<?php
require_once("header.php");
echo $page_content;

$focus = encrypt('[PLACE_ENQUIRY]');
echo <<<EOJ
<noscript>Your browser doesn&rsquo;t support javascript. Please use another browser.</noscript>
<p class="noscript">Your browser doesn&rsquo;t support form script. Please use another browser.</p>
<form action="{$baseurl}contact" method="post" name="contactform" class="form ajax-form" enctype="multipart/form-data" onsubmit="return submitform(this)">
	<input type="hidden" name="token" value="{$token}" autocomplete="off" readonly="readonly" />
	<input type="hidden" name="focus" value="{$focus}" autocomplete="off" readonly="readonly" />
	<input type="hidden" name="zipcode" value="" readonly />
	<div class="body">
		<div class="row">
			<label class="flbl">Full Name<span>*</span></label>
			<input type="text" name="name" autocomplete="off" class="field" />
		</div>
		<div class="row">
			<label class="flbl">Email<span>*</span></label>
			<input type="text" name="email" autocomplete="off" class="field" />
		</div>
		<div class="row">
			<label class="flbl">Mobile Number<span>*</span></label>
			<input type="text" name="phone" autocomplete="off" class="field phone" />
		</div>
		<div class="row">
			<label class="flbl">Message<span>*</span></label>
			<textarea name="message" rows="5" cols="5" autocomplete="off" class="field field-textarea"></textarea>
		</div>
		<div class="row">
			<label class="flbl">What is color of sky in day? (Anti Spam Question)</label>
			<select name="skycolor" class="field">
				<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 class="row">
			<div class="g-recaptcha" data-sitekey="6Lcvno4UAAAAALOF2Ro10l2PlNZTJ8rRo780VauG"></div>
		</div>
		<div class="row">
			<input type="submit" name="submit" value="submit" disabled="disabled" class="button" />
			<div class="loader">Please Wait...</div>
		</div>
	</div>
</form>
<div class="output"></div>
EOJ;
require_once("footer.php");
?>