~franz/germanwindows.com.my

ref: c1921995cc8e34e0f1295f3395aff189a48cb3de germanwindows.com.my/_includes/expert-consultation.html -rw-r--r-- 2.7 KiB
c1921995 — Franz Geffke added new reviews; updated security page 5 months ago
                                                                                
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{% if page.url != '/reviews/' %}
{% include reviews.html %}
{% endif %}
<div class="expert-consultation">
  <div class="container">

    <h2>Request a free, expert consultation</h2>
    <h3>It takes less than 10 seconds!</h3>

    <div class="contactform quick">
      <div class="form">
        <form id="contact-form" data-parsley-validate>

          <div class="row">
            <div class="col-sm-2">
              <div class="form-group">
                <label for="property_type">Property Type</label>
                <select class="form-control" id="property_type" name="property_type" type="text" data-parsley-error-message="Please select your property type." required>
                  <option></option>
                  <option value="Condominium">Condominium</option>
                  <option value="Landed">Landed Property</option>
                  <option value="Commercial">Commercial</option>
                </select>
              </div>
            </div>
            <div class="col-sm-2">
              <div class="form-group">
                <label for="last_name">Name</label>
                <input id="last_name" name="last_name" type="text" class="form-control" placeholder="Your name" required>
              </div>
            </div>
            <div class="col-sm-2">
              <div class="form-group">
                <label for="email_address">Email</label>
                <input id="email_address" name="email_address" type="email" class="form-control" placeholder="Your email *" required>
              </div>
            </div>
            <div class="col-sm-2">
              <div class="form-group">
                <label for="mobile_phone_number">Phone Number</label>
                <input id="mobile_phone_number" name="mobile_phone_number" type="number" class="form-control" placeholder="Mobile nr. *" required>
              </div>
            </div>
            <div class="col-sm-3">
              <div class="form-group">
                <label for="address_street">Your Address</label>
                <input id="address_street" name="address_street" type="text" class="form-control" placeholder="Building, Street, Area, City" required>
              </div>
            </div>
            <div class="col-sm-1">
              <div class="text-right">
                <button type="submit" value="Submit" class="btn btn-default" onclick="javascript:_paq.push(['trackEvent', 'Call-Back-Form', 'Submit']);">Send</button>
              </div>
            </div>
          </div>
          <input type="hidden" name="page_url" value="{{ page.url }}" />
          <input type="hidden" name="honey" value="" />
        </form>
      </div>
    </div>
  </div>
</div>