MOON
Server: Apache
System: Linux e2e-78-16.ssdcloudindia.net 3.10.0-1160.45.1.el7.x86_64 #1 SMP Wed Oct 13 17:20:51 UTC 2021 x86_64
User: imensosw (1005)
PHP: 7.4.33
Disabled: exec,passthru,shell_exec,system
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File: /home/imensosw/lp.imensosoftware.com/contact_popup_form_html.php
<div class="modal fade" id="contact_popup" tabindex="-1" aria-labelledby="exampleModalLabel" aria-hidden="true" data-backdrop="static">
  <div class="modal-dialog modal-dialog-centered contact_popup">
    <div class="modal-content">
      <div class="modal-body">
        <button type="button" class="btn-close" data-bs-dismiss="modal" aria-label="Close"></button>
        <div class="row align-items-center">
          <div class="col-md-6">
            <div class="contact_popup_img" style="background-image: url('../images/contact_form_img.jpg');">
            </div>
          </div>
          <div class="col-md-6">
            <div class="popup_form">
              <h4 class="mb-3 mt-4 mt-md-0">Let's talk to discuss further</h4>
              <form method="post" id="contactPopUpMailForm" name="contact-popup-form-imenso">
                <div class="" id="error_msg">                
                      <div class="form-group">
                        <label>Full Name<span class="required_sign">*</span></label>
                        <input type="text" class="form-control" id="contact_name" name="contact_name">
                        <div class="text-danger d-none contact_name_error" id="contact_name_error"></div>
                      </div>               
                      <div class="form-group addPopupCountryDropdown" id="addPopupCountryDropdown">
                        <label>Contact Number<span class="required_sign">*</span></label>
                        <input type="text" class="form-control" id="contact_phone" name="contact_phone"> 
                        <div class="text-danger d-none contact_phone_error" id="contact_phone_error"></div>
                      </div>
                      <div class="form-group">
                        <label>Email Address</label>
                        <input type="text" class="form-control" name="contact_email" id="contact_email">
                        <div class="text-danger d-none contact_email_error" id="contact_email_error"></div>
                      </div>
                      <div class="form-group">
                        <input type="hidden" id="contact_phone_full" name="contact_phone_full" />
                        <input type="hidden" id="country_code" name="country_code" />
                        <input type="hidden" id="user_ip" name="user_ip" />
                        <input type="hidden" name="contact_g_recaptcha_response" value="" id="contact_g_recaptcha_response">
                        <div class="error_msg1 contact_g_recaptcha_response_error d-none" id="contact_g_recaptcha_response_error">Please complete this required field</div>
                      </div>
                      <div class="mt-4 pb-4 pb-md-0">
                        <button  class="btn btn-primary" id="contactUsMailSubmitButton">Let's Talk <span class="loader ms-2" > <i class="fa fa-spinner fa-spin" style="font-size:24px"></i> </span></button>
                      </div>
                      <div class="error_msg1 contact_common_error d-none">Please complete this required field</div>
                </div>
              </form>
            </div>
          </div><!--col-->
        </div><!--col-->
      </div><!--modal body-->
    </div>
  </div>
</div>