Waterloo/contact.php at master · algobasket/Waterloo · GitHub

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<?php include 'header.php';?>
<!-- banner -->
	<div class="banner1">
		<h3>Contact</h3>
	</div>
<!-- //banner -->
<!-- contact -->
	<div class="contact">
		<div class="agileits_mail_grids">
			<div class="col-md-8 agileits_mail_grid_left">
				<form action="#" method="post">
					<h4>Your Name*</h4>
					<input type="text" name="Name" placeholder="Name" required="">
					<h4>Your Email*</h4>
					<input type="text" name="Email" placeholder="Email" required="">
					<h4>Your Phone Number*</h4>
					<input type="text" name="Phone" placeholder="Phone" required="">
					<h4>Your Message*</h4>
					<textarea name="Message" placeholder="Message" required=""></textarea>
					<input type="submit" value="Submit">
				</form>
			</div>

			<div class="clearfix"> </div>
		</div>
	</div>
	<div class="map">
		<iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d20455.942550483935!2d30.71285397040586!3d50.142566187516515!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x40d49150d1afe7a5%3A0xe004a240a57880b2!2sUkrainka%2C+Kyivs'ka+oblast%2C+Ukraine!5e0!3m2!1sen!2sin!4v1465217020522" style="border:0"></iframe>
	</div>
<!-- contact -->
<!-- footer -->
	<?php include 'footer.php';?>