div class="overlay"></div>
<div class="container">
<div class="row no-gutters slider-text align-items-center justify-content-center" data-scrollax-parent="true">
<div class="col-md-8 ftco-animate text-center">
<p class="breadcrumbs"><span class="mr-2"><a href="index.html">Home</a></span> <span>Blog</span></p>
<h1 class="mb-3 bread">Contact Us</h1>
</div>
</div>
</div>
</div>
<section class="ftco-section contact-section ftco-degree-bg">
<div class="container">
<div class="row d-flex mb-5 contact-info">
<div class="col-md-12 mb-4">
<h2 class="h4">Contact Information</h2>
</div>
<div class="w-100"></div>
<div class="col-md-3">
<p><span>Address:</span> 198 West 21th Street, Suite 721 New York NY 10016</p>
</div>
<div class="col-md-3">
<p><span>Phone:</span> <a href="tel://1234567920">+ 1235 2355 98</a></p>
</div>
<div class="col-md-3">
<p><span>Email:</span> <a href="mailto:[email protected]">[email protected]</a></p>
</div>
<div class="col-md-3">
<p><span>Website</span> <a href="#">yoursite.com</a></p>
</div>
</div>
<div class="row block-9">
<div class="col-md-6 pr-md-5">
<form action="#">
<div class="form-group">
<input type="text" class="form-control" placeholder="Your Name">
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="Your Email">
</div>
<div class="form-group">
<input type="text" class="form-control" placeholder="Subject">
</div>
<div class="form-group">
<textarea name="" id="" cols="30" rows="7" class="form-control" placeholder="Message"></textarea>
</div>
<div class="form-group">
<input type="submit" value="Send Message" class="btn btn-primary py-3 px-5">
</div>
</form>
</div>
<div class="col-md-6" id="map"></div>
</div>
</div>
</section>
<section class="ftco-section-parallax">
<div class="parallax-img d-flex align-items-center">
<div class="container">
<div class="row d-flex justify-content-center">
<div class="col-md-7 text-center heading-section heading-section-white ftco-animate">
<h2>Subcribe to our Newsletter</h2>
<p>Far far away, behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts. Separated they live in</p>
<div class="row d-flex justify-content-center mt-5">
<div class="col-md-8">
<form action="#" class="subscribe-form">
<div class="form-group d-flex">
<input type="text" class="form-control" placeholder="Enter email address">
<input type="submit" value="Subscribe" class="submit px-3">
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
<footer class="ftco-footer ftco-bg-dark ftco-section img" style="background-image: url(images/bg_5.jpg);">
<div class="overlay"></div>
<div class="container">
<div class="row mb-5">
<div class="col-md">
<div class="ftco-footer-widget mb-4">
<h2 class="ftco-heading-2">Remedic</h2>
<p>Far far away, behind the word mountains, far from the countries Vokalia and Consonantia, there live the blind texts.</p>
<ul class="ftco-footer-social list-unstyled float-md-left float-lft mt-5">
<li class="ftco-animate"><a href="#"><span class="icon-twitter"></span></a></li>
<li class="ftco-animate"><a href="#"><span class="icon-facebook"></span></a></li>
<li class="ftco-animate"><a href="#"><span class="icon-instagram"></span></a></li>
</ul>
</div>
</div>
<div class="col-md">
<div class="ftco-footer-widget mb-4 ml-md-5">
<h2 class="ftco-heading-2">Information</h2>
<ul class="list-unstyled">
<li><a href="#" class="py-2 d-block">Appointments</a></li>
<li><a href="#" class="py-2 d-block">Our Specialties</a></li>
<li><a href="#" class="py-2 d-block">Why Choose us</a></li>
<li><a href="#" class="py-2 d-block">Our Services</a></li>
<li><a href="#" class="py-2 d-block">health Tips</a></li>
</ul>
</div>
</div>
<div class="col-md">
<div class="ftco-footer-widget mb-4">
<h2 class="ftco-heading-2">Site Links</h2>
<ul class="list-unstyled">
<li><a href="#" class="py-2 d-block">Home</a></li>
<li><a href="#" class="py-2 d-block">About</a></li>
<li><a href="#" class="py-2 d-block">Departments</a></li>
<li><a href="#" class="py-2 d-block">Doctors</a></li>
<li><a href="#" class="py-2 d-block">Blog</a></li>
<li><a href="#" class="py-2 d-block">Contact</a></li>
</ul>
</div>
</div>
<div class="col-md">
<div class="ftco-footer-widget mb-4">
<h2 class="ftco-heading-2">Have a Questions?</h2>
<div class="block-23 mb-3">
<ul>
<li><span class="icon icon-map-marker"></span><span class="text">203 Fake St. Mountain View, San Francisco, California, USA</span></li>
<li><a href="#"><span class="icon icon-phone"></span><span class="text">+2 392 3929 210</span></a></li>
<li><a href="#"><span class="icon icon-envelope"></span><span class="text">[email protected]</span></a></li>
</ul>
</div>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12 text-center">
<p><!-- Link back to Colorlib can't be removed. Template is licensed under CC BY 3.0. -->
Copyright ©<script>document.write(new Date().getFullYear());</script> All rights reserved | This template is made with <i class="icon-heart" aria-hidden="true"></i> by <a href="https://colorlib.com" target="_blank">Colorlib</a>
<!-- Link back to Colorlib can't be removed. Template is licensed under CC BY 3.0. --></p>
</div>
</div>
</div>
</footer>
<!-- loader -->
<div id="ftco-loader" class="show fullscreen"><svg class="circular" width="48px" height="48px"><circle class="path-bg" cx="24" cy="24" r="22" fill="none" stroke-width="4" stroke="#eeeeee"/><circle class="path" cx="24" cy="24" r="22" fill="none" stroke-width="4" stroke-miterlimit="10" stroke="#F96D00"/></svg></div>
<!-- Modal -->
<div class="modal fade" id="modalAppointment" tabindex="-1" role="dialog" aria-labelledby="modalAppointmentLabel" aria-hidden="true">
<div class="modal-dialog" role="document">
<div class="modal-content">
<div class="modal-header">
<h5 class="modal-title" id="modalAppointmentLabel">Appointment</h5>
<button type="button" class="close" data-dismiss="modal" aria-label="Close">
<span aria-hidden="true">×</span>
</button>
</div>
<div class="modal-body">
<form action="#">
<div class="form-group">
<label for="appointment_name" class="text-black">Full Name</label>
<input type="text" class="form-control" id="appointment_name">
</div>
<div class="form-group">
<label for="appointment_email" class="text-black">Email</label>
<input type="text" class="form-control" id="appointment_email">
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="appointment_date" class="text-black">Date</label>
<input type="text" class="form-control" id="appointment_date">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="appointment_time" class="text-black">Time</label>
<input type="text" class="form-control" id="appointment_time">
</div>
</div>
</div>
<div class="form-group">
<label for="appointment_message" class="text-black">Message</label>
<textarea name="" id="appointment_message" class="form-control" cols="30" rows="10"></textarea>
</div>
<div class="form-group">
<input type="submit" value="Send Message" class="btn btn-primary">
</div>
</form>
</div>
</div>
</div>
</div>
<script src="js/jquery.min.js"></script>
<script src="js/jquery-migrate-3.0.1.min.js"></script>
<script src="js/popper.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/jquery.easing.1.3.js"></script>
<script src="js/jquery.waypoints.min.js"></script>
<script src="js/jquery.stellar.min.js"></script>
<script src="js/owl.carousel.min.js"></script>
<script src="js/jquery.magnific-popup.min.js"></script>
<script src="js/aos.js"></script>
<script src="js/jquery.animateNumber.min.js"></script>
<script src="js/bootstrap-datepicker.js"></script>
<script src="js/jquery.timepicker.min.js"></script>
<script src="js/scrollax.min.js"></script>
<script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyBVWaKrjvy3MaE7SQ74_uJiULgl1JY0H2s&sensor=false"></script>
<script src="js/google-map.js"></script>
<script src="js/main.js"></script>
</body>
</html>