Viewing File: /home/ubuntu/theridgecorp-landing/common-form.html
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Document</title>
<script src="https://code.iconify.design/3/3.1.0/iconify.min.js"></script>
</head>
<body>
<section class="sm-padding" id="contact-form">
<div class="container">
<div class="row justify-content-between align-items-center">
<div class="col-md-12 col-lg-12 col-md-12">
<div class="corp-form-wrapped">
<form class="corp-contact-form" action='https://forms.zohopublic.in/supportefic1/form/RidgeCropWebsiteFrom/formperma/DO5o-P0rBwUBcjFFWZd9lNyhqRQm3ZdrbJCG6JNDXqY/htmlRecords/submit' name='form' id='form' method='POST' accept-charset='UTF-8' enctype='multipart/form-data'>
<input type="hidden" name="zf_referrer_name"
value=""><!-- To Track referrals , place the referrer name within the " " in the above hidden input field -->
<input type="hidden" name="zf_redirect_url"
value=""><!-- To redirect to a specific page after record submission , place the respective url within the " " in the above hidden input field -->
<input type="hidden" name="zc_gad"
value=""><!-- If GCLID is enabled in Zoho CRM Integration, click details of AdWords Ads will be pushed to Zoho CRM -->
<div class="mb-3">
<label class="form-label">Name</label>
<input type="text" name="SingleLine" value="" fieldType=1 maxlength="255" class="form-control" placeholder="Your Name">
</div>
<div class="mb-3">
<label class="form-label">Email Address</label>
<input type="text" name="SingleLine1" value="" fieldType=1 maxlength="255" class="form-control" placeholder="Your Email">
</div>
<div class="mb-3">
<label class="form-label">Phone Number</label>
<div class="input-group">
<span class="input-group-text" id="basic-addon1">
<div class="select-box">
<div class="selected-option">
<div>
<!-- <span class="iconify" data-icon=""></span>-->
<svg enable-background="new 0 0 32 32" height="12"
viewBox="0 0 32 32" width="12"
xmlns="http://www.w3.org/2000/svg">
<g id="Layer_1">
<path
d="m29.6043 10.528-12.0735 12.8281c-.83.8819-2.2315.8819-3.0615 0l-12.0736-12.8281c-.9071-.9639-.2238-2.5455 1.0998-2.5455h25.0089c1.3237 0 2.007 1.5816 1.0999 2.5455z"
fill="#fff" />
</g>
</svg>
<svg xmlns="http://www.w3.org/2000/svg" aria-hidden="true" role="img" width="1.34em" height="1em" viewBox="0 0 640 480" data-icon="flag:ae-4x3" class="iconify iconify--flag"><path fill="#00732f" d="M0 0h640v160H0z"></path><path fill="#fff" d="M0 160h640v160H0z"></path><path fill="#000001" d="M0 320h640v160H0z"></path><path fill="red" d="M0 0h220v480H0z"></path></svg>
</div>
<input type="tel" compname="PhoneNumber_countrycodeval" name="PhoneNumber_countrycodeval" phoneFormat="1" maxlength="10" id="international_PhoneNumber_countrycodeval" readonly value="+971">
</div>
<div class="options">
<input type="text" class="search-box" placeholder="Search Country Name">
<ol>
</ol>
</div>
</div>
</span>
<input type="number" class="form-control padding-left-zero" compname="PhoneNumber" name="PhoneNumber_countrycode" phoneFormat="1" isCountryCodeEnabled=true maxlength="20" value="" fieldType=11 id="international_PhoneNumber_countrycode" placeholder="Enter the Phone Number">
</div>
</div>
<!-- <div class="mb-3">
<label class="form-label">Industry</label>
<input type="text" class="form-control" name="SingleLine5" value="" fieldType=1 maxlength="255">
</div> -->
<div class="mb-3">
<label class="form-label">Messages</label>
<textarea class="form-control" rows="3" style="height: auto;" name="MultiLine" maxlength="65535" placeholder="Write Your Message"></textarea>
</div>
<button type="submit" class="corp-secondary-btn w-100 mt-4">Submit</button>
</form>
</div>
</div>
</div>
</div>
</section>
<script src="assets/js/country-code.js"></script>
</body>
</html>
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