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request.php
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<?php
include_once './libs/const.php';
$_pageid = 4;
?>
<!DOCTYPE html>
<html lang="en">
<head>
<?php
$_TITLE = "Request Service";
include_once './tags/common/head.php';
?>
</head>
<body>
<?php include_once './tags/global_header/header.php'; ?>
<div class="heads" style="background: url(resources/img/bag-banner-3.jpg) center center;">
<div class="container">
<div class="row">
<div class="col-md-12">
<h2><span>//</span> Request Service</h2>
</div>
</div>
</div>
</div>
<!-- begin:tagline -->
<div class="page-content contact">
<div class="container">
<div class="row">
<div class="col-md-12">
<ol class="breadcrumb">
<li><a href="#">Home</a></li>
<li class="active">Contact Us</li>
</ol>
</div>
</div>
<div class="row padd20-top-btm">
<form method="post" action="post/crateRequest.php">
<div class="col-md-5 col-sm-5">
<h3>Service Request</h3>
<input type="text" name="name" class="form-control" placeholder="Enter your name" required="">
<input type="email" name="email" class="form-control" placeholder="Enter your mail" required="">
<input type="text" name="subject" class="form-control" placeholder="Enter your subject" required="">
</div>
<div class="col-md-7 col-sm-7">
<textarea name="message" class="form-control" rows="7" placeholder="Type your message" required=""></textarea>
<input type="submit" name="submit" value="Send Message" class="btn btn-warning btn-block btn-lg">
</div>
</form>
</div>
</div>
</div>
<!-- end:tagline -->
<?php include_once './tags/global_header/footer.php'; ?>
<!-- end:copyright -->
<?php include_once './tags/common/scripts.php'; ?>
</body>
</html>