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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/blue-sky.co.id/public_html/application/views/themes/1/ |
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<main id="mt-main">
<?php $banner = $this->db->select('*')->from('configuration')->where('id_configuration',1)->get()->row(); ?>
<section class="mt-contact-banner" style="background-image: url(<?= $this->uri->segment(2)=='produk_jadi' ? base_url('uploads/'.$banner->form2_banner) : base_url('uploads/'.$banner->form3_banner) ?>);">
<div class="container">
<div class="row">
<div class="col-xs-12 text-center">
<h1>FORMULIR PRINT KAIN</h1>
</div>
</div>
</div>
</section>
<div style="padding-top: 40px;" class="mt-blog-detail fullwidth wow fadeInUp" data-wow-delay="0.4s">
<div class="container">
<div style="" class="row">
<div class="col-xs-12">
<article class="blog-post style3">
<h2>
<p style="background: #02b0af;color: white;font-size: 15px;padding-left: 15px;padding-right: 15px;">
<?= $this->session->flashdata('msg_send_form'); ?>
</p>
<a href="#" id="sponshorship">Form Pemesanan Sample Kain</a>
</h2>
<div class="mt-comments-section fullwidth">
<!-- Mt Leave Comments of the Page -->
<div class="mt-leave-comment">
<h2 style="margin:0;">
Silahkan mengisi formulir dibawah ini
</h2>
<p style="margin-bottom:5px;color: #494949;">
Silakan mengisi form pemesanan berikut ini bila Anda ingin memesan:<br>
1. Katalog reguler: Rp 45,000 per pcs<br>
2. Katalog premium: Rp 35,000 per pcs<br>
3. Color guide CMYK (kecil): Rp 10,000 per pcs<br>
4. Color guide RGB (besar): Rp 90,000 per pcs<br>
</p>
<?php
$attributes = array(
'class' => 'comment-form',
'id' => 'frm_sample_kain'
);
?>
<?= form_open('',$attributes); ?>
<fieldset>
<div class="row">
<div class="form-group col-md-4">
<label for="inp_nama">Nama<span style="color:red;">*</span></label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="Nama" id="inp_nama">
</div>
<div class="form-group col-md-4">
<label for="inp_nohp">Nomor Handphone<span style="color:red;">*</span></label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="Nomor Handphone" id="inp_nohp">
</div>
<div class="form-group col-md-4">
<label for="inp_email">E-mail<span style="color:red;">*</span></label>
<input style="margin: 0; width: 100%;" type="email" class="form-control" placeholder="E-mail" id="inp_email">
</div>
</div>
<div class="form-group">
<label for="inp_address">
Alamat Pengiriman
<span style="color:red;">*</span>
</label>
<textarea id="inp_address" placeholder="Alamat Pengiriman"></textarea>
</div>
<div class="row">
<div class="form-group col-md-4">
<label for="inp_provinsi">Provinsi<span style="color:red;">*</span></label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_provinsi">
<option selected="" disabled="" value="">
-- Pilih --
</option>
<?php foreach($shipping_provinces as $shipping_province) : ?>
<option value="<?= $shipping_province->rajaongkir_province_id; ?>">
<?= ucwords($shipping_province->province); ?>
</option>
<?php endforeach; ?>
</select>
</div>
<div class="form-group col-md-4">
<label for="inp_kabupaten">Kota/Kabupaten<span style="color:red;">*</span></label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_kabupaten">
<option selected="" disabled="" value="">-- Pilih --</option>
</select>
</div>
<div class="form-group col-md-4">
<label for="inp_kecamatan">Kecamatan<span style="color:red;">*</span></label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_kecamatan">
<option selected="" disabled="" value="">-- Pilih --</option>
</select>
</div>
</div>
<div class="form-group">
<label for="inp_kodepos">
Kode POS
</label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="Kode POS" id="inp_kodepos">
</div>
<div class="form-group">
<label for="inp_metodepengiriman">
Pilihan metode pengiriman<span style="color:red;">*</span>
</label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_metodepengiriman">
<option selected="" disabled="" value="">-- Pilih --</option>
<option value="JNE YES (1-2 hari)">JNE YES (1-2 hari)</option>
<option value="JNE REG (2-4 hari)">JNE REG (2-4 hari)</option>
<option value="Diambil kurir">Diambil kurir</option>
</select>
</div>
<div class="form-group">
<label for="inp_description1">
Keterangan tambahan (request packing, catatan khusus, dan lain-lain)
</label>
<textarea id="inp_description1" placeholder="..."></textarea>
</div>
<div class="form-group">
<label for="inp_ukuran_img">
KATALOG REGULER, berisi 21 jenis kain yg sudah di-cetak dengan contoh aplikasi gambar: BSY, Baby Canvas, Balotelli, Bubble Crepe, Camisa, Canvas, Canvas Crafting, Canvas Jepang, Canvas Linen, Chiffon, Chiffon Silk Doff, Corn Skin, Drill, Dryfit, Hyget Korea, Satin, Satin Bridal, Satin Cavalli, Satin Velvet, Silk Satin, Voal Turki
</label>
<img src="https://www.canvaswebdesign.com/shrelo_cms/uploads/katalog_shrelo1.jpg" alt="">
</div>
<div class="form-group">
<label for="inp_jml_katalog_reguler">
Jumlah KATALOG REGULER <br>yang dipesan
</label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="0" id="inp_jml_katalog_reguler">
</div>
<div class="form-group">
<label for="inp_ukuran_img">
KATALOG PREMIUM, berisi 15 jenis kain yg sudah di-cetak dengan contoh aplikasi gambar: Blackout, Chiffon Diamond, Chiffon Pleats, Drill Premium, Elena, Katun Sakura, Organdi, Satin Duchess, Satin Hermes, Scuba, Shantung, Spandek Glossy, Spandek Italy, Voal Paris, Yelvo Downy
</label>
<img src="https://www.canvaswebdesign.com/shrelo_cms/uploads/katalog_shrelo2.jpg" alt="">
</div>
<div class="form-group">
<label for="inp_jml_katalog_premium">
Jumlah KATALOG PREMIUM <br>yang dipesan
</label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="0" id="inp_jml_katalog_premium">
</div>
<div class="form-group">
<label for="inp_ukuran_img">
Color guide CMYK (kecil)
</label>
<img src="https://www.canvaswebdesign.com/shrelo_cms/uploads/color_guide_shrelo1.jpg" alt="">
</div>
<div class="form-group">
<label for="inp_ukuran_img">
Color guide RGB (besar)
</label>
<img src="https://www.canvaswebdesign.com/shrelo_cms/uploads/color_guide_shrelo2.jpg" alt="">
</div>
<div class="form-group">
<label for="inp_jenis_kain_color1">Jenis kain color guide</label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_jenis_kain_color1">
<option selected="" disabled="" value="">-- Pilih --</option>
<option value="TES KAIN">TES KAIN</option>
</select>
</div>
<div class="form-group">
<label for="inp_jml_color_guide_jenis1">
Jumlah Color Guide jenis di atas yang dipesan
</label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="0" id="inp_jml_color_guide_jenis1">
</div>
<div class="form-group">
<label for="inp_jenis_kain_color2">
Jenis kain color guide
</label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_jenis_kain_color2">
<option selected="" disabled="" value="">-- Pilih --</option>
<option value="TES KAIN">TES KAIN</option>
</select>
</div>
<div class="form-group">
<label for="inp_jml_color_guide_jenis2">
Jumlah Color Guide jenis di atas yang dipesan
</label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="0" id="inp_jml_color_guide_jenis2">
</div>
<div class="form-group">
<label for="inp_jenis_kain_color3">
Jenis kain color guide
</label>
<select style="margin: 0; width: 100%;" name="" class="form-control" id="inp_jenis_kain_color3">
<option selected="" disabled="" value="">-- Pilih --</option>
<option value="TES KAIN">TES KAIN</option>
</select>
</div>
<div class="form-group">
<label for="inp_jml_color_guide_jenis3">
Jumlah Color Guide jenis di atas yang dipesan
</label>
<input style="margin: 0; width: 100%;" type="text" class="form-control" placeholder="0" id="inp_jml_color_guide_jenis3">
</div>
<div class="form-group">
<input checked="" name="checkbox_save_this_info" id="checkbox_save_this_info" type="checkbox" value="1">
<label style="color:#02b0af;" for="checkbox_save_this_info">
Save this information for next time
</label>
<button type="submit" class="btn_invite_visitor" style="margin-top: 0;">Kirim</button>
</div>
</fieldset>
</form>
</div>
<!-- Mt Leave Comments of the Page end -->
</div>
</article>
<!-- Mt Comments Section of the Page end -->
</div>
</div>
</div>
</div>
</main>