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- <h4 >Get a quote</h4>
- <form id="form_contact" data-action="/contact" class="form-default" role="form">
- <input type="hidden" name="_token" value="{{ csrf_token }}">
- <input type="hidden" name="consulting_products" value="{{product.title }}">
- <div class="row">
- <div class="col-md-6">
- <div class="form-group has-feedback">
- <label for="" class="text-uppercase c-gray-light">Your name</label>
- <input type="text" name="customer_name" class="form-control form-control-lg" required>
- <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
- <div class="help-block with-errors"></div>
- </div>
- </div>
- <div class="col-md-6">
- <div class="form-group has-feedback">
- <label for="" class="text-uppercase c-gray-light">Email address</label>
- <input type="email" name="email" class="form-control form-control-lg" required>
- <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
- <div class="help-block with-errors"></div>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-md-6">
- <div class="form-group has-feedback">
- <label for="" class="text-uppercase c-gray-light">Company name</label>
- <input type="text" name="company_name" class="form-control form-control-lg">
- <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
- <div class="help-block with-errors"></div>
- </div>
- </div>
- <div class="col-sm-6">
- <div class="form-group has-feedback">
- <label for="" class="text-uppercase c-gray-light">Phone/whats_app</label>
- <input type="text" name="whats_app" class="form-control form-control-lg" required>
- <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
- <div class="help-block with-errors"></div>
- </div>
- </div>
- </div>
- <div class="row">
- <div class="col-md-12">
- <div class="form-group has-feedback">
- <label for="" class="text-uppercase c-gray-light">Message</label>
- <textarea name="content" class="form-control no-resize" rows="5" required></textarea>
- <span class="glyphicon form-control-feedback" aria-hidden="true"></span>
- <div class="help-block with-errors"></div>
- </div>
- </div>
- </div>
- <div class="">
- <button type="reset" class="btn-reset d-none"></button>
- <button type="submit" class="btn btn-styled btn-base-1 mt-4">Send message</button>
- </div>
- </form>
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