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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/wirani.co.id/public_html/ |
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<?php include('header.php'); ?>
<section id="content">
<div class="content-wrap pb-0">
<div class="container">
<div class="row justify-content-center">
<div class="col-md-7">
<h2 class="display-4 text-dark fw-semibold ls--2 mb-3">
Email Kami
</h2>
<p class="text-dark">
marketing-sales@wirani.co.id
</p>
<div class="form-widget topmargin">
<div class="form-result"></div>
<form
class="mb-0"
id="template-contactform"
name="template-contactform"
action="include/form.php.html"
method="post"
>
<div class="form-process">
<div class="css3-spinner">
<div class="css3-spinner-scaler"></div>
</div>
</div>
<div class="row">
<div class="col-md-4 form-group">
<label for="template-contactform-name"
>Nama<small class="text-danger">*</small></label
>
<input
type="text"
id="template-contactform-name"
name="template-contactform-name"
value=""
class="form-control required"
/>
</div>
<div class="col-md-4 form-group">
<label for="template-contactform-email"
>Email<small class="text-danger">*</small></label
>
<input
type="email"
id="template-contactform-email"
name="template-contactform-email"
value=""
class="required email form-control"
/>
</div>
<div class="col-md-4 form-group">
<label for="template-contactform-phone"
>Telepon/Hp<small class="text-danger">*</small></label
>
<input
type="text"
id="template-contactform-phone"
name="template-contactform-phone"
value=""
class="required form-control"
/>
</div>
<div class="w-100"></div>
<div class="col-md-12 form-group">
<label for="template-contactform-company"
>Perusahaan</label
>
<input
type="text"
id="template-contactform-company"
name="company"
value=""
class="form-control"
/>
</div>
<div class="w-100"></div>
<div class="col-12 form-group">
<label for="template-contactform-message"
>Pesan Anda<small class="text-danger">*</small></label
>
<textarea
class="required form-control"
id="template-contactform-message"
name="template-contactform-message"
rows="6"
cols="30"
></textarea>
</div>
<div class="col-12 form-group d-none">
<input
type="text"
id="template-contactform-botcheck"
name="template-contactform-botcheck"
value=""
class="form-control"
/>
</div>
<div class="col-12 form-group">
<button
class="button button-rounded button-xlarge m-0 center fw-medium nott ls0 fw-normal"
type="submit"
id="template-contactform-submit"
name="template-contactform-submit"
value="submit"
>
Kirim Pesan
</button>
</div>
</div>
<input
type="hidden"
name="prefix"
value="template-contactform-"
/>
</form>
</div>
</div>
</div>
</div>
</div>
</section>
<?php include('footer.php'); ?>