File: /home/durgeshpandey215/www/ipsol.skilladders.com/contact_form.php
<?php
function show_option_course($con){
$courses = "";
$sql = "SELECT * FROM `courses` WHERE `parent_course_id` IS NULL AND delete_status = 'N' ORDER BY `sort_order` ASC";
$result = mysqli_query($con, $sql);
while($row = mysqli_fetch_assoc($result)){
$courses .= "<option value='".$row['id']."'>" .$row['name']."</option>";
}
return $courses;
}
?>
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="form contact-form bnr3 p-3">
<div id="sendmessage">Your message has been sent. Thank you!</div>
<div id="errormessage"></div>
<form action="controller/contact_form.php" method="post" name="form1" onSubmit="phonenumber(document.form1.number)" >
<div class="form-group">
<input type="text" name="name" class="form-control" id="name" placeholder="Your Name" data-rule="minlen:4" style="color: white;" required />
</div>
<div class="form-group">
<input type="email" class="form-control" name="email" id="email" placeholder="Your Email" data-rule="email" style="color: white;" required />
<div class="validation"></div>
</div>
<div class="form-group">
<input type="text" class="form-control" name="number" id="number" placeholder="Number" style="color: white;" required />
<div class="validation"></div>
</div>
<div class="form-group">
<select class="form-control" id="sel1" name="state" required>
<option>select state</option>
<option value="Andhra Pradesh">Andhra Pradesh</option>
<option value="Arunachal Pradesh">Arunachal Pradesh</option>
<option value="Assam">Assam</option>
<option value="Bihar">Bihar</option>
<option value="Chhattisgarh">Chhattisgarh</option>
<option value="Goa">Goa</option>
<option value="Gujarat">Gujarat</option>
<option value="Haryana">Haryana</option>
<option value="Himachal Pradesh">Himachal Pradesh</option>
<option value="Jammu and Kashmir">Jammu and Kashmir</option>
<option value="Jharkhand">Jharkhand</option>
<option value="Karnataka">Karnataka</option>
<option value="Kerala">Kerala</option>
<option value="Madhya Pradesh">Madhya Pradesh</option>
<option value="Maharashtra">Maharashtra</option>
<option value="Manipur">Manipur</option>
<option value="Meghalaya">Meghalaya</option>
<option value="Mizoram">Mizoram</option>
<option value="Nagaland">Nagaland</option>
<option value="Odisha">Odisha</option>
<option value="Punjab">Punjab</option>
<option value="Rajasthan">Rajasthan</option>
<option value="Sikkim">Sikkim</option>
<option value="Tamil Nadu">Tamil Nadu</option>
<option value="Telangana">Telangana</option>
<option value="Tripura">Tripura</option>
<option value="Uttar Pradesh">Uttar Pradesh</option>
<option value="Uttarakhand">Uttarakhand</option>
<option value="West Bengal">West Bengal</option>
</select>
<div class="validation"></div>
</div>
<div class="form-group">
<select class="form-control" id="sel2" name="course_id" required>
<option>select courses</option>
<?= show_option_course($con)?>
</select>
<div class="validation"></div>
</div>
<div class="form-group">
<textarea class="form-control" name="message" rows="5" data-rule="required" data-msg="Please write something for us" placeholder="Message" style="color: white;" maxlength = "150"></textarea>
<div class="validation"></div>
</div>
<!-- <div class="g-recaptcha" data-sitekey="6Lcd98kUAAAAAEG0lbh4BuBCVQgZnFjZwsJ9DFY7"></div> -->
<br/>
<div class="text-center">
<button type="submit" name="submit" style="color: white;" >Send Message</button>
</div>
</form>
</div>
</div>
<script>
function phonenumber(inputtxt)
{
var phoneno = /^([0|\+[0-9]{1,5})?([7-9][0-9]{9})$/;
if(inputtxt.value.match(phoneno))
{
alert("Thank Your Form has been submitted !!!");
return true;
}
else
{
alert("Not a valid Phone Number");
event.preventDefault();
return false;
}
}
</script>