42 lines
2.3 KiB
PHP
42 lines
2.3 KiB
PHP
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<div class="request_back">
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<div class="container row">
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<div id ="message"></div>
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<div class="col-md-7" data-aos="fade-right">
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<h2>Request call back</h2>
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<h3>Contact now and get all your queries sorted with our investment expert</h3>
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<form id="contact_us_form" autocomplete="off">
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<div class="row">
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<div class="col-md-6 form-group">
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<label>Name</label>
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<input type="text" name="name" class="form-control" placeholder="Enter your name" onkeydown="return /^[a-zA-Z\s]+$/i.test(event.key)" />
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</div>
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<div class="col-md-6 form-group">
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<label>Phone Number</label>
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<input type="number" name="mobile_number" class="form-control" placeholder="Enter your phone number" />
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</div>
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<div class="col-md-12 form-group">
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<label>Email Address</label>
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<input type="email" name="email" class="form-control" placeholder="Enter your email address" />
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</div>
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<div class="col-md-12 form-group">
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<label>Your Subject</label>
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<input type="text" name="subject" class="form-control" placeholder="Enter your subject" />
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</div>
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<div class="col-md-12 form-group">
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<label>Your Message</label>
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<textarea name="message" class="form-control" placeholder="Enter your message"></textarea>
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</div>
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<button id="request_callback_btn" type="submit" class="blue-btn">Submit</button>
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<button type="submit" id="loaderContactBtn" class="blue-btn d-none" style="margin-left:15px !important;margin-top:15px"><span class="spinner-border spinner-border-sm" role="status" aria-hidden="true"></span>
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Loading...</button>
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</div>
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</form>
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</div>
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<div class="col-md-5 left" data-aos="fade-left">
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<img src="{{asset('/public/assets/media/FrontendImages/5124558@2x.png')}}" />
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</div>
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</div>
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</div>
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@section('scripts')
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<script src="{{asset('/public/assets/js/FrontendJs/contact_us.js')}}"></script>
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@endsection
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