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: / var / www / html / projects / andaman / application / views / web /
Filename : enquiry.php
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<div class="modal fade" id="myModal" tabindex="-1" aria-labelledby="myModalLabel" aria-hidden="true">
    <div class="modal-dialog modal-dialog-centered modal-lg">
        <div class="modal-content shadow-lg border-0 rounded-4">
            <div class="modal-header border-0">
                <h5 class="modal-title text-primary fw-bold" id="myModalLabel">Enquiry Form</h5>
                <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
            </div>
            <div class="modal-body p-4">
                <p class="text-muted mb-4">Andaman Yatra Holidays - Get Best Deals on Andaman Packages</p>
                <form id="enquiryForm" method="POST" action="<?= base_url('web/enquiry_save') ?>">
                    <div class="row g-3">
                        <div class="col-md-6">
                            <label class="form-label">Name</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-user"></i></span>
                                <input type="text" name="fullname" class="form-control" placeholder="Your Name" required>
                            </div>
                        </div>
                        <div class="col-md-6">
                            <label class="form-label">Mobile Number</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-mobile"></i></span>
                                <input type="tel" name="mobile_no" class="form-control" placeholder="Mobile No." required>
                            </div>
                        </div>
                        <div class="col-md-6">
                            <label class="form-label">Email</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-envelope"></i></span>
                                <input type="email" name="email" class="form-control" placeholder="Email">
                            </div>
                        </div>
                        <div class="col-md-6">
                            <label class="form-label">No. of Adults</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-users"></i></span>
                                <input type="number" name="adult" class="form-control" placeholder="Adults">
                            </div>
                        </div>
                        <div class="col-md-6">
                            <label class="form-label">No. of Children Below 5</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-child"></i></span>
                                <input type="number" name="above_child" class="form-control" placeholder="Children">
                            </div>
                        </div>
                        <div class="col-md-6">
                            <label class="form-label">Date</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-calendar"></i></span>
                                <input type="date" name="date" class="form-control">
                            </div>
                        </div>
                        <div class="col-md-12">
                            <label class="form-label">Vacation Type</label>
                            <div class="input-group">
                                <span class="input-group-text"><i class="fa fa-suitcase"></i></span>
                                <select class="form-select" name="vacation_type">
                                    <option selected disabled>Choose type</option>
                                    <?php if (isset($pack) && is_array($pack)) : ?>
                                        <?php foreach ($pack as $row) : ?>
                                            <option value="<?= htmlspecialchars($row->category_name); ?>">
                                                <?= htmlspecialchars($row->category_name); ?>
                                            </option>
                                        <?php endforeach; ?>
                                    <?php endif; ?>
                                </select>
                            </div>
                        </div>
                        <div class="col-md-12">
                            <div class="g-recaptcha my-3" data-sitekey="6Ld0RD4qAAAAAIawlZKfRjcKejiElM9WWMOpcjZA"></div>
                        </div>
                        <div class="col-md-12 text-end">
                            <button type="submit" class="btn btn-primary w-100 py-2">Book Now</button>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div>