<?php
require_once('header.php');
echo $page_content;
echo <<<EOJ
<noscript>Your browser doesn&rsquo;t support javascript. Please use another browser.</noscript>
<p class="noscript">Your browser doesn&rsquo;t support javascript. Please use another browser.</p>
<form action="{$baseurl}{$filename}" method="post" name="contactform" class="card grey lighten-3 z-depth-0 ajax-form" enctype="multipart/form-data">
	<input type="hidden" name="{$token_id}" value="{$token_value}" readonly />
	<input type="hidden" name="focus" value="{$en->encrypt('[PLACE_ENQUIRY]')}" readonly />
	<input type="hidden" name="zipcode" value="" readonly />
	<div class="card-content">
		<div class="progress blue lighten-4"><div class="indeterminate blue"></div></div>
		<div class="row">
			<div class="col s12 m6 l6">
				<label for="name">name</label>
				<input type="text" name="name" id="name" />
			</div>
			<div class="col s12 m6 l6">
				<label for="email">email</label>
				<input type="text" name="email" id="email" />
			</div>
		</div>
		<div class="row">
			<div class="col s12 m12 l12">
				<label for="phone">phone</label>
				<input type="text" name="phone" id="phone" />
			</div>
		</div>
		<div class="row">
			<div class="col s12 m12 l12">
				<label for="message">message</label>
				<textarea rows="5" cols="5" name="message" id="message" class="materialize-textarea"></textarea>
			</div>
		</div>
    	<div class="row">
    		<div class="col s12 m12 l12">
    			<label for="skycolor">What is color of sky in day? (Anti Spam Question)</label>
    			<select name="skycolor" class="browser-default">
    				<option value="" selected>Select sky color</option>
    				<option value="blue">Blue</option>
    				<option value="black">Black</option>
    				<option value="green">Green</option>
    				<option value="orange">Orange</option>
    			</select>
    		</div>
    	</div>
		<div class="row">
			<div class="col s12 m12 l12">
				<div class="g-recaptcha" data-sitekey="{$gSiteKey}"></div>
			</div>
		</div>
	</div>
	<div class="card-action">
		<button type="submit" name="submit" class="waves-effect btn-flat blue accent-3 white-text" disabled>submit</button>
	</div>
</form>
EOJ;
require_once('footer.php');
?>