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<cfinclude template="/header.cfm">
<style>
.block-form-8 .form-control {
--cnvs-input-btn-input-bg: var(--cnvs-contrast-200);
--cnvs-input-btn-input-color: var(--cnvs-contrast-1000);
--cnvs-input-focus-color: var(--cnvs-input-btn-input-color);
}
.block-form-8 .form-select {
background-color: var(--cnvs-contrast-200);
}
</style>
</head>
<body class="stretched block-form-8">
<!-- Document Wrapper
============================================= -->
<div id="wrapper">
<!-- Content
============================================= -->
<section id="content">
<div class="content-wrap" style="background: linear-gradient(to bottom, #f9f5f2 640px, var(--cnvs-contrast-0) 640px);">
<img src="images/blocks/preview/pattern.svg" alt=".." class="position-absolute top-0 start-0 op-01 w-100">
<div class="w-100 h-100 position-absolute top-0 left-0" style="background: linear-gradient(to bottom, transparent 640px, var(--cnvs-contrast-0) 640px);"></div>
<div class="container mw-lg">
<div class="row justify-content-between col-mb-30">
<div class="col-lg-5">
<h2 class="mb-3 fs-1">Tell us your Plan?</h2>
<p class="text-larger">Lorem ipsum dolor sit amet consectetur adipisicing elit. Commodi similique autem rerum corporis totam consectetur beatae maiores obcaecati harum eligendi.</p>
<p class="text-larger">Compellingly negotiate multimedia based information with.</p>
<div class="clear mb-5"></div>
<p class="d-flex mb-3"><i class="me-3 mt-1 bi-telephone-fill"></i> <a href="#" class="text-larger text-contrast-1000 fw-medium">(904) 529-8955</a></p>
<p class="d-flex mb-3"><i class="me-3 mt-1 bi-envelope-paper-fill"></i> <a href="#" class="text-larger text-contrast-1000 fw-medium">[email protected]</a></p>
<p class="d-flex mb-4"><i class="me-3 mt-1 bi-geo-alt-fill"></i> <a href="#" class="text-larger text-contrast-1000 fw-medium">659 Leonard C Taylor Pkwy<br>Green Cove, Florida 32043</a></p>
<div class="clear mb-6"></div>
<h3 class="mb-3 fs-2">Social Connects</h3>
<a href="#" class="social-icon border-transparent bg-light h-bg-facebook" title="Facebook">
<i class="fa-brands fa-facebook-f"></i>
<i class="fa-brands fa-facebook-f"></i>
</a>
<a href="#" class="social-icon border-transparent bg-light h-bg-twitter" title="Twitter">
<i class="fa-brands fa-twitter"></i>
<i class="fa-brands fa-twitter"></i>
</a>
<a href="#" class="social-icon border-transparent bg-light h-bg-instagram" title="Instagram">
<i class="fa-brands fa-instagram"></i>
<i class="fa-brands fa-instagram"></i>
</a>
</div>
<div class="col-lg-6">
<div class="card bg-contrast-0 rounded-6 border-0 shadow">
<div class="card-body p-5">
<div class="form-widget">
<div class="form-result"></div>
<form class="mb-0" id="template-contactform" name="template-contactform" action="include/form.php" method="post">
<div class="form-process">
<div class="css3-spinner">
<div class="css3-spinner-scaler"></div>
</div>
</div>
<div class="row">
<div class="col-12 form-group">
<label for="template-contactform-name">Name <small>*</small></label>
<input type="text" id="template-contactform-name" name="template-contactform-name" value="" class="form-control required">
</div>
<div class="col-12 form-group">
<label for="template-contactform-email">Email <small>*</small></label>
<input type="email" id="template-contactform-email" name="template-contactform-email" value="" class="required email form-control">
</div>
<div class="col-12 form-group">
<label for="template-contactform-phone">Phone <small>*</small></label>
<input type="text" id="template-contactform-phone" name="template-contactform-phone" value="" class="form-control required">
</div>
<div class="col-12 form-group">
<label for="template-contactform-company">Company</label>
<input type="text" id="template-contactform-company" name="company" value="" class="form-control">
</div>
<div class="col-12 form-group">
<label for="template-contactform-subject">Subjects</label>
<select id="template-contactform-subject" name="template-contactform-subject" class="form-select">
<option value="" disabled selected>Select One</option>
<option value="Wordpress">Wordpress</option>
<option value="PHP / MySQL">PHP / MySQL</option>
<option value="HTML5 / CSS3">HTML5 / CSS3</option>
<option value="Graphic Design">Graphic Design</option>
</select>
</div>
<div class="w-100"></div>
<div class="col-12 form-group">
<label for="template-contactform-message">Message</label>
<textarea class="form-control" id="template-contactform-message" name="template-contactform-message" rows="5" cols="30"></textarea>
</div>
<div class="col-12 form-group d-none">
<input type="text" id="template-contactform-botcheck" name="template-contactform-botcheck" value="" class="form-control">
</div>
<div class="col-12">
<button class="button button-large button-dark rounded m-0" type="submit" id="template-contactform-submit" name="template-contactform-submit" value="submit">Submit Now</button>
</div>
</div>
<input type="hidden" name="prefix" value="template-contactform-">
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section><!-- #content end -->
</div><!-- #wrapper end -->
<cfinclude template="/footer.cfm">