<form method="post" id="contactUsMailForm" name="contact-form-imenso">
  <div class="" id="error_msg">
    <div class="form-group">
      <label class="big_label">Write Your Requirement<span class="required_sign">*</span></label>
      <textarea class="form-control" rows="3" id="req_text" name="req_text"></textarea>
      <div class="text-danger d-none req_text_error" id="req_text_error"></div>
    </div> 
    <div class="row">                  
      <div class="col-sm-6 col-md-12 col-lg-6">                  
        <div class="form-group">
          <label>Full Name<span class="required_sign">*</span></label>
          <input type="text" class="form-control" id="first_name" name="first_name">
          <div class="text-danger d-none first_name_error" id="first_name_error"></div>
        </div>
      </div>
      <div class="col-sm-6 col-md-12 col-lg-6">
        <div class="form-group">
          <label>Company Name <small>(Optional)</small></label>
          <input type="text" class="form-control" id="company_name" name="company_name" >
          <div class="text-danger d-none company_name_error" id="company_name_error"></div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-lg-12">                  
        <div class="form-group" id="addCountryDropdown">
          <label>Contact Number<span class="required_sign">*</span></label>
          <input type="text" class="form-control" id="company_phone" name="company_phone"> 
          <div class="text-danger d-none company_phone_error" id="company_phone_error"></div>
          <input type="hidden" id="country_code" name="country_code" />
          <input type="hidden" id="user_ip" name="user_ip" />
          <input type="hidden" id="company_phone_full" name="company_phone_full" />
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-lg-12">
        <div class="form-group">
          <label>Your Email<span class="required_sign">*</span></label>
          <input type="text" class="form-control" name="company_email" id="company_email">
          <div class="text-danger d-none company_email_error" id="company_email_error"></div>
        </div>
      </div>
      <div class="col-sm-12">
        <div class="form-group">
          <input type="hidden" name="lead_from_page" class="lead_from_page" value="<?php echo $page_name; ?>" id="lead_from_page">
          <input type="hidden" name="lead_source" id="lead_source" class="lead_source d-none" />
          <input type="hidden" name="g_recaptcha_response" value="" id="g_recaptcha_response">
          <div class="error_msg1 g_recaptcha_response_error d-none" id="g_recaptcha_response_error">Please complete this required field</div>
        </div>
      </div>
    </div>

    <div class="mt-4">
      <button  class="btn btn-primary" id="contactUsMailSubmitButton">Submit<span class="loader ms-2" > <i class="fa fa-spinner fa-spin" style="font-size:24px"></i> </span></button>
    </div>
    <div class="error_msg1 common_error d-none">Please complete this required field</div>
  </div>
</form>