"Contact Us "
Bootstrap 3.3.0 Snippet by faisalkhan123

<div class="contact-us"> <div class="container"> <div class="contact-form"> <div class="row"> <div class="col-sm-7"> <form id="ajax-contact" method="post" action="contact-form-mail.php" role="form"> <div class="messages" id="form-messages"></div> <div class="controls"> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="form_name">Firstname *</label> <input id="form_name" type="text" name="name" class="form-control" placeholder="Please enter your firstname *" required="required" data-error="Firstname is required."> <div class="help-block with-errors"></div> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="form_lastname">Lastname *</label> <input id="form_lastname" type="text" name="surname" class="form-control" placeholder="Please enter your lastname *" required="required" data-error="Lastname is required."> <div class="help-block with-errors"></div> </div> </div> </div> <div class="row"> <div class="col-md-6"> <div class="form-group"> <label for="form_email">Email *</label> <input id="form_email" type="email" name="email" class="form-control" placeholder="Please enter your email *" required="required" data-error="Valid email is required."> <div class="help-block with-errors"></div> </div> </div> <div class="col-md-6"> <div class="form-group"> <label for="form_phone">Phone*</label> <input id="form_phone" type="tel" name="phone" class="form-control" placeholder="Please enter your phone*" required oninvalid="setCustomValidity('Plz enter your correct phone number ')" onchange="try{setCustomValidity('')}catch(e){}"> </div> </div> </div> <div class="row"> <div class="col-md-12"> <div class="form-group"> <label for="form_message">Message *</label> <textarea id="form_message" name="message" class="form-control" placeholder="Message for me *" rows="4" required="required" data-error="Please,leave us a message."></textarea> <div class="help-block with-errors"></div> </div> </div> <div class="col-md-12"> <input type="submit" class="btn btn-black" value="Send message"> </div> </div> <div class="row"> <div class="col-md-12"> <br> <small class="text-muted"><strong>*</strong> These fields are required.</small> </div> </div> </div> </form> </div> <div class="col-sm-5"> <div class="row col1"> <div class="col-xs-3"> <i class="fa fa-map-marker" style="font-size:16px;"></i>   Address </div> <div class="col-xs-9"> One Gateway Center, Suite 25500+,<br> Newark 23, NJ 10235 </div> </div> <div class="row col1"> <div class="col-sm-3"> <i class="fa fa-phone"></i>   Phone </div> <div class="col-sm-9"> +(91) 123 277 4239 </div> </div> <div class="row col1"> <div class="col-sm-3"> <i class="fa fa-fax"></i>   Fax </div> <div class="col-sm-9"> 123 123 4567 </div> </div> <div class="row col1"> <div class="col-sm-3"> <i class="fa fa-envelope"></i>   Email </div> <div class="col-sm-9"> <a href="mailto:info@yourdomain.com">info@yourdomain.com</a> <br> <a href="mailto:support@yourdomain.com">support@yourdomain.com</a> </div> </div><br> <iframe width="100%" height="230" frameborder="0" style="border-radius:0px;" scrolling="no" marginheight="0" marginwidth="0" src="https://maps.google.co.in/maps?client=firefox-a&ie=UTF8&q=ethane+web+technologies&fb=1&gl=in&hq=ethane+web+technologies&cid=8183905562449910042&t=m&ll=28.639225,77.390442&spn=0.052731,0.154495&z=13&iwloc=A&output=embed" style="border-radius:20px;"></iframe> </div> </div> </div> </div> </div>

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