ok
Mini Shell
<!DOCTYPE html>
<html dir="ltr" lang="en">
<head>
<!-- Meta Tags -->
<meta name="viewport" content="width=device-width,initial-scale=1.0"/>
<meta http-equiv="content-type" content="text/html; charset=UTF-8"/>
<meta name="description" content="DentalPlus - Dental Care HTML5 Template" />
<meta name="keywords" content="building,business,construction,cleaning,transport,workshop" />
<meta name="author" content="ThemeMascot" />
<!-- Page Title -->
<title>Tooth Studio</title>
<!-- Favicon and Touch Icons -->
<link href="images/favicon.png" rel="shortcut icon" type="image/png">
<link href="images/apple-touch-icon.png" rel="apple-touch-icon">
<link href="images/apple-touch-icon-72x72.png" rel="apple-touch-icon" sizes="72x72">
<link href="images/apple-touch-icon-114x114.png" rel="apple-touch-icon" sizes="114x114">
<link href="images/apple-touch-icon-144x144.png" rel="apple-touch-icon" sizes="144x144">
<!-- Stylesheet -->
<link href="css/bootstrap.min.css" rel="stylesheet" type="text/css">
<link href="css/jquery-ui.min.css" rel="stylesheet" type="text/css">
<link href="css/animate.css" rel="stylesheet" type="text/css">
<link href="css/css-plugin-collections.css" rel="stylesheet"/>
<!-- CSS | menuzord megamenu skins -->
<link id="menuzord-menu-skins" href="css/menuzord-skins/menuzord-boxed.css" rel="stylesheet"/>
<!-- CSS | Main style file -->
<link href="css/style-main.css" rel="stylesheet" type="text/css">
<!-- CSS | Preloader Styles -->
<link href="css/preloader.css" rel="stylesheet" type="text/css">
<!-- CSS | Custom Margin Padding Collection -->
<link href="css/custom-bootstrap-margin-padding.css" rel="stylesheet" type="text/css">
<!-- CSS | Responsive media queries -->
<link href="css/responsive.css" rel="stylesheet" type="text/css">
<!-- CSS | Style css. This is the file where you can place your own custom css code. Just uncomment it and use it. -->
<!-- <link href="css/style.css" rel="stylesheet" type="text/css"> -->
<!-- CSS | Theme Color -->
<link href="css/colors/theme-skin-blue4.css" rel="stylesheet" type="text/css">
<!-- external javascripts -->
<script src="js/jquery-2.2.4.min.js"></script>
<script src="js/jquery-ui.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<!-- JS | jquery plugin collection for this theme -->
<script src="js/jquery-plugin-collection.js"></script>
</head>
<body class="">
<div id="wrapper" class="clearfix">
<!-- preloader -->
<!-- Start main-content -->
<div class="main-content">
<!-- Section: home -->
<section id="home" class="divider parallax layer-overlay overlay-dark-9" data-bg-img="images/bg/bg4.jpg">
<div class="display-table">
<div class="display-table-cell">
<div class="container pb-100">
<div class="row">
<div class="col-md-6 col-md-push-3">
<!-- <div class="text-center mb-60"><a href="#" class=""><img alt="" src="images/logo.jpg"></a></div> -->
<div class="bg-lightest border-1px p-25">
<h4 class="text-theme-colored text-uppercase m-0">Make an Appointment</h4>
<div class="line-bottom mb-30"></div>
<!-- <p>Lorem ipsum dolor sit amet, consectetur elit.</p> -->
<form id="appointment_form" name="appointment_form" class="mt-30" method="post" action="https://kodesolution.com/html/2016/dentalplus-html/demo/includes/appointment.php">
<div class="row">
<div class="col-sm-12">
<div class="form-group mb-10">
<input name="form_name" class="form-control" type="text" required="" placeholder="Enter Name" aria-required="true">
</div>
</div>
<div class="col-sm-12">
<div class="form-group mb-10">
<input name="form_email" class="form-control required email" type="email" placeholder="Enter Email" aria-required="true">
</div>
</div>
<div class="col-sm-12">
<div class="form-group mb-10">
<input name="form_phone" class="form-control required" type="text" placeholder="Enter Phone" aria-required="true">
</div>
</div>
<div class="col-sm-12">
<div class="form-group mb-10">
<input name="form_appontment_date" class="form-control required date-picker" type="text" placeholder="Appoinment Date" aria-required="true">
</div>
</div>
<div class="col-sm-12">
<div class="form-group mb-10">
<input name="form_appontment_time" class="form-control required time-picker" type="text" placeholder="Appoinment Time" aria-required="true">
</div>
</div>
</div>
<div class="form-group mb-10">
<textarea name="form_message" class="form-control required" placeholder="Enter Message" rows="5" aria-required="true"></textarea>
</div>
<div class="form-group mb-0 mt-20">
<input name="form_botcheck" class="form-control" type="hidden" value="">
<button type="submit" class="btn btn-dark btn-theme-colored" data-loading-text="Please wait...">Submit</button>
</div>
</form>
<!-- Appointment Form Validation-->
<script type="text/javascript">
$("#appointment_form").validate({
submitHandler: function(form) {
var form_btn = $(form).find('button[type="submit"]');
var form_result_div = '#form-result';
$(form_result_div).remove();
form_btn.before('<div id="form-result" class="alert alert-success" role="alert" style="display: none;"></div>');
var form_btn_old_msg = form_btn.html();
form_btn.html(form_btn.prop('disabled', true).data("loading-text"));
$(form).ajaxSubmit({
dataType: 'json',
success: function(data) {
if( data.status == 'true' ) {
$(form).find('.form-control').val('');
}
form_btn.prop('disabled', false).html(form_btn_old_msg);
$(form_result_div).html(data.message).fadeIn('slow');
setTimeout(function(){ $(form_result_div).fadeOut('slow') }, 6000);
}
});
}
});
</script>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
</div>
<!-- end main-content -->
<!-- Footer -->
<a class="scrollToTop" href="#"><i class="fa fa-angle-up"></i></a>
</div>
<!-- end wrapper -->
<script src="js/custom.js"></script>
</body>
</html>
Zerion Mini Shell 1.0