Your IP : 216.73.216.170


Current Path : /home/zqegovsj/www/us3web.haibo.com.cn/beirmgroup/
Upload File :
Current File : /home/zqegovsj/www/us3web.haibo.com.cn/beirmgroup/a_feedback.php

<div id="Feedback"></div>
<div class="pro_inq">
<div class="title"><?=$lang['words'][220]?></div>
<div class="text">*<?=$lang['words'][221]?>.</div>
<div class="inquiry">
<form name="InquiryForm" onSubmit="return validateInquiryForm(this);" action="message.html" method=post encType=multipart/form-data>
<input type="hidden" name="feedbackurl" id="feedbackurl"  value="<?=$purl?>"/>		
<input type="hidden" name="subject" id="subject" value="Feedback:<? isset($feedbacktit)?$ftit=$feedbacktit:$ftit='From website '.$company2[13]; ?><?=$ftit?>"/>
<div class="row">
<div class="gp-input-group col-sm-6">
<span class="ms_e"><input class="gq-form-control" name="email" id="email" tabindex="10" type="text" placeholder="* Your Email"></span>
</div>
<div class="gp-input-group col-sm-6">
<span class="ms_p"><input class="gq-form-control" name="tel" id="tel" tabindex="10" type="text" placeholder="* Tel/WhatsApp"></span>
</div>
<div class="gp-input-group col-sm-6">
<span class="ms_n"><input class="gq-form-control" name="name" id="name" tabindex="10" type="text" placeholder="* Name"></span>
</div>
<div class="gp-input-group col-sm-6">
<span class="ms_c"><input class="gq-form-control" name="company" id="company" tabindex="10" type="text" placeholder=" Company"></span>
</div>
<div class="gp-input-group col-sm-12">
<span class="ms_m"><textarea name="content" class="gq-form-control" id="message" tabindex="13" placeholder="* Enter product details (such as color, size, materials etc.) and other specific requirements to receive an accurate quote."></textarea></span>
</div><div class="gp-input-group">
<div class="g-recaptcha" data-sitekey="6LdhQ4opAAAAAAr0FxvwPJhY1ptOuuXRYMg4pOES"></div>
</div>
<span class="col-sm-12"><button name=submit type="submit" value="Submit" class="main-btn">Submit</button></span>
</div>
</form>
</div>
</div>