eclass.unmer.ac.id

<?php require 'controller/topo.php'; ?>

<div style="margin-top: 100px; margin-bottom: 20px">
        <div class="row">
            
            <div class="col-lg-4" style="border-bottom: 2px solid #DDDDDF; padding-left: 0">
            <h2 class="hparceiros" style="color: #565658 !important">CONTATO</h2> 
            </div>
            <div class="col-lg-10">
            </div>
        </div>
        </div>

<section>
            <div class="container">
                <div class="row">

<div class="col-lg-12">
                        <form method="post" action="#!">
                            <input type="hidden" name="form-type" value="contact">
                            <div class="row">
                                <div class="col-md-12" style="margin-bottom: 20px">
                                    <span style="font-size: 22px; color: #565658">NOME</span>
                                    <input type="text" name="name" data-constraints="@LettersOnly @NotEmpty" style="border-top: 0px; border-left: 0px; border-right: 0px; border-bottom: 2px solid #DDDDDF">
                                </div>
                                <div class="col-md-6" style="margin-bottom: 20px">
                                    <span style="font-size: 22px; color: #565658">TELEFONE</span>
                                    <input type="text" name="name" data-constraints="@LettersOnly @NotEmpty" style="border-top: 0px; border-left: 0px; border-right: 0px; border-bottom: 2px solid #DDDDDF">
                                </div>
                                <div class="col-md-6" style="margin-bottom: 20px">
                                    <span style="font-size: 22px; color: #565658">E-MAIL</span>
                                    <input type="text" name="name" data-constraints="@LettersOnly @NotEmpty" style="border-top: 0px; border-left: 0px; border-right: 0px; border-bottom: 2px solid #DDDDDF">
                                </div>
                                <div class="col-md-12" style="margin-bottom: 20px">
                                    <span style="font-size: 22px; color: #565658">ASSUNTO</span>
                                    <input type="text" name="name" data-constraints="@LettersOnly @NotEmpty" style="border-top: 0px; border-left: 0px; border-right: 0px; border-bottom: 2px solid #DDDDDF">
                                </div>
                                <div class="col-md-12" style="margin-bottom: 20px">
                                    <span style="font-size: 22px; color: #565658">MENSAGEM</span><span style="float: right;"><img src="img/setas.jpg"></span>
                                    <textarea name="message" rows="5"  data-constraints="@NotEmpty" style="border-top: 0px; border-left: 0px; border-right: 0px; border-bottom: 2px solid #DDDDDF"></textarea>
                                </div>
                                <div class="col-md-12">
                                    <button type="submit" class="butn"><span>ENVIAR</span></button>
                                </div>
                            </div>
                        </form>
                    </div>
                    
                </div>
            </div>
        </section>

<?php require 'controller/footer.php'; ?>