| Server IP : 162.214.74.102 / Your IP : 216.73.216.59 Web Server : Apache System : Linux dedi-4363141.lrsys.com.br 3.10.0-1160.119.1.el7.tuxcare.els25.x86_64 #1 SMP Wed Oct 1 17:37:27 UTC 2025 x86_64 User : lrsys ( 1015) PHP Version : 5.6.40 Disable Function : exec,passthru,shell_exec,system MySQL : ON | cURL : ON | WGET : ON | Perl : ON | Python : ON | Sudo : ON | Pkexec : ON Directory : /home/lrsys/www/lrsys_projetos/sopizzas/application/views/frontend/ |
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<?php echo $map['js']; ?>
<script src="https://maps.googleapis.com/maps/api/js?key=<?=MAP_API_KEY?>&callback=initMap"
async defer></script>
<div class="for-fixed"></div>
<section id="contactus">
<div class="container">
<div class="col-md-12 col-sm-12 col-xs-12 checkBg paddxs">
<h3 class="mcleft15 fts20"><?php echo $this->lang->line('ContactUs');?></h3>
<div class="col-md-8 col-sm-8 col-xs-12 paddxs paddingleft0">
<?php if(validation_errors() != FALSE) { ?>
<div class="alert alert-danger text-center">
<a href="#" class="close" data-dismiss="alert" aria-label="close">×</a>
<strong><?php echo validation_errors(); ?></strong>
</div>
<?php } ?>
<?php if($this->session->flashdata('success_msg')) { ?>
<div class="alert alert-info text-center">
<a href="#" class="close" data-dismiss="alert" aria-label="close">×</a>
<strong><?php echo $this->session->flashdata('success_msg'); ?></strong>
</div>
<?php } ?>
<?php $validator = array('role' => 'form', 'data-toggle' => 'validator'); echo form_open('contact',$validator) ?>
<div class="col-md-6">
<div class="form-group">
<label for="usr"><?php echo $this->lang->line('Chooseyourinquirytype');?></label>
<select name="inquiry_type" id="inquiry_type" class="form-control bod-form" id="sel1">
<option value="<?php echo $this->lang->line('SupportNeedhelpwithanorder');?>"><?php echo $this->lang->line('SupportNeedhelpwithanorder');?></option>
<option value="<?php echo $this->lang->line('GeneralInquiriesbusinessopportunities');?>"><?php echo $this->lang->line('GeneralInquiriesbusinessopportunities');?></option>
<option value="<?php echo $this->lang->line('CareersJobrelatedinquiries');?>"><?php echo $this->lang->line('CareersJobrelatedinquiries');?></option>
</select>
</div>
</div>
<div class="clearfix"></div>
<div class="col-md-6">
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-user" aria-hidden="true"></i></button>
</span>
<input name="first_name" id="first_name" type="text" value="<?php echo set_value('first_name', isset($data['first_name']) ? $data['first_name'] : ''); ?>" class="form-control bod-form" placeholder="<?php echo $this->lang->line('FirstName');?>" required="">
</div>
</div>
<div class="col-md-6">
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-user" aria-hidden="true"></i></button>
</span>
<input name="last_name" id="last_name" type="text" value="<?php echo set_value('last_name', isset($data['last_name']) ? $data['last_name'] : ''); ?>" class="form-control bod-form" placeholder="<?php echo $this->lang->line('LastName');?>" required="">
</div>
</div>
<div class="col-md-6">
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-envelope" aria-hidden="true"></i></button>
</span>
<input name="contact_email" id="contact_email" type="email" value="<?php echo set_value('contact_email', isset($data['contact_email']) ? $data['contact_email'] : ''); ?>" class="form-control bod-form" placeholder="<?php echo $this->lang->line('ContactEmail');?>" required="">
</div>
</div>
<div class="col-md-6">
<div class="input-group form-group">
<span class="input-group-btn">
<button class="btn btn-secondary btn-icon" type="button"><i class="fa fa-envelope" aria-hidden="true"></i></button>
</span>
<input pattern="(?:[+][0-9]{1,3}[\s]?)?(?:(?:[(][0-9]{2}[)][\s]?)|(?:[0-9]{2}[\s]?))?(?:(?:[0-9]{1}[0-9.-]{6,8}[0-9]{1})|(?:[0-9]{1}[\s]?[0-9\.-]{6,8}[0-9]{1})){1}" data-pattern-error="Please enter a valid mobile number" name="contact_phone" id="contact_phone" type="text" value="<?php echo set_value('contact_phone', isset($data['contact_phone']) ? $data['contact_phone'] : ''); ?>" class="form-control bod-form" placeholder="<?php echo $this->lang->line('ContactPhone');?>">
</div>
</div>
<div class="clearfix"></div>
<div class="col-md-12">
<div class="form-group">
<textarea placeholder="<?php echo $this->lang->line('Comment');?>" name="comment" id="comment" class="form-control bod-form" rows="5" id="comment" required=""><?php echo set_value('comment', isset($data['comment']) ? $data['comment'] : ''); ?></textarea>
</div>
</div>
<div class="clearfix"></div>
<div class="col-md-12 mctop15">
<button type="submit" class="btn cos-mh-btn nxt-btn"><?php echo $this->lang->line('Submit');?></button>
</div>
<div class="clearfix"></div>
</form>
</div>
<div class="col-md-4 col-sm-4 col-xs-12 paddxs fc-bod" style="border-radius: 8px;">
<h3 class="mpd"><?=SITENAME?></h3>
<p class="text-center"><?php echo $admin_data['site_address']; ?></p>
<?php echo $map['html']; ?>
</div>
</div>
</div>
</section>
<div class="clearfix"></div>