44 lines
2.4 KiB
PHP
44 lines
2.4 KiB
PHP
<section class="cot-main">
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<div class="cont-bg">
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<div class="cot-card">
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<div id="form-content">
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<h5>¡Mándanos mensaje!</h5>
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<form id="form" action="views/correo.php">
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<label for="name">Nombre</label>
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<input type="text" id="name" name="name" required>
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<label for="tel">Teléfono</label>
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<input type="text" id="tel" name="tel" required>
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<label for="email">Correo</label>
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<input type="email" type="email" id="email" name="email" required>
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<label for="para">Para</label>
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<select id="para" name="para">
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<option value="culiacan">Culiacán</option>
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<option value="mochis">Mazatlán</option>
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<option value="mazatlan">Los Mochis</option>
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</select>
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<label for="tipo">Tipo de servicio</label>
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<div class="radio-buttons">
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<label for="para">Residencial</label>
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<input type="radio" name="tipo" id="tipo" value="res">
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<label for="para">Empresarial</label>
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<input type="radio" name="tipo" id="tipo" value="emp">
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</div>
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<label for="message">Mensaje</label>
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<textarea name="message" id="message" cols="30" rows="10" required></textarea>
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<button id="submit" type="submit" name="submit" class="btn btn-primary btn-sm">Enviar</button>
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</form>
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</div>
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<div class="loader hidden"></div>
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<div id="success" class="hidden">
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<h3>MENSAJE ENVIADO</h3>
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<p>Lo atenderemos lo antes posible</p>
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<button type="button" name="volver" class="btn btn-primary btn-sm btn-volver">Volver</button>
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</div>
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<div id="error" class="hidden">
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<h3>ERROR</h3>
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<p>Intente de nuevo más tarde</p>
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<button type="button" name="volver" class="btn btn-primary btn-sm btn-volver">Volver</button>
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</div>
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</div>
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</div>
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</section> |