Server : Apache/2.4.18 (Ubuntu) System : Linux canvaswebdesign 3.13.0-71-generic #114-Ubuntu SMP Tue Dec 1 02:34:22 UTC 2015 x86_64 User : oppastar ( 1041) PHP Version : 7.0.33-0ubuntu0.16.04.15 Disable Function : pcntl_alarm,pcntl_fork,pcntl_waitpid,pcntl_wait,pcntl_wifexited,pcntl_wifstopped,pcntl_wifsignaled,pcntl_wifcontinued,pcntl_wexitstatus,pcntl_wtermsig,pcntl_wstopsig,pcntl_signal,pcntl_signal_dispatch,pcntl_get_last_error,pcntl_strerror,pcntl_sigprocmask,pcntl_sigwaitinfo,pcntl_sigtimedwait,pcntl_exec,pcntl_getpriority,pcntl_setpriority, Directory : /var/www/angkasapuraretail.com/public_html/application/views/themes/2/ |
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<!--Header--> <div class="w-grid"> <!-- <div class="header-main"> <div class="container"> <div class="link-sec"> <a href="<?= base_url();?>">Home</a> <i class="fa fa-angle-right"></i> <a href="<?= base_url('rfq');?>">Request For Quotation</a> </div> </div> </div> --> <!--main--> <div class="container contact-main py-2" style="padding-top:60px;"> <div class="col-md-6 contact-left"> <?= $this->session->flashdata('success'); //to display success message ?> <div class="contact-info"> <h3>Request For Quotation</h3> <p>Silahkan mengisi formulir Request For Quotation dibawah ini. Team kami akan segera menghubungi Anda.</p> </div> <?= form_open('rfq/send_rfq');?> <div class="form-rfq"> <label>Nama *</label> <input type="text" name="name" required /> </div> <div id="rfqContact"> <div class="form-rfq"> <label>Email *</label> <input type="email" name="email" required /> </div> <div class="form-rfq"> <label>Handphone *</label> <input type="text" name="phone" required /> </div> </div> <div id="rfqContact"> <div class="form-rfq"> <label>Nama Perusahaan</label> <input type="text" name="company" /> </div> <div class="form-rfq"> <label>No Tel Perusahaan</label> <input type="text" name="company_phone" /> </div> </div> <div class="form-rfq"> <label>Produk yang diinginkan</label> <textarea name="product"></textarea> </div> <div class="form-rfq"> <label>Jumlah</label> <input type="number" min="0" name="quantity" /> </div> <div class="form-rfq"> <button type="submit" name="send_rfq" style="background: #FFA339; color:white; padding:10px; width: 50%; display: block; position: relative; top:15px;">Send RFQ<i class="flaticon-paper-plane submit-icon"></i></button> </div> <?= form_close();?> </div> <div class="col-md-6 contact-right"> <div class="contact-info"> <h3>Showroom Kami</h3> <div class="contact" > <?= $company[0]->company_address;?> </div> <div class="contact"> <p class="phone-no"> <i class="fas fa-headset" style="color:black;"></i> <?= $company[0]->phone;?> <?= $company[0]->company_work_time;?> </p> </div> </div> </div> </div> </div>