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Current File : /home/u479334040/domains/avsrosystem.com/public_html/common-form.php
<form action="submit.php" method="post">
    <div class="row">
        <div class="col-lg-6">
            <div class="single-input">
                <label>First Name*</label>
                <input type="text" name="name" placeholder="First Name" required>
            </div>
        </div>
        

        <div class="col-lg-6">
            <div class="single-input mt-20">
                <label>Email Address*</label>
                <input type="email" name="email" placeholder="Email" required>
            </div>
        </div>

        <div class="col-lg-6">
            <div class="single-input mt-20">
                <label>Phone Number*</label>
                <input type="text" name="phone" placeholder="Phone Number" required>
            </div>
        </div>

        <div class="col-lg-6">
            <div class="single-input">
                <label>Products*</label>
                <input type="text" name="product" placeholder="Products" required>
            </div>
        </div>

        <div class="col-lg-12">
            <div class="single-input mt-20">
                <label>Message*</label>
                <textarea rows="5" name="message" placeholder="Type your message..."></textarea>
            </div>
            <div class="mt-20">
                <button type="submit" name="submit_form"
                    class="theme-btn15 inline-block white text-16 leading-16 font-semibold">Submit</button>
            </div>
        </div>

    </div>
</form>

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