/home/hdwebsolution/public_html/sareen/contact.php
<!DOCTYPE html>
<?php include_once('header.php')?>
<html lang="en">
<!-- Mirrored from azim.hostlin.com/Medimart/contact.html by HTTrack Website Copier/3.x [XR&CO'2014], Fri, 22 Mar 2024 09:31:46 GMT -->
<head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0">
<title>Medimart - HTML 5 Template Preview</title>
<!-- Fav Icon -->
<link rel="icon" href="assets/images/favicon.ico" type="image/x-icon">
<!-- Google Fonts -->
<link href="https://fonts.googleapis.com/css2?family=Poppins:ital,wght@0,300;0,400;0,500;0,600;0,700;0,800;0,900;1,300;1,400;1,500;1,600;1,700;1,800;1,900&display=swap" rel="stylesheet">
<!-- Stylesheets -->
<link href="assets/css/font-awesome-all.css" rel="stylesheet">
<link href="assets/css/flaticon.css" rel="stylesheet">
<link href="assets/css/owl.css" rel="stylesheet">
<link href="assets/css/bootstrap.css" rel="stylesheet">
<link href="assets/css/jquery.fancybox.min.css" rel="stylesheet">
<link href="assets/css/animate.css" rel="stylesheet">
<link href="assets/css/nice-select.css" rel="stylesheet">
<link href="assets/css/elpath.css" rel="stylesheet">
<link href="assets/css/color/theme-color.css" id="jssDefault" rel="stylesheet">
<link href="assets/css/switcher-style.css" rel="stylesheet">
<link href="assets/css/jquery-ui.css" rel="stylesheet">
<link href="assets/css/timePicker.css" rel="stylesheet">
<link href="assets/css/rtl.css" rel="stylesheet">
<link href="assets/css/style.css" rel="stylesheet">
<link href="assets/css/module-css/page-title.css" rel="stylesheet">
<link href="assets/css/module-css/contact.css" rel="stylesheet">
<link href="assets/css/module-css/subscribe.css" rel="stylesheet">
<link href="assets/css/responsive.css" rel="stylesheet">
</head>
<!-- page wrapper -->
<body>
<!-- page-title -->
<section class="page-title p_relative centred">
<div class="bg-layer" style="background-image: url(assets/images/background/page-title.jpg);"></div>
<div class="auto-container">
<div class="content-box">
<h1>Contact Us</h1>
<ul class="bread-crumb clearfix">
<li><a href="index-2.html">Home</a></li>
<li>Contact Us</li>
</ul>
</div>
</div>
</section>
<!-- page-title end -->
<!-- contact-info-section -->
<section class="contact-info-section pt_120">
<div class="auto-container">
<div class="row clearfix">
<div class="col-lg-4 col-md-6 col-sm-12 info-column">
<div class="info-block-one">
<h3>Quick Contact</h3>
<div class="inner-box">
<div class="icon-box"><i class="icon-2"></i></div>
<p>Main Office: <br /><a href="tel:23345678901">+91-11-23860526</a>, <a href="tel:+1045678901"></a></p>
</div>
</div>
</div>
<div class="col-lg-4 col-md-6 col-sm-12 info-column">
<div class="info-block-one">
<h3>Email Address</h3>
<div class="inner-box">
<div class="icon-box"><i class="icon-26"></i></div>
<p>Mail: <br /><a href="mailto:info@example.com">info@sareensurgicals.com</a></p>
</div>
</div>
</div>
<div class="col-lg-4 col-md-6 col-sm-12 info-column">
<div class="info-block-one">
<h3>Mailing Address</h3>
<div class="inner-box">
<div class="icon-box"><img src="assets/images/icons/icon-2.png" alt=""></div>
<p>1581/4 Bhagirath Palace,
<br />Delhi - 110006 (INDIA)</p>
</div>
</div>
</div>
</div>
</div>
</section>
<!-- contact-info-section end -->
<!-- contact-style-three -->
<section class="contact-style-three pt_90 pb_120">
<div class="auto-container">
<div class="row clearfix">
<div class="col-lg-8 col-md-12 col-sm-12 form-column">
<div class="form-inner mr_40">
<div class="sec-title mb_50">
<h2>Send a Message</h2>
</div>
<form method="post" action="https://azim.hostlin.com/Medimart/sendemail.php" id="contact-form" class="default-form">
<div class="row clearfix">
<div class="col-lg-6 col-md-6 col-sm-12 form-group">
<input type="text" name="username" placeholder="First Name" required="">
</div>
<div class="col-lg-6 col-md-6 col-sm-12 form-group">
<input type="text" name="lname" placeholder="Last Name" required="">
</div>
<div class="col-lg-6 col-md-6 col-sm-12 form-group">
<input type="email" name="email" placeholder="Your email" required="">
</div>
<div class="col-lg-6 col-md-6 col-sm-12 form-group">
<input type="text" name="phone" required="" placeholder="Phone">
</div>
<div class="col-lg-12 col-md-12 col-sm-12 form-group">
<input type="text" name="subject" required="" placeholder="Subject">
</div>
<div class="col-lg-12 col-md-12 col-sm-12 form-group">
<textarea name="message" placeholder="message"></textarea>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 form-group message-btn">
<button class="theme-btn btn-one" type="submit" name="submit-form"><span>Send Message</span></button>
</div>
</div>
</form>
</div>
</div>
<div class="col-lg-4 col-md-12 col-sm-12 image-column">
<figure class="image-box"><img src="assets/images/resource/contact-1.jpg" alt=""></figure>
</div>
</div>
</div>
</section>
<!-- contact-style-three end -->
<!-- google-map-section -->
<section class="google-map-section">
<div class="map-inner">
<div
class="google-map"
id="contact-google-map"
data-map-lat="40.712776"
data-map-lng="-74.005974"
data-icon-path="assets/images/icons/map-marker.png"
data-map-title="Brooklyn, New York, United Kingdom"
data-map-zoom="12"
data-markers='{
"marker-1": [40.712776, -74.005974, "<h4>Branch Office</h4><p>77/99 New York</p>","assets/images/icons/map-marker.png"]
}'>
</div>
</div>
</section>
<!-- google-map-section end -->
<!-- subscribe-section -->
<section class="subscribe-section">
<div class="auto-container">
<div class="inner-container">
<div class="row align-items-center">
<div class="col-lg-6 col-md-12 col-sm-12 text-column">
<div class="text-box">
<h2><span>Subscribe</span> for the exclusive updates!</h2>
</div>
</div>
<div class="col-lg-6 col-md-12 col-sm-12 form-column">
<div class="form-inner">
<form method="post" action="https://azim.hostlin.com/Medimart/contact.html">
<div class="form-group">
<input type="email" name="email" placeholder="Enter Your Email Address" required>
<button type="submit" class="theme-btn btn-one"><span>Subscribe Now</span></button>
</div>
<div class="form-group">
<div class="check-box">
<input class="check" type="checkbox" id="checkbox1">
<label for="checkbox1">I agree to the <a href="index-2.html">Privacy Policy.</a></label>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</section>
<!-- subscribe-section end -->
<?php include_once('footer.php')?>