📄 File: footer_form.php

Path: /home2/outerorb/zapnixinc.com/footer_form.php

Size: 6.3 KB

Permissions: 0644

<div class="abt-sec" style="background-image: url('images/contact_section.svg');">
  <div class="container">
    <div class="main-tt fs-2 text-white fw-bold text-center">Chat with an expert for 30 min. <br> Strategy session at no Cost.</div>
    <div class="row justify-content-center">
      <div class="col-md-8 col-12">
        <div class="custom-from-row">
          <div class="custom-frm">

            <div id="responseMessageContact"></div>
            <form id="career_form" method="POST">

              <div class="row g-3">
                <div class="col-md-6 col-12">
                  <input class="form-control" type="text" name="fname" placeholder="First Name*" required>
                </div>
                <div class="col-md-6 col-12">
                  <input class="form-control" type="text" name="lname" placeholder="Last Name*" required>
                </div>
                <div class="col-md-6 col-12">
                  <input class="form-control" type="email" name="email" placeholder="Email*" required>
                </div>
                <div class="col-md-6 col-12">
                  <input type="hidden" name="countryName" class="countryName" value="">
                  <input type="hidden" name="code" class="code" onkeyup="this.value=this.value.replace(/[^0-9]/g,'')" value="1" required>
                  <input class="form-control telePhone" type="tel" name="mobile" value="" maxlength="13" minlength="9" onkeyup="this.value=this.value.replace(/[^0-9]/g,'')" placeholder="Mobile Number*" required>
                </div>
                <div class="col-md-6 col-12">
                  <input class="form-control" type="text" name="company" placeholder="Company name*" required>
                </div>
                <div class="col-md-6 col-12">
                  <input class="form-control" type="text" name="Country" placeholder="Country*" required>
                </div>
                <div class="col-12">
                  <textarea name="message" id="" class="form-control" required placeholder="Tell us how we can help you*" required></textarea>
                </div>
                <div class="col-12 mt-3">
                  <fieldset class="form-columns-1 m-0">
                    <div class="hs_by_checking_this_box__you_agree_to_receive_an_sms_from_aci_infotech hs-by_checking_this_box__you_agree_to_receive_an_sms_from_aci_infotech hs-fieldtype-booleancheckbox field hs-form-field mb-0">
                      <legend class="hs-field-desc" style="display: none;"></legend>
                      <div class="input">
                        <ul class="inputs-list">
                          <li class="hs-form-booleancheckbox"><label for="by_checking_this_box__you_agree_to_receive_an_sms_from_aci_infotech-0ca3a913-67ee-4456-8dab-a4b485e5abfe_8634" class="hs-form-booleancheckbox-display"><input id="by_checking_this_box__you_agree_to_receive_an_sms_from_aci_infotech-0ca3a913-67ee-4456-8dab-a4b485e5abfe_8634" class="hs-input" type="checkbox" name="checkbox" value="true"><span>By checking this box, you agree to receive an SMS from Zapnix</span></label></li>
                        </ul>
                      </div>
                    </div>
                  </fieldset>
                </div>
                <div class="col-12 mt-0">
                  <fieldset class="form-columns-1 m-0">
                    <div class="legal-consent-container">
                      <div>
                        <div class="hs-dependent-field">
                          <div class="hs_LEGAL_CONSENT.subscription_type_11008319 hs-LEGAL_CONSENT.subscription_type_11008319 hs-fieldtype-booleancheckbox field hs-form-field">
                            <legend class="hs-field-desc" style="display: none;"></legend>
                            <div class="input">
                              <ul class="inputs-list">
                                <li class="hs-form-booleancheckbox"><label for="LEGAL_CONSENT.subscription_type_11008319-0ca3a913-67ee-4456-8dab-a4b485e5abfe_8634" class="hs-form-booleancheckbox-display"><input id="LEGAL_CONSENT.subscription_type_11008319-0ca3a913-67ee-4456-8dab-a4b485e5abfe_8634" class="hs-input" type="checkbox" name="checkbox1" value="true"><span>
                                      I agree to receive other communications from Zapnix.&nbsp;
                                    </span></label></li>
                              </ul>
                            </div>
                          </div>
                        </div>
                        <legend class="hs-field-desc checkbox-desc" style="display: none;"></legend>
                      </div>
                      <div>
                        <div class="hs-dependent-field">
                          <div class="hs_LEGAL_CONSENT.processing hs-LEGAL_CONSENT.processing hs-fieldtype-booleancheckbox field hs-form-field">
                            <legend class="hs-field-desc" style="display: none;"></legend>
                            <div class="input">
                              <ul class="inputs-list" required="">
                                <li class="hs-form-booleancheckbox"><label for="LEGAL_CONSENT.processing-0ca3a913-67ee-4456-8dab-a4b485e5abfe_8634" class="hs-form-booleancheckbox-display"><input id="LEGAL_CONSENT.processing-0ca3a913-67ee-4456-8dab-a4b485e5abfe_8634" class="hs-input" type="checkbox" name="checkbox2" value="true"><span>
                                      I agree to allow Zapnix to store and process data.<span class="hs-form-required">*</span>
                                    </span></label></li>
                              </ul>
                            </div>
                          </div>
                        </div>
                        <legend class="hs-field-desc checkbox-desc" style="display: none;"></legend>
                      </div>
                    </div>
                  </fieldset>
                </div>
                
                
                <div class="col-12">
  <div class="g-recaptcha" data-sitekey="6LfIqp8rAAAAAKcLAJbThF8TlmVN-xYvcnWUM2Ge"></div>
</div>
                
                <div class="col-12">
                  <button type="submit" class="main-btn w-100 justify-content-center" name="career_submit">Get In Touch</button>
                </div>
              </div>
            </form>
          </div>
        </div>
      </div>
    </div>
  </div>
</div>

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