-
Notifications
You must be signed in to change notification settings - Fork 10
/
Copy pathcontactUs.php
136 lines (108 loc) · 5.04 KB
/
contactUs.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<meta http-equiv="x-ua-compatible" content="ie=edge">
<title>Nimedco Pharmacy</title>
<!-- Font Awesome -->
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.8.2/css/all.css">
<!-- Bootstrap core CSS -->
<link href="css/bootstrap.min.css" rel="stylesheet">
<!-- Material Design Bootstrap -->
<link href="css/mdb.min.css" rel="stylesheet">
<!-- Your custom styles (optional) -->
<link href="css/style.css" rel="stylesheet">
</head>
<body>
<!--------------------------------------------------------------------------------------------------------------------------------->
<!--Section: Contact v.2-->
<section class="mb-4">
<!--Section heading-->
<h2 class="h1-responsive font-weight-bold text-center my-4">Contact us</h2>
<!--Section description-->
<p class="text-center w-responsive mx-auto mb-5">Do you have any questions? Please do not hesitate to contact us directly. Our team will come back to you within
a matter of hours to help you.</p>
<div class="row">
<!--Grid column-->
<div class="col-md-9 mb-md-0 mb-5">
<form id="contact-form" name="contactForm" action="mail.php" method="POST">
<!--Grid row-->
<div class="row">
<!--Grid column-->
<div class="col-md-6">
<div class="md-form mb-0">
<input type="text" id="name" name="name" class="form-control">
<label for="name" class="">Your name</label>
</div>
</div>
<!--Grid column-->
<!--Grid column-->
<div class="col-md-6">
<div class="md-form mb-0">
<input type="email" id="email" name="email" class="form-control">
<label for="email" class="">Your email</label>
</div>
</div>
<!--Grid column-->
</div>
<!--Grid row-->
<!--Grid row-->
<div class="row">
<div class="col-md-12">
<div class="md-form mb-0">
<input type="text" id="subject" name="subject" class="form-control">
<label for="subject" class="">Subject</label>
</div>
</div>
</div>
<!--Grid row-->
<!--Grid row-->
<div class="row">
<!--Grid column-->
<div class="col-md-12">
<div class="md-form">
<textarea type="text" id="message" name="message" rows="2" class="form-control md-textarea"></textarea>
<label for="message">Your message</label>
</div>
</div>
</div>
<!--Grid row-->
</form>
<div class="text-center text-md-left">
<Button class="btn btn-primary" onclick = "javascript:return validateContactForm();">Send</Button>
</div>
<div class="status"></div>
</div>
<!--Grid column-->
<!--Grid column-->
<div class="col-md-3 text-center">
<ul class="list-unstyled mb-0">
<li><i class="fas fa-map-marker-alt fa-2x"></i>
<p>66-D/5,Maragahahena,Kuda-Uduwa,Horana</p>
</li>
<li><i class="fas fa-phone mt-4 fa-2x"></i>
<p>+ 94 770 828 319</p>
</li>
<li><i class="fas fa-envelope mt-4 fa-2x"></i>
<p>contact nimedcopharmacy .com</p>
</li>
</ul>
</div>
<!--Grid column-->
</div>
</section>
<!--Section: Contact v.2-->
<!--------------------------------------------------------------------------------------------------------------------------------->
<!-- SCRIPTS -->
<!-- JQuery -->
<script type="text/javascript" src="js/jquery-3.4.1.min.js"></script>
<!-- Bootstrap tooltips -->
<script type="text/javascript" src="js/popper.min.js"></script>
<!-- Bootstrap core JavaScript -->
<script type="text/javascript" src="js/bootstrap.min.js"></script>
<!-- MDB core JavaScript -->
<script type="text/javascript" src="js/mdb.min.js"></script>
<script type="text/javascript" src="js/contactUs.js"></script>
</body>
</html>