<div class="center">
<div class="row">
<h3 class="blue-text">
Contact Us
</h3>
<form method="post" action="<?= site_url('/contact') ?>" class="col s12">
<div class="input-field col s4">
<i class="material-icons prefix">account_circle</i>
<label for="name">Full Name</label>
<input type="text" name="name" id="name" placeholder="Peter King" required="required">
</div>
<div class="input-field col s4">
<i class="material-icons prefix">email</i>
<label for="email">Email</label>
<input type="email" name="email" id="email" placeholder="valid-email@mail.com" required="required">
</div>
<div class="input-field col s4">
<i class="material-icons prefix">phone</i>
<label for="phone_number">Phone Number</label>
<input type="tel" name="phone_number" id="phone_number" placeholder="043949393">
</div>
<div class="input-field col s12">
<label for="message">Message</label>
<textarea name="message" id="message" class="materialize-textarea" placeholder="Hi there.... I contact your for ..." required="required"></textarea>
</div>
<div class="col s12">
<button type="submit" name="contact_submit" value="1" class="bold btn-large waves-effect">
?? Send Message
</button>
</div>
</form>
</div>
</div>
|