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- <div class="formArea row m0">
- <form action="contact_process.php" class="row m0 contact_form" id="contactForm">
- <div class="col-sm-6">
- <div class="row m0">
- <label for="contact_name">Name <span>*</span></label>
- <input type="text" class="form-control" name="contact_name" id="contact_name" required>
- </div>
- <div class="row m0">
- <label for="contact_phone">Phone</label>
- <input type="tel" class="form-control" name="contact_phone" id="contact_phone">
- </div>
- <div class="row m0">
- <label for="monthly_badget">Monthly Budget</label>
- <select name="monthly_badget" id="monthly_badget" class="selectpicker form-control">
- <option value="0" disabled selected>-(Monthly Budget)-</option>
- <option value="200">200 USD</option>
- <option value="300">300 USD</option>
- <option value="400">400 USD</option>
- <option value="500">500 USD</option>
- </select>
- </div>
- </div>
- <div class="col-sm-6">
- <div class="row m0">
- <label for="contact_email">Email <span>*</span></label>
- <input type="email" class="form-control" name="contact_email" id="contact_email" required>
- </div>
- <div class="row m0">
- <label for="contact_url">Website <span>*</span></label>
- <input type="url" class="form-control" name="contact_url" id="contact_url" required>
- </div>
- <div class="row m0">
- <label for="learn_seowave">How did you learn about SEOWAVE</label>
- <select name="learn_seowave" id="learn_seowave" class="selectpicker form-control">
- <option value="0" disabled selected>-(Select)-</option>
- <option value="google">Google Search</option>
- <option value="yahoo">Yahoo Search</option>
- <option value="blog">Blog</option>
- <option value="forum">Forum</option>
- </select>
- </div>
- </div>
- <div class="col-sm-12">
- <div class="row m0">
- <label for="interested_in">Which services are you interested in?</label>
- <select name="interested_in" id="interested_in" class="selectpicker form-control">
- <option value="off_page">Off Page Optimization</option>
- <option value="on_page">On Page Optimization</option>
- </select>
- </div>
- </div>
- <div class="col-sm-12">
- <div class="row m0">
- <label for="addInfos">Additional Information</label>
- <textarea name="addInfos" id="addInfos" class="form-control"></textarea>
- </div>
- </div>
- <div class="col-sm-12 text-center">
- <button class="borderred_link" type="submit"><span>submit details!</span></button>
- </div>
- </form>
- <?php
- $to = " contato@agenciahabitat.com.br ";
- $from = $_REQUEST['contact_email'];
- $name = $_REQUEST['contact_name'];
- $headers = "From: $from";
- $subject = "Você tem mensagem do seu formulário";
- $fields = array();
- $fields{"name"} = 'contact_name';
- $fields{"email"} = 'contact_email';
- $fields{"url"} = 'contact_url';
- $fields{"phone"} = 'contact_phone';
- $fields{"Monthly Budget"} = "monthly_badget";
- $fields{"How know about SEOWAVE"} = "learn_seowave";
- $fields{"Interested In"} = "interested_in";
- $fields{"Additional Information"} = "addInfos";
- $body = " Aqui está o que foi enviado:nn "; foreach($fields as $a => $b){ $body .= sprintf("%20s: %sn",$b,$_REQUEST[$a]); }
- $send = mail($to, $subject, $body, $headers);
- ?>
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