Erkan IŞIK
47 lines
1.5 KiB
PHP
47 lines
1.5 KiB
PHP
<div class="container mt-3 " >
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<h3>{{lang('menu','contact')}}</h3>
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<form>
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<fieldset class="form-fieldset" style="background:#fff;">
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<div class="form-group">
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<label class="form-label"><span class="form-required">*</span> {{lang('contact','namesurname')}}</label>
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<div class="input-icon mb-3"><span class="input-icon-addon"><i class="fe fe-user"></i>
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</span>
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<input type="text" name="name" class="form-control" id="name" />
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</div>
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</div>
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<div class="form-group">
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<label class="form-label"><span class="form-required">*</span> {{lang('contact','mailadress')}}</label>
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<div class="input-icon mb-3">
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<span class="input-icon-addon">
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<i class="fe fe-mail"></i>
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</span>
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<input type="text" name="email" id="email" class="form-control" placeholder="{{lang('contact','mailplaceholder')}}" />
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</div>
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</div>
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<div class="form-group ">
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<label class="form-label"><span class="form-required">*</span> {{lang('contact','messages')}}</label>
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<textarea name="message" class="form-control" id="meesage" cols="30" rows="10"></textarea>
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</div>
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<div class="form-group mt-1">
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<label class="form-label">
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{{Captcha::create(true);}}
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</label>
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<input type="text" name="token" id="token" class="form-control" placeholder="{{lang('contact','placeholder')}}">
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</div>
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<div class="form-group mb mt-3 d-flex justify-content-end">
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<button class="btn btn-primary btn-block" id="contactSubmit" type="button"> {{lang('contact','send')}}</button>
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</div>
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</fieldset>
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</form>
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</div>
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