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<!DOCTYPE html> <html> <head> <title>Sanjeevani Welfare Society - Contact Us</title> <meta http-equiv="Content-Type" content="text/html"/> <meta name="description" content= "Sanjeevani Welfare Society, Non-government Organisation, NGO, Sanjeevani Welfare Society Punjab, Sanjeevani Welfare Society Ludhiana, Welfare Society, Sanjeevani" /> <meta name="keywords" content="Sanjeevani, Welfare Society, NGO, Sanjeevani Welfare Society Punjab, Sanjeevani Welfare Society Ludhiana, Social Welfare, Child Care, Education Help" /> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <!-- Bootstrap --> <link href="css/bootstrap.min.css" rel="stylesheet"> <link href='http://fonts.googleapis.com/css?family=Open+Sans:400,300,700' rel='stylesheet' type='text/css'> <link href="css/style.css" rel="stylesheet"> <!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries --> <!-- WARNING: Respond.js doesn't work if you view the page via file:// --> <!--[if lt IE 9]> <script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script> <script src="https://oss.maxcdn.com/libs/respond.js/1.3.0/respond.min.js"></script> <![endif]--> <style> #feedback { color: #1c6107; } #feedback ul { padding-left: 0; } #feedback ul li { list-style: none; } </style> </head> <body> <?php include_once("header.php"); ?> <section class="main__middle__container"> <section class="recent-posts"> <div class="container"> <h2 class="page_title text-center"><span>Contact Us</span><br /></h2> <iframe width="100%" height="350" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src="https://maps.google.com/maps?f=q&source=s_q&hl=en&geocode=&q=&aq=&sll=37.422023,-122.084337&sspn=0.00357,0.008229&ie=UTF8&ll=30.906855,75.840731&spn=0.001785,0.004115&t=m&z=18&output=embed"></iframe> <div class="row"> <div class="col-md-8"> <h3>Send us a message</h3> <hr> <p>Our friendly customer service representatives are committed to answering all your questions and meeting any need you may have. We would love to hear from you! Please fill out the form below so we may assist you.</p> <br /> <p id="feedback"></p> <form role="form" id="contact-form" name="contact-form" method="post" action="" class="contact-form"> <div class="form-group col-md-6"> <label class="sr-only" for="exampleInputEmail1">Your Name: *</label> <input required type="text" class="form-control" id="name" name="name" placeholder="Your Name: *"> </div> <div class="form-group col-md-6"> <label class="sr-only" for="exampleInputEmail1">Email: *</label> <input required type="email" class="form-control" id="email" name="email" placeholder="Email: *"> </div> <div class="clearfix"></div> <div class="form-group"> <label class="sr-only" for="exampleInputEmail1">Subject:</label> <input type="text" class="form-control" id="subject" name="subject" placeholder="Subject:"> </div> <div class="form-group"> <textarea required class="form-control" id="message" name="message" rows="5" placeholder="Message: *"></textarea> </div> <input id="submit-button" type="submit" class="btn btn-lg btn-primary" value="Submit"> </form> </div> <div class="col-md-4"> <h3>Get in touch with us</h3> <hr> <p class="black-text"><span class="orange">Address:</span> Gyan's Vegetarian <br/>Mall Road, Kunal Tower, Civil Lines, Ludhiana.</p> <p class="black-text"><span class="orange">Telephone:</span>+(91)-161-4615644, +(91)-9872349907,<br/> +91 161 274 5644</p> <p class="black-text"><span class="orange">Fax:</span> 866-111-222-3455</p> </div> </div> </div> </section> </section> <?php include_once("footer.php"); ?> <!-- jQuery (necessary for Bootstrap's JavaScript plugins) --> <script type="text/javascript" src="js/jquery.min.js"></script> <!-- Include all compiled plugins (below), or include individual files as needed --> <script src="js/bootstrap.min.js"></script> <script type="text/javascript"> function send_special_order() { var data1 = $('#name').val(); var data2 = $('#subject').val(); var data3 = $('#email').val(); var data4 = $('#message').val(); $.ajax({ type: "POST", url: "send.php", dataType : "json", data: ( {"name" : data1, "subject" : data2, "email" : data3,"message" : data4} ) , success: function() { }, complete: function(){ $('#feedback').append('<p>Thank you for sending us a message. Our specialists will contact you as soon as possible.</p><p>Your message details are:</p>\n\ <ul>\n\ <li>Name: <b>' + data1 + '</b></li>\n\ <li>Email: <b>' + data3 + '</b></li>\n\ <li>Subject: <b>' + data2 + '</b></li>\n\ <li>Message: <b>' + data4 + '</b></li>\n\ </ul>\n\ <p>If you want to change your information press the button:\n\ <p><a href="#" id="send-more" class="btn btn-lg btn-primary">edit info</a></p>'); $('#contact-form').slideUp(); $('#send-more').click(function(e){ e.preventDefault() $('#contact-form').slideDown(); $('#feedback').html(''); }); } }); } $('#contact-form').submit(function() { send_special_order(); return false; }); </script> </body> </html>