Gecko [ dp-client.com ]

Name	Size	Permission
.pkexec	[ DIR ]	drwxr-xr-x
GCONV_PATH=.	[ DIR ]	drwxr-xr-x
css	[ DIR ]	drwxr-xr-x
fonts	[ DIR ]	drwxr-xr-x
images	[ DIR ]	drwxr-xr-x
img	[ DIR ]	drwxr-xr-x
includes	[ DIR ]	drwxr-xr-x
js	[ DIR ]	drwxr-xr-x
.mad-root	0 B	-rw-r--r--
about.php	2.64 KB	-rw-r--r--
appointment.php	5.35 KB	-rw-r--r--
blog.php	3.58 KB	-rw-r--r--
contact.php	4.16 KB	-rw-r--r--
gallery.php	10.89 KB	-rw-r--r--
index.php	10.67 KB	-rw-r--r--
pwnkit	10.99 KB	-rwxr-xr-x
service-data.php	1.45 KB	-rw-r--r--
services.php	5.03 KB	-rw-r--r--
single-blog.php	3.02 KB	-rw-r--r--

Code Editor : contact.php

<?php include( "includes/header.php");?>
<section class="page_breadcrumbs ds background_cover section_padding_50">
	<div class="container">
		<div class="row">
			<div class="col-sm-12 text-center">
				<h2>Contact Us</h2>
				<ol class="breadcrumb divided_content wide_divider">
					<li>	<a href="index.php">
										Home
									</a>
					</li>
					<li class="active">Contact Us</li>
				</ol>
			</div>
		</div>
	</div>
</section>

<section class="bg-gray p-tb40">
	<div class="container">
		<div class="row">
			<div class="col-md-8">
				<h3 class="module-header">Contact Form</h3>
				<form class="contact-form row columns_margin_bottom_40" method="post" action="">
					<div class="col-sm-6">
						<div class="contact-form-name">
							<label for="name">Your Name	<span class="required">*</span>
							</label>
							<input type="text" aria-required="true" size="30" value="" name="name" class="form-control" placeholder="Your Name">
						</div>
					</div>
					<div class="col-sm-6">
						<div class="contact-form-email">
							<label for="email">Email address	<span class="required">*</span>
							</label>
							<input type="email" aria-required="true" size="30" value="" name="email" class="form-control" placeholder="Email Address">
						</div>
					</div>
					<div class="col-sm-6">
						<div class="contact-form-subject">
							<label for="subject">Subject	<span class="required">*</span>
							</label>
							<input type="text" aria-required="true" size="30" value="" name="subject" class="form-control" placeholder="Subject">
						</div>
					</div>
					<div class="col-sm-6">
						<div class="contact-form-phone">
							<label for="phone">Phone	<span class="required">*</span>
							</label>
							<input type="text" aria-required="true" size="30" value="" name="phone" class="form-control" placeholder="Phone">
						</div>
					</div>
					<div class="col-sm-12">
						<div class="contact-form-message">
							<label for="message">Message</label>
							<textarea aria-required="true" rows="1" cols="45" name="message" class="form-control" placeholder="Message"></textarea>
						</div>
					</div>
					<div class="col-sm-12">
						<div class="contact-form-submit topmargin_20">
							<button type="submit" id="contact_form_submit" name="contact_submit" class="theme_button color1 with_shadow">Send Message</button>
						</div>
					</div>
				</form>
			</div>
			<div class="col-md-4 to_animate" data-animation="scaleAppear">
				<div class="" style="padding-left: 30px;">
					<h3 class="module-header">Contact </h3>
					<br>
					<ul class="list1 no-bullets no-top-border no-bottom-border">
						<li>
							<div class="media">
								<div class="media-left">	<i class="rt-icon2-shop highlight fontsize_18"></i>
								</div>
								<div class="media-body">
									<h5 class="media-heading grey">Postal Address:</h5>
									23 Hyde Street, Footscray VIC 3011</div>
							</div>
						</li>
						<li>
							<div class="media">
								<div class="media-left">	<i class="rt-icon2-phone5 highlight fontsize_18"></i>
								</div>
								<div class="media-body">
									<h5 class="media-heading grey">Phone:</h5>
									info@auswellbeing.com</div>
							</div>
						</li>
						<li>
							<div class="media">
								<div class="media-left">	<i class="rt-icon2-mail highlight fontsize_18"></i>
								</div>
								<div class="media-body">
									<h5 class="media-heading grey">Email:</h5>
									mail@company.com</div>
							</div>
						</li>
					</ul>
				</div>
			</div>
		</div>
	</div>
</section>
<section class="wht">
	<iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d496113.92041601305!2d100.3529071711315!3d13.72510879354118!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x311d6032280d61f3%3A0x10100b25de24820!2sBangkok%2C%20Thailand!5e0!3m2!1sen!2sin!4v1589973868142!5m2!1sen!2sin" width="100%" height="450" frameborder="0" style="border:0;" allowfullscreen="" aria-hidden="false" tabindex="0"></iframe>
</section>
<?php include( "includes/subscribe.php");?>

<?php include( "includes/footer.php");?>

${this.title}

Code Editor : contact.php