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Copy pathtemplate-contact.php
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56 lines (53 loc) · 2.55 KB
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<?php
/* Template Name: Contact Us */
get_header(); ?>
<div class="contact-top-sec">
<div class="contact-top-text">
<div class="contact-top-title">Contact Us</div>
<div>Tell us how we can look after you</div>
</div>
<div class="contact-top-image"></div>
</div>
<div class="contact-section">
<div class="contact-container">
<div class="customer-sec-title">Are You New Here?</div>
<!-- <div class="customer-sec-description">Register now and wait for the call of our experts</div> -->
<button class="customer-sec-btn contact-green-btn" onclick="location.href='<?php echo site_url(); ?>/new-merchants'">
<div>New Merchants Registeration</div>
<div class="fa fa-angle-right customer-btn-icon" aria-hidden="true"></div>
</button>
<div class="contact-photo"></div>
</div>
<div class="contact-container contact-form-box">
<form id="existing-merchant-form" action="" method="post">
<input type="text" style="display: none;" value="existing" name="merchant">
<div class="customer-sec" id="ContactUs">
<div class="customer-sec-text">
<div class="customer-sec-title">Contact Form</div>
</div>
<div>
<input type="text" class="customer-field contact-form-field" name="Name" placeholder="Name" required>
</div>
<div>
<input type="text" class="customer-field contact-form-field" name="ID" placeholder="Reference Number (If Applicable)" required>
</div>
<div>
<select class="customer-field contact-form-field" name="Title" placeholder="Title">
<option value="Electronic Machine">Payment Terminal</option>
<option value="Settlement">Settlement</option>
<option value="New Machines">Paper roll</option>
</select>
</div>
<div>
<textarea class="customer-field contact-form-field" name="Description" id="" cols="30" rows="10" placeholder="Message" required></textarea>
</div>
<input type="hidden" name="response" id="recaptchaResponse">
<button type="submit" class="customer-sec-btn">
<div>Submit</div>
<div class="fa fa-check customer-btn-icon" aria-hidden="true"></div>
</button>
</div>
</form>
</div>
</div>
<?php get_footer(); ?>