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Direktori : /home/importfo/public_html/citysmiledentalstudio.com/ |
Current File : /home/importfo/public_html/citysmiledentalstudio.com/form.php |
<div class="quickLinks-wrap js-quickLinks-wrap-d d-none d-lg-flex"> <div class="quickLinks"> <div class="container"> <div class="row no-gutters"> <div class="col"> <a href="#" class="link"> <i class="icon-placeholder"></i><span>Location</span></a> <div class="link-drop p-0"> <div class="map-responsive"> <iframe src="https://www.google.com/maps/embed?pb=!1m14!1m8!1m3!1d14681.92239758255!2d72.5025281!3d23.0794963!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x395e9d70534ffdff%3A0x68e5986b9dda2a0e!2sCitySmile%20Dental%20Studio!5e0!3m2!1sen!2sin!4v1690960024355!5m2!1sen!2sin" width="100%" height="450" style="border:0;" allowfullscreen="" loading="lazy" referrerpolicy="no-referrer-when-downgrade"></iframe> </div> </div> </div> <div class="col"> <a href="#" class="link"> <i class="icon-clock"></i><span>Working Time</span> </a> <div class="link-drop"> <h5 class="link-drop-title"><i class="icon-clock"></i>Working Time</h5> <table class="row-table"> <tr> <td><i>Mon-Sat</i></td> <td>9:30 AM – 1:00 PM, <br/>4:00 PM – 8:00 PM</td> </tr> <tr> <td><i>Sunday</i></td> <td>As Per Appointment</td> </tr> </table> </div> </div> <div class="col"> <a href="#" class="link"> <i class="icon-pencil-writing"></i><span>Request Form</span> </a> <div class="link-drop"> <h5 class="link-drop-title"><i class="icon-pencil-writing"></i>Request Form</h5> <!--<form id="requestForm" method="post" novalidate>--> <form action="inquiry.php" method="post"> <div class="successform"> <p>Your Message Was Sent Successfully!</p> </div> <div class="errorform"> <p>Something went wrong, try refreshing and submitting the form again.</p> </div> <div class="input-group"> <span> <i class="icon-user"></i> </span> <input name="name" type="text" class="form-control" placeholder="Your Name" /> </div> <div class="row row-sm-space mt-1"> <div class="col"> <div class="input-group"> <span> <i class="icon-email2"></i> </span> <input name="email" type="text" class="form-control" placeholder="Your Email" /> </div> </div> <div class="col"> <div class="input-group"> <span> <i class="icon-smartphone"></i> </span> <input name="contact" type="text" class="form-control" placeholder="Your Phone" /> </div> </div> </div> <div class="selectWrapper input-group mt-1"> <span> <i class="icon-right-arrow"></i> </span> <select name="msg" class="form-control"> <option selected="selected" disabled="disabled">Select Service</option> <option value="Root Canal Treatment">Consultation</option> <option value="Root Canal Treatment">Cosmetic Dentistry</option> <option value="Dental Smile Design Treatment">Digital Smile Designing</option> <option value="Dental Crowns And Bridges Treatment">Full Mouth Rehabilitation</option> <option value="Dental Implant Center">Dental Implant </option> <option value="Teeth Whitening Treatment">Root Canal Treatment</option> <option value="Denture Treatment">Laser Gum Surgery </option> <option value="Dental Implant Center">Laser Whitening </option> <option value="Teeth Whitening Treatment">Orthodontic Treatment</option> <option value="Denture Treatment">Paediatric Dentistry </option> <option value="Denture Treatment">Wisdom Tooth Removal Surgery </option> <option value="Denture Treatment">Other</option> </select> </div> <div class="text-right mt-2"> <button type="submit" name="submit" class="btn btn-sm btn-hover-fill">Request</button> </div> </form> </div> </div> <div class="col"> <a href="#" class="link"> <i class="icon-emergency-call"></i><span>Contact</span></a> <div class="link-drop"> <h5 class="link-drop-title"><i class="icon-emergency-call"></i>Contact Us</h5> <!-- <p>Admission Mediclaim/ cashless facility also available</p> --> <ul class="icn-list"> <li><i class="icon-telephone"></i><span class="phone"> +91 99981 83009</span> </li> <li><i class="icon-black-envelope"></i><a href="mailto:citysmiledentalstudio@gmail.com">citysmiledentalstudio@gmail.com</a></li> </ul> <p class="text-right mt-2"><a href="tel:+919998183009" class="btn btn-sm btn-hover-fill">Call now</a></p> </div> </div> <div class="col col-close"><a href="#" class="js-quickLinks-close"><i class="icon-top" data-toggle="tooltip" data-placement="top" title="Close panel"></i></a></div> </div> </div> <div class="quickLinks-open js-quickLinks-open"><span data-toggle="tooltip" data-placement="left" title="Open panel">+</span></div> </div> </div>