OverLord Shell

Path : G:/PleskVhosts/jaincensus.com/macciaweb.ultraliant.com/
File Upload :
Current File : G:/PleskVhosts/jaincensus.com/macciaweb.ultraliant.com/sendenquiry.php

<?php include("header.php");?>
<link href="mm/css/style_cap.css" rel="stylesheet">
										<script type='text/javascript'>
                                        function refreshCaptcha(){
                                            var img = document.images['captchaimg'];
                                            img.src = img.src.substring(0,img.src.lastIndexOf("?"))+"?rand="+Math.random()*1000;
                                        }
                                        </script>
 <div class="breadcrumb-box">
                <div class="container"><br>
                          <ul class="breadcrumb"  style="float:left;">
                            <li><a href="index.php">Home</a></li>
                            <li class="active">Enquiry</li>
                        </ul>
                    </div>
                       <div class="section-title" data-animation="fadeInUp">
                    <!-- Heading -->
                    <h2 class="title" style="color:#A13739">Enquiry</h2>
                </div> <br><br>
                </div>

<?php
		if(isset($_GET['msg'])) 
		{
			
		?>
        
         <div class="modal fade" id="myModal" role="dialog" style="z-index:99999">
        <div class="modal-dialog" role="document" >
            <div class="modal-content">
                <div class="modal-header">
                    <button type="button" class="close" data-dismiss="modal">&times;</button>
                    <h4 class="modal-title"></h4>
                </div>
                <div class="modal-body">
                    <div class="fetched-data"><?php  echo $_GET['msg']; ?></div> 
                </div>
                <div class="modal-footer">
                    <button type="button" class="btn btn-default" data-dismiss="modal" onClick="window.location.href='sendenquiry.php';">Close</button>
                </div>
            </div>
        </div>
    </div><?php }?>
           <section id="contact-us" class="page-section">
                <div class="container">
					<div class="row">						

						<div class="col-md-9 col-sm-6">
                        <form enctype="multipart/form-data" role="form" name="contactform2"  id="contactform2"  method="POST" action="sendenquiry_function.php" >
                          <div class="row"><div class="col-sm-9"><b><textarea name="details" class="textarea-address hight-82 form-control" placeholder="Advertisement Details *" rows="3" required ></textarea></b></div></div>
                          
                              <div class="row"> <div class="col-sm-3"><b><label>Advertisement Position *</label></b>
                                         <select class="input-name form-control" name="position" required>
                                                  <option value="">Select</option>
                                                  <option value="Black & White / color">Black & White / color</option>
                                                  <option value="Full Page">Full Page</option>
                                                  <option value="Half Page">Half Page</option>
                                                  <option value="Quarter">Quarter</option>
                                                  <option value="Centre Spread">Centre Spread</option>
                                                  <option value="Inside Front Cover">Inside Front Cover</option>
                                                  <option value="Inside Back Cover">Inside Back Cover</option>
                                                  <option value="Back Cover">Back Cover</option>


                                            </select></div> 
                                         </div>
                                          
                                          
                          
                                   <b> <label>Contact Details:</label></b><br>
                                   <div class="row">  <div class="col-sm-6">  	<b><input type="text" name="cname" class="input-phone form-control" placeholder="Name of Assoc./Company /Institution *" />  </b></div>
                                           <div class="col-sm-3">  	<b><input type="text" name="contact_person" class="input-phone form-control" placeholder="Contact Person *" />  </b></div>
                                           </div>
                                              <div class="row"><div class="col-sm-9"><b><textarea name="address" class="textarea-address hight-82 form-control" placeholder="Address *" rows="2" ></textarea></b></div></div>
                                           <div class="row">
                                           <div class="col-sm-6">  	<b><input type="text" name="contact_fax" class="input-phone form-control" placeholder="Fax No." />  </b></div> <div class="col-sm-3"><b><input type="number" name="contact_mob" class="input-phone form-control" placeholder="Mobile No. *" maxlength="10"  required/></b></div>
                                           </div>
                                           <div class="row"><div class="col-sm-6"><input type="email" name="contact_email" class="input-email form-control" placeholder="Email" maxlength="50" data-validation-optional="true" data-validation="email" data-validation-error-msg="Invalid Email" /> </b></div></div>

                         <label>Enclosed Advertisement Material *<br>
									Payment Details
									</label>
                                              
								 <div class="row"><div class="col-sm-6"><br><b><input type="text" name="number" class="input-name form-control" placeholder="Check No. "   /></b></div></div>
                                  <div class="row"><div class="col-sm-6"><br><b><input type="text" name="chequedraw" class="input-name form-control" placeholder="Cheque drawn on "   /></b></div></div>
                                  <div class="row"><div class="col-sm-6">
                                  <input type="date" name="date" class="input-name form-control" placeholder="Cheque Dated  "   /></b></div></div>
                                 
                                               <div class="row"><div class="col-sm-3"><input type="file" id="inputImage" Name="photo"></div></div><br>
                                               <br><br>
                                             <div class="col-sm-9" style="margin-left: 130px;margin-top: -7%;">
                                            <img src="mm/captcha.php?rand=<?php echo rand();?>" id='captchaimg'><br>
                                            <label for='message'>Enter the code above here :</label>
                                            <br>
                                            <input type="text" id="captcha_code" name="captcha_code" >
                                            <br>
                                            Can't read the image? click <a href='javascript: refreshCaptcha();'>here</a> to refresh.
                                        
                                       </div></br> <br>

                         <button id="submita" type="submit" class="btn btn-primary" style="margin-left: -784px;">submit</button> </div>
                            </form> 
							<p class="form-message" style="display: none;"></p>
                   <div class="col-md-3 col-sm-6">
                    <br/><br/><br/>
                  
                    
                    <img src="upload/award/enquiry.png">

                    </div></div></div> 
            </section>
           
           
            <?php include("footer.php");?>
			 <script>
$(document).ready(function(){ 
 // $("#submita").click(function(){
	 $("#submita").submit(function(e) {
    $.ajax({
		url: "sendenquiry_function.php",
		type :"POST",
		  data:$('#contactform2').serialize(),
		success: function(result){//alert(result);
     // $("#div1").html(result);
	 alert(result);
	 location.reload();
    }
	});
  });
});
</script>
<script>
        $(function() {
         $('#myModal').modal('show');
        });
        </script>
             
   

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