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<!DOCTYPE html>
<html lang="en">
   <?php include'include/head.php'?>
   <body>
      
      <div id="preloader"></div>
      
      <div class="main-wrapper">
         
         <?php include'include/header.php'?>
         
         
         <section class="page-title-section2 top-position1 bg-img cover-background text-start" data-overlay-dark="7" data-background="img/bg/bg-page-title-02.jpg">
            <div class="container">
               <div class="row align-items-center justify-content-between">
                  <div class="col-lg-7 col-xxl-5">
                     <div class="title-style3">
                        <span>Book Appointment</span>
                     </div>
                     <h1 class="text-white mb-0 text-shadow-large">Make an Appoiment</h1>
                     <p>
                     </p>
                  </div>
               </div>
            </div>
         </section>
         
         
         <section class="overflow-visible">
            <div class="container">
               <div class="title-style3 text-center mb-2-9 mb-lg-6 wow fadeIn" data-wow-delay="100ms">
                  <span> Appoiment</span>
                  <h2 class="mb-0 h1">Make an Appoiment</h2>
                  <p class="mt-2">In case you have a legal query, you can fill the following form. We shall revert you by an E-mail in brief within 24 hours. <br>
                     You can also provide your phone number along with your E-mail address, as we follow strict confidentiality norms.
                  </p>
               </div>
               <div class="row justify-content-center">
                  <div class="col-lg-10 wow fadeIn" data-wow-delay="400ms">
                     <div class="primary-shadow bg-white p-1-6 p-sm-2-9 rounded z-index-9 position-relative">
                        <h2 class="mb-1-9">Drop Us a Line</h2>
                        <form class="quform" action="" method="post" enctype="multipart/form-data">
                           <div class="quform-elements">
                              <div class="row">
                                 
                                 <div class="col-md-6">
                                    <div class="quform-element form-group">
                                       <label for="name">Your Name <span class="quform-required">*</span></label>
                                       <div class="quform-input">
                                          <input class="form-control" id="name" type="text" name="name" placeholder="Your name here">
                                       </div>
                                    </div>
                                 </div>
                                 
                                 
                                 <div class="col-md-6">
                                    <div class="quform-element form-group">
                                       <label for="email">Your Email <span class="quform-required">*</span></label>
                                       <div class="quform-input">
                                          <input class="form-control" id="email" type="text" name="email" placeholder="Your email here">
                                       </div>
                                    </div>
                                 </div>
                                 
                                 
                                 <div class="col-md-6">
                                    <div class="quform-element form-group">
                                       <label for="subject">Your Subject <span class="quform-required">*</span></label>
                                       <div class="quform-input">
                                          <input class="form-control" id="subject" type="text" name="subject" placeholder="Your subject here">
                                       </div>
                                    </div>
                                 </div>
                                 
                                 
                                 <div class="col-md-6">
                                    <div class="quform-element form-group">
                                       <label for="phone">Contact Number</label>
                                       <div class="quform-input">
                                          <input class="form-control" id="phone" type="text" name="number" placeholder="Your phone here">
                                       </div>
                                    </div>
                                 </div>
                                 
                                 
                                 <div class="col-md-12">
                                    <div class="quform-element form-group">
                                       <label for="message">Message <span class="quform-required">*</span></label>
                                       <div class="quform-input">
                                          <textarea class="form-control h-100" id="message" name="message" rows="3" placeholder="Tell us a few words"></textarea>
                                       </div>
                                    </div>
                                 </div>
                                 
                                
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 
                                 <div class="col-md-12">
                                    <div class="quform-submit-inner">
                                       <button class="butn-style1" type="submit" name="bookform"><span>Send Message</span></button>
                                    </div>
                                    <div class="quform-loading-wrap text-start"><span class="quform-loading"></span></div>
                                 </div>
                                 
                              </div>
                           </div>
                        </form>
                     </div>
                  </div>
               </div>
            </div>
         </section>
         
         
         <style>
            .footer-style1>.container {
            padding-top: 90px;
            padding-bottom: 42px;
            }
         </style>
         <?php include'include/footer.php'?>
      </div>
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
      
         
          <?php

$to = "info@prashantmittaladvocate.in";
	    $from = $_REQUEST['email'];
	    $name = $_REQUEST['name'];
	    $subject = $_REQUEST['subject'];
	    $number = $_REQUEST['number'];
	    $message = $_REQUEST['message'];

$headers = "From: $from";
	  $headers = "From: " . $from . "\r\n";
	  $headers .= "Reply-To: ". $from . "\r\n";
	  $headers .= "MIME-Version: 1.0\r\n";
	  $headers .= "Content-Type: text/html; charset=ISO-8859-1\r\n";

$body = "<!DOCTYPE html><html lang='en'><head><meta charset='UTF-8'><title>Express Mail</title></head><body>";
	  $body .= "<table style='width: 100%;'>";
	  $body .= "<thead style='text-align: center;'><tr><td style='border:none;' colspan='2'>";
	  $body .= "<a href='{$link}'><img src='{$logo}' alt=''></a><br><br>";
	  $body .= "</td></tr></thead><tbody><tr>";
	  $body .= "<td style='border:none;'><strong>Name:</strong> {$name}</td></tr>";
	  $body .= "<tr><td style='border:none;'><strong>Email:</strong> {$from}</td></tr>";
	  $body .= "<tr><td style='border:none;'><strong>Phone No:</strong> {$number}</td></tr>";
	  $body .= "<tr><td style='border:none;'><strong>Subject:</strong> {$subject}</td></tr>";
	  $body .= "<tr><td style='border:none;'><strong>Message:</strong> {$message}</td></tr>";
	  $body .= "</tbody></table>";
	  $body .= "</body></html>";

$send = mail($to, $subject, $body, $headers);

?>
      <a href="#!" class="scroll-to-top"><i class="fas fa-angle-up" aria-hidden="true"></i></a>
      
      
      <script data-cfasync="false" src="cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script><script src="js/jquery.min.js"></script>
      
      <script src="js/popper.min.js"></script>
      
      <script src="js/bootstrap.min.js"></script>
      
      <script src="js/core.min.js"></script>
      
      <script src="search/search.js"></script>
      
      <script src="js/main.js"></script>
      
      <script src="quform/js/plugins.js"></script>
      
      <script src="quform/js/scripts.js"></script>
      <script src="ajax/libs/toastr.js/latest/toastr.min.js"></script>
      <script>
         // Set the options that I want
         toastr.options = {
         "closeButton": true,
         "newestOnTop": false,
         "progressBar": true,
         "positionClass": "toast-bottom-center",
         "preventDuplicates": false,
         "onclick": null,
         "showDuration": "300",
         "hideDuration": "1000",
         "timeOut": "5000",
         "extendedTimeOut": "1000",
         "showEasing": "swing",
         "hideEasing": "linear",
         "showMethod": "fadeIn",
         "hideMethod": "fadeOut"
         }
      </script>
      
   </body>
</html>