<?
session_start();
require_once "config/config.php"; 
require_once "privilieges/xml_function.php";   // To Fetch the Xml Files
require_once "privilieges/common_fn.php"; 

if(!isset($_POST['submit']))
{
if($img_ny==1) { $show = 'block';} else { $show = 'none'; }
if($img_ny==2) { $show1 = 'block';} else { $show1 = 'none'; }
}


if(isset($_POST['submit']))
{
	// Join with Addwizz.com
	
	
	//personal details
	if(isset($_POST['name']) && $_POST['name'] !="")
	$feed_name = $_POST['name'];
	else
	$feed_name1 = 'Please Enter your Name';
	
	
	if(isset($_POST['email']) && $_POST['email']!="") 
	{
	if(!ereg("^(([A-Za-z0-9!#$%&'*+/=?^_`{|}~-][A-Za-z0-9!#$%&?'*+/=?^_`{|}~\.-]{0,63})|(\"[^(\\|\")]{0,62}\"))$",$_POST['email']))
	{
	$user_email=$_POST['email'];
	}
	else { $user_email1="please enter the valid email";
	}
	}else
	{
	$user_email1="please enter the email"; 
	}
	
	if(isset($_POST['mobile']) && $_POST['mobile'] !="")
	$feed_phone = $_POST['mobile'];
	else
	$feed_phone1 = 'Please Enter your Phone Number';
	
	if(isset($_POST['country']) && $_POST['country'] !="")
	$country = $_POST['country'];
	else
	$country1 = 'Please Enter your country ';
	
	if(isset($_POST['state']) && $_POST['state'] !="")
	$state = $_POST['state'];
	else
	$state1 = 'Please Enter your state ';
	
	if(isset($_POST['city']) && $_POST['city'] !="")
	$city = $_POST['city'];
	else
	$city1 = 'Please Enter your city ';
	
	//end personal details
	
	
	$ip_addr=$_SERVER['REMOTE_ADDR'];
	
	
	//domain details
	
	if(isset($_POST['domainname']) && $_POST['domainname'] !="")
	$domainname = $_POST['domainname'];
	else
	$domainname1 = 'Please Enter your budject ';
	
	if(isset($_POST['createdate']) && $_POST['createdate'] !="")
	$createdate = $_POST['createdate'];
	else
	$createdate1 = 'Please Enter your budject ';
	
	//end domain details
	
	//project details
	
	if(isset($_POST['message']) && $_POST['message'] !="")
	$message = $_POST['message'];
	else
	$message1 = 'Please Enter your message ';
	
	if(isset($_POST['category']) && $_POST['category'] !="")
	$category = $_POST['category'];
	else
	$category1 = 'Please Enter your category ';
	
	if(isset($_POST['nopages']) && $_POST['nopages'] !="")
	$nopages = $_POST['nopages'];
	else
	$nopages1 = 'Please Enter your category ';
	
	//end project details
	
	//page details
	if(isset($_POST['pagedetails']) && $_POST['pagedetails'] !="")
	$pagedetails = $_POST['pagedetails'];
	else
	$pagedetails1 = 'Please Enter your budject ';
	
	if(isset($_POST['pagecount']) && $_POST['pagecount'] !="")
	$pagecount = $_POST['pagecount'];
	else
	$pagecount1 = 'Please Enter your budject ';
	
	if(isset($_POST['budjet']) && $_POST['budjet'] !="")
	$budjet = $_POST['budjet'];
	else
	$budjet1 = 'Please Enter your budject ';
	
	if(isset($_POST['timeframe']) && $_POST['timeframe'] !="")
	$timeframe = $_POST['timeframe'];
	else
	$timeframe1 = 'Please Enter your budject ';
	
	
	//end page details
	
	
	//sample domains
	
	if(isset($_POST['sampledomains']) && $_POST['sampledomains'] !="")
	$sampledomains = $_POST['sampledomains'];
	else
	$sampledomains1 = 'Please Enter your budject ';
	
	if(isset($_POST['domaincount']) && $_POST['domaincount'] !="")
	$domaincount = $_POST['domaincount'];
	else
	$domaincount1 = 'Please Enter your budject ';
	//end sample domains
	
	
	//chat id
	if(isset($_POST['img_ny']) && $_POST['img_ny'] !="")
	$img_ny = $_POST['img_ny'];
	else
	$img_ny1 = 'Please Enter your budject ';
	
	if(isset($_POST['chatid']) && $_POST['chatid'] !="")
	$chatid = $_POST['chatid'];
	else
	$chatid1 = 'Please Enter your budject ';
	if(isset($_POST['time']) && $_POST['time'] !="")
	$time = $_POST['time'];
	else
	$time1 = 'Please Enter your budject ';
	
	if(isset($_POST['date']) && $_POST['date'] !="")
	$date = $_POST['date'];
	else
	$date1 = 'Please Enter your budject ';
	//end chat details
		
		
		$today=date('Y-m-d');
		
		if($feed_name1 || $user_email1 || $budjet1 || $category1 || $feed_phone1 || $domainname1 || $country1 || $state1 || $city1 || $message1 || $createdate1 || $nopages1 || $pagedetails1 || $pagecount1 || $timeframe1 || $img_ny1)
		{
		$error =1;
		}
		if(!$error)
		{
		$sql ="INSERT INTO `customize_quotes` (`customize_name` , `customize_email` , `customize_mob` , `customize_country` , `customize_state` , `customize_city` , `customize_pagedetails` , `customize_pagecount` , `customize_time` , `customize_budjet` , `customize_domain_name` , `customize_create_date` , `customize_domain_details` , `customize_domain_pages` , `customize_category` , `customize_sample_domain` , `customize_domain_count` , `customize_chat_status` , `customize_chatid` , `customize_chat_time` , `customize_chat_date` , `customize_reg_date` , `customize_ip` , `customize_status` )
VALUES (
'$feed_name', '$user_email', '$feed_phone', '$country', '$state', '$city', '$pagedetails', '$pagecount', '$timeframe', '$budjet', '$domainname', '$createdate', '$message', '$nopages', '$category', '$sampledomains', '$domaincount', '$img_ny', '$chatid', '$time', '$date', '$today', '$ip_addr', '0');";
		 
		
		mysql_query($sql);
		
		//require_once "email/email.php"; 
		$succ = 1;
		
		$feed_name='';
		$feed_phone='';
		$user_email=''; 
		$budjet='';
		$category='';
		$domainname='';
		$country='';
		$state='';
		$city='';
		$message='';
		$pagedetails='';
		$pagecount='';
		$timeframe='';
		$createdate='';
		$nopages='';
		$sampledomains='';
		$domaincount='';
		$show = 'none';
		$chatid='';
		 $time='';
		 $date='';
		 
		
		}
		}

	
?>

<!DOCTYPE html>

<html lang="en-US">

<head>

<meta charset="UTF-8" />


<title>Mehar Computer Customized Quotation - Web Development Company, Website Designing, PHP outsourcing, Web Applications, Software Development</title>

<meta name="description" content="Mehar Computer Customized Quotation - Web Development Company, Website Designing, PHP outsourcing, Web Applications, Software Development, Offshore IT Outsourcing Company, India offers web development, website designing, seo services. Outsource PHP projects at cheap affordable development cost." />

<meta name="keywords" content="Mehar Computer Customized Quotation - Web Development Company, Website Designing, PHP outsourcing, Web Applications, Software Development, Offshore IT Outsourcing Company, India offers web development, website designing, seo services. Outsource PHP projects at cheap affordable development cost, Web Design Company India, Web Development Company India, Web Hosting Company India, Web Design Services India, Web Development Services India, Web Hosting Services India, web design india." />


    <link rel='stylesheet' id='bootstrap-css'  href='fancycss/bootstrap.css' type='text/css' media='all' />

        <link rel='stylesheet' id='stylesheet-css'  href='fancycss/style.css' type='text/css' media='all' />

        <link rel='stylesheet' id='bootstrap-responsive-css'  href='fancycss/bootstrap-responsive.css' type='text/css' media='all' />	
		
		<link rel='stylesheet' id='jquery-css'  href='fancycss/jquery.css' type='text/css' media='all' />		 


<style type="text/css">

	body{background: #ffffff 

	
	}

	input,button,select,textarea,body,span, aside .widget_twitter li{font-family: Open Sans; font-size: 12px; color:#999999 }

	h1,h2,h3,h4,h5,h6, nav .menu li a{font-family: Arvo}

	
	h1{font-size: 36px}

	h2{font-size: 24px}

	h3{font-size: 20px}

	h4{font-size: 18px}
	nav .menu li{font-size:13px}
	h5{font-size: 16px}

	h6{font-size: 14px}

	nav .menu li.current-menu-item{border-bottom:5px solid #8fd247; color:#8fd247}
  nav .menu li.current-menu-item a, footer .widget_recent_posts ul li a:hover, .blog-article h4 a:hover, .blog-article .date, .blog-article .date span, aside ul li:hover a, .page_parents li a:hover, #portfolio-filter ul li.active a, .services_medium h4 a:hover, .services_small a:hover,  #faq-filter ul li.active a, footer a:hover, #dynamic_testimonial li .stars i.colored, .carousel_blog li.blog-article .content h6 a:hover, .carousel_blog li.blog-article .content h5 a:hover, .header_content.v2_style .circle i, .comment dl dd ul li a:hover, #respond a:hover, .recent_news .news-article h5 a:hover, .color_skin{color:#8fd247;}
  .blog-article .blog-image-type, .blog-article .date:hover, .blog-article .border_style_color, .base_btn, .tpl2 .center-bar a.link:hover, .tpl2 .center-bar a.lightbox:hover, #portfolio-preview-items .portfolio-item .project:hover, .border_style_color,  .skill .percentage_circle .circle4, .services_medium .icon_medium, .services_small dt:hover, .social_icons li:hover, .carousel_blog li.blog-article dt .v2_type:hover, .carousel_blog li.blog-article:hover .date_dyn, .header_content, .tagcloud a:hover, .more-large, .services_list dt:hover, nav .menu li ul li:hover, .recent_news .news-article .date:hover, .recent_news .news-article .blog-image-type, .slider_overlay{background:#8fd247;}
  .services_medium a.link:hover{background:#8fd247 !important;}
  .tp-caption.big_white{background-color:#8fd247 !important}
  nav .menu li a{color:#999999;}
  .footer_wrapper{border-top:5px solid #8fd247;}
  .widget_flickr img:hover{border-color:#8fd247;}
  .header_page .container{ border-bottom:10px solid #8fd247;}
  .slideshow_container{ border-bottom:18px solid #8fd247;}
  #portfolio-filter ul li.active a, #faq-filter ul li.active a{border-bottom:3px solid #8fd247;}
  .row-dynamic-el .pagination a:hover{border:1px solid #8fd247;}
  .header_content.v2_style .circle{border:3px solid #8fd247;}
  
    .header_content.v2_style .span3{border-left:2px solid rgba(143, 245, 71, 0.25)}
  .header_content.v2_style .span3{border-right:2px solid rgba(83, 195, 71, 0.3)}  

  .textbar .container{border-top:7px solid #8fd247;}
  .textbar.with_image .img_div{border:7px solid #8fd247;}
  .portfolio_sc_item img:hover {border:2px solid #8fd247; }
  .in_head, .progress-striped .bar,  #respond input[type="submit"]{background-color:#8fd247;}
  aside .tagcloud a:hover{color:#8fd247;}
  .footer_social_icons li:hover {background-color:#8fd247 ;}
  footer .footer_social_icons li i:hover{background-color:#8fd247; color:#8fd247;}
  .social_ a, #mc_signup_submit{background:#8fd247;}
  .themeple_sc .themeple_blockquote{border-left-color: #8fd247;}
  .footer .price_button {background-color:#8fd247;}
  .price_1_col.level-max {border-color:#8fd247;}
  nav .menu li:hover ul{border-top:3px solid #8fd247}
  .row-dynamic-el .header h3, .themeple_sc .header h3{color: #444444} 
  .side-nav li.current_page_item{background: #8fd247;}
  .side-nav li.current_page_item a{color:#fff}
  .portfolio_single_nav li:hover a i{color:#8fd247}
  .portfolio_single_nav li:hover{border:1px solid #8fd247}
  a:hover{color:#8fd247}
  
  .top_nav{background:#f7f7f7; color:#999999}
  
  .services_list dt i{font-size: 32px; line-height: 60px;color: #ffffff;}
  .services_list dt{background:#4f4f4f;}

  .services_small i{color:#ffffff; font-size:24px}
  
  footer#footer{background:#3e3e3e; color:#b9b9b9}  
  #copyright{background:#313131}  
  .header_3 .top_nav, .header_4 .top_nav{background:#8fd247}
   
    .accordion-heading {background-image:url('images/arrow.png'); background-position: left center; background-repeat: no-repeat;}
  
      .in_head{background-image: url('images/arrow_active.png'); background-position: left center; }
    
      .headborder{background:url('images/headborder.png') no-repeat; }
    .header_content .headborder{background: url('images/headborder.png') repeat-y;}
    
      aside select, footer select, .dyn_widget select  {background:url('images/select_arrow.png') no-repeat right;}
   </style>


        <script src="jquery/jquery.js" type="text/javascript"></script>
<script src="jquery/jquery.validate.js" type="text/javascript"></script>

<script type="text/javascript">
$().ready(function() {
	$("#thisform").validate({
		rules: {
		
		   name: {
				required: true,
				
				
			},
		
			mobile: {
				required: true,
				minlength: 10
			},
				
			
			email: {
				required: true,
				email: true,
				
			},
			
			country: {
				required: true,
				
				
			},
			 state: {
				required: true,
				
				
			},
			 city: {
				required: true,
				
				
			}, 
			
			
			domainname: {
				required: true,
				
				
			},
		
			category: {
				required: true,
				
				
			},
			
			 createdate: {
				required: true,
				
				
			}, 
			 nopages: {
				required: true,
				
				
			}, 
			
			
			  message: {
				required: true,
				minlength: 50,
				maxlength: 4500
				
			},
			
			
			pagedetails: {
				required: true,
				minlength: 10,
				maxlength: 4500
				
			},
			 pagecount: {
				required: true,
				
				
			}, 
			 budjet: {
				required: true,
				
				
			}, 
			 timeframe: {
				required: true,
				
				
			}, 
			sampledomains: {
				minlength: 5,
				maxlength: 4500
				
			},
			
			
			img_ny: {
				required: true,
				
				
			}, 
			
		},
		messages: {
		
		
		      name: {
				required: "Enter Your name ",
				
			},
		 
				
			mobile: {
				required: "Enter mobile number",
				minlength: "Enter min 10 letters"
			},
			
		
			email:{
			 required:"Enter your email",
			 email: "Enter a valid email",
			 
			 },
			 
			country: {
				required:"Enter your country",
				
				
			},
			 state: {
				required:"Enter your state",
				
				
			},
			 city: {
				required:"Enter your city",
				
				
			}, 
			
			
				domainname: {
				required:"Enter your domain name",
				
				
			},
			
			category: {
				required:"Enter your category",
				
				
			},
			
			 createdate: {
				required:"Enter your Create Date",
				
				
			}, 
			 nopages: {
				required:"Enter your No of Pages",
				
				
			}, 
		     
			 
			 message: {
				required: "Enter your Project Details",
				minlength: "Enter min 50 letters",
				maxlength: "Enter max 4500 letters"
			},
			
				pagedetails: {
				required: "Enter your Page Details",
				minlength: "Enter min 10 letters",
				maxlength: "Enter max 4500 letters"
				
			},
			 pagecount: {
				required:"Enter your Pages Count",
				
				
			}, 
			 budjet: {
				required:"Enter your budjet",
				
				
			}, 
			 timeframe: {
				required:"Enter your Time Frame",
				
				
			}, 
			
			sampledomains: {
				minlength: "Enter min 5 letters",
				maxlength: "Enter max 4500 letters"
				
			},
			
			img_ny: {
					required:"Select Chat Status",
				
				
			},
			
			
		}
	});
});
</script>


<style type="text/css">

#thisform label.error {
font-family:"Courier New", Courier, monospace;
width: auto;
display: inline;
color:#FF0000;
font-weight:normal;
font-size:12px;
padding-left:10px;

	
	}

#thisform input.error {
	border-bottom-width:thin;
	border-color:#FF0000; 
	
}
#thisform textarea.error {
	border-bottom-width:thin;
	border-color:#FF0000; 
	
}

</style>
        
<!--pages count	-->	
<script>
function pages()
{

var mainStr = document.getElementById('pagedetails').value;
var strs = mainStr.split(',');
var lenghtcount= strs.length;
document.getElementById('pagecount').value =  lenghtcount ;

} 
</script>

 
<script>
function domain_count()
{
var mainStr = document.getElementById('sampledomains').value;
var strs = mainStr.split(',');
var lenghtcount= strs.length;
document.getElementById('domaincount').value =  lenghtcount ;


} 
</script>

<!--end page count-->


        <link href='fancycss/css.css' rel='stylesheet' type='text/css' />

        
        <link href='fancycss/css_002.css' rel='stylesheet' type='text/css' />

 		
<link rel='stylesheet' id='flick-css'  href='fancycss/flick.css' type='text/css' media='all' />
<link rel='stylesheet' id='mailchimpSF_main_css-css'  href='fancycss/main_css.css' type='text/css' media='all' />
<!--[if IE]>
<link rel='stylesheet' id='mailchimpSF_ie_css-css'  href='http://progreen.themeple.co/wp-content/plugins/mailchimp/css/ie.css?ver=3.5.1' type='text/css' media='all' />
<![endif]-->
<link rel='stylesheet' id='layerslider_css-css'  href='fancycss/layerslider.css' type='text/css' media='all' />
<link rel='stylesheet' id='rs-settings-css'  href='fancycss/settings.css' type='text/css' media='all' />
<link rel='stylesheet' id='rs-captions-css'  href='fancycss/captions.css' type='text/css' media='all' />
<link rel='stylesheet' id='mediaelementplayer-css'  href='fancycss/mediaelementplayer.css' type='text/css' media='all' />
<link rel='stylesheet' id='jquery.fancybox-css'  href='fancycss/jquery.fancybox.css' type='text/css' media='all' />
<link rel='stylesheet' id='hoverex-css'  href='fancycss/hoverex-all.css' type='text/css' media='all' />
<link rel='stylesheet' id='themeple_font_aw-css'  href='fancycss/font-awesome.css' type='text/css' media='all' />
<link rel='stylesheet' id='themeple_font_aw_ie-css'  href='fancycss/font-awesome-ie7.min.css' type='text/css' media='all' />


<script type='text/javascript' src='fancyjs/jquery.js'></script>
<script language="javascript" src="privilieges/showhide.js" type="text/javascript"></script>

<script language="javascript" src="privilieges/country.js" type="text/javascript"></script>

<script language="javascript" src="fancyjs/datetimepicker.js" type="text/javascript"></script>
	
<meta http-equiv="Content-Language" content="en-US" />
<style type="text/css" media="screen">
.qtrans_flag span { display:none }
.qtrans_flag { height:12px; width:18px; display:block }
.qtrans_flag_and_text { padding-left:20px }
.qtrans_flag_de { background:url(images/de.png) no-repeat }
.qtrans_flag_en { background:url(images/gb.png) no-repeat }
.qtrans_flag_zh { background:url(images/cn.png) no-repeat }
</style>

	<style type="text/css">.recentcomments a{display:inline !important;padding:0 !important;margin:0 !important;}</style>

</head>

<body  class="page page-id-179 page-template-default header_1">


       <div class="top_nav">
        
        <div class="container">
            <div class="row-fluid">
                <div class="span6">
                    <div class="pull-left">
                        <div id="text-2" class="widget widget_text">			
		</div><div id="social_widget-3" class="widget social_widget">                  </div>
                </div>
           
               
            </div>
        </div>

    </div>
        <!-- Header -->
    <div id="page-bg"></div>
        <header id="header" class="header_1">
        <div class="container">
    	   <div class="row-fluid">
                <div class="span12">

                <!-- Logo -->
		                              
                                        <div id="logo" class="">

                        
                            <a href='index.php'>
							<img src="images/logo.png" alt=""></a>		      
                    </div><!-- #logo -->
		    		    <div class="pull-right header_widgetized">
                    <div id="search-3" class="widget widget_search"><!--<form action="http://progreen.themeple.co" id="search-form">-->
                            <div class="input-append">
                                <!--<input type="text" size="16" placeholder="Search&hellip;" name="s" id="s"><button type="submit" class="more">Search--></button>
                            </div>
<!--</form>--></div>                  </div>  
		    			<div id="navigation" class="nav_top pull-right nav_center ">

                        	
            	            	<nav>

            	                	<ul id="menu-menu" class="menu"><li id="menu-item-45" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-192"><a href="index.php">Home</a>

</li>
<li id="menu-item-285" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-272"><a href="about_us.php">About Us</a></li>
<li id="menu-item-192" class="menu-item menu-item-type-custom menu-item-object-custom menu-item-192"><a href="services.php">Services</a>
<ul class="sub-menu">
	<li id="menu-item-194" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-194"><a href="hosting.html">Hosting</a></li>
	<li id="menu-item-193" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-193"><a href="domain.html">Domain</a></li>
	<li id="menu-item-200" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-200"><a href="seo.html">SEO</a></li>
</ul>
</li>
<li id="menu-item-108" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-108"><a href="portfolio.php">Portfolio</a></li>
<li id="menu-item-46" class="menu-item menu-item-type-custom menu-item-object-custom current-menu-item current_page_item menu-item-home menu-item-45"><a href="customize_quotes.php">Customize Quotes</a></li>
<li id="menu-item-178" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-178"><a href="#">Templates</a>
<ul class="sub-menu">
	<li id="menu-item-194" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-194"><a href="free_templates.php">Free Templates</a></li>
	<li id="menu-item-193" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-193"><a href="premium_templates.php">Premium Templates</a></li>
</ul>
</li>
<li id="menu-item-182" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-182"><a href="package.php">Package</a></li>
<li id="menu-item-182" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-182"><a href="contact-us.php">Contact Us</a></li>
<li id="menu-item-272" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-272"><a href="sitemap.html">Sitemap</a></li>
</ul>
                                  

            	                </nav>


                     </div><!-- #navigation -->

		    	
                </div>
            </div>
        	   
            
        </div>

    </header>

    <div class="top_wrapper">
        <div class="header_headline "><div class="container"><h2></h2></div></div>
    

	<div class="wrapper_background">
                <div class="container">
                <div class="header_content _style">

                                    <span class="headborder"></span><span class="fullshadow"></span>

        </div>
                </div>
   	
        	<!-- .header -->        

    
        <!-- Page Head -->
    
    <div class="header_page">
            <div class="container">
                <div class="row-fluid">
                    <div class="span6">
                        <h4>Customize Quotes</h4>  <span class="subtitle">Customize your detailed quotes.</span>
                    </div>
                    <div class="span6">
                        <h4 class="you_are_here">You are here:</h4>
                        <ul class="page_parents pull-right">
                            
                            <li><a href="index.php">Home</a>/</li>
                            
                                                        <li><a href="customize_quotes.php">Customize Quotes</a></li>

                        </ul>
                    </div>
                    <span class="headgradient"></span>
                    <span class="headborder"></span>
                </div>
            </div>
            <div class="header_shadow"></div>
    </div> 
     
    
    <section id="content" class="page-dynamic_template-contactp">
        <div class="container">
            <div class="row">
                       
            
               <div class="span12">
               
     <!--   <div class="row-fluid row-dynamic-el">

<div class="span12"><div class="row-fluid row-google-map"><iframe class="googlemap" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src="https://maps.google.com/maps?q=new+york+map&ll=40.778982,-73.940048&spn=0.355906,0.747757&hnear=New+York&t=m&z=12&output=embed&amp;output=embed"></iframe><span class="big_shadow"></span></div></div>

</div>-->
	<form name="contactForm" id="thisform" class="standard-form row-fluid" action="#" method="post">
	

	<div class="row-fluid row-dynamic-el">
	<span style="color:#FF0000; padding-left:550px; font-size:14px; font-family:Palatino Linotype">All fields are mandatory except Sample Domains Details</span>
	<? if($succ) { ?>
<div class="alert alert-success" style="width:450px"><a class="close" data-dismiss="alert" href="#">&times;</a><strong></strong> Success! Customized Your Quotation we will get back you soon!!</div><? } ?>
	<div class="span9 contact_form"><div class="header"><h3>Send Us a Message</h3><span class="border_style_color"></span></div><div class="row-fluid"><div class="row-fluid"><div class="span12"><p class="desc"></p><div class="header" style="width:250px; margin-top:-30px"><h3>Personal Details</h3></div><p></p><br /><br />
	<input class="span6" name="name" placeholder="Name" style="width:50px"  type="text" id="name" value=""/><p></p>
	<input class="span6" name="email" placeholder="E-Mail"  type="text" id="email" value=""/><p></p>
	<input class="span6" name="mobile" placeholder="Mobile Number"  type="text" id="mobile" value=""/><p></p>
	<input class="span6" name="country" placeholder="Country"  type="text" id="country" value=""/><p></p>
	<input class="span6" name="state" placeholder="State"  type="text" id="state" value=""/><p></p>
	<input class="span6" name="city" placeholder="City"  type="text" id="city"  value=""/>	<p></p> 
	<div class="header" style="width:250px;"><h3>Pages Details</h3></div><p style="margin-top:75px;">
	<textarea class="span12" style="width:350px"  placeholder="Pages Details"  name="pagedetails"  cols="40" rows="7" id="pagedetails" onChange="pages();" onKeyUp="pages();" > </textarea>
	<p><span style="color:#800000; font-weight:bold">(Eg:About Us,Contact Us)</span></p>
	<input class="span6" name="pagecount" placeholder="Page Count"  type="text" id="pagecount"  value=""/><p></p>
	<input class="span6" name="budjet" placeholder="Budjet"  type="text" id="budjet"  value=""/><p></p>
	<input class="span6" name="timeframe" placeholder="Time Frame"  type="text" id="timeframe"  value=""/>
	<span style="color:#800000; font-weight:900">Days</span><p></p>
	<div class="header" style="width:250px;"><h3>Any Sample Domains</h3></div>
	<p style="margin-top:75px;"><textarea class="span12" style="width:350px"  placeholder="Sample Domains"  name="sampledomains" cols="40" rows="7" id="sampledomains" onChange="domain_count();" onKeyUp="domain_count();"  > </textarea><p>
	<span style="color:#800000; font-weight:bold">(Eg: www.google.com,www.yahoo.com)</span></p>
	<input class="span6" name="domaincount" placeholder="Domain Count"  type="text" id="domaincount"  value=""/><p></p><input type="submit" name="submit"  value="Quotation Request" class="more-large" /></p><div id="ajaxresponse"></div></div></div></div></div>
	
	<div class="span9 contact_form" style="margin-left:-180px; margin-top:50px; width:400px"><div class="header" style="width:250px;" ><h3>Domain Name Details</h3></div><p style="margin-top:25px; margin-left:-40px"><input class="span6" name="domainname" placeholder="Domain Name Your Wish"  type="text" id="domainname" value=""/></p>
	<p style="margin-left:-40px"><input class="span6" name="createdate" placeholder="Create Date"  type="text" id="createdate" value=""/><a href="javascript:NewCal1('createdate','yyyymmdd')">&nbsp;<img src="images/cal.gif" alt="Pick a date" border="0" height="16" width="16" /></a></p>
	<div class="header" style="width:250px;"><h3>Project Details</h3></div><p style="margin-left:-40px"><textarea class="span12" style="width:350px"  placeholder="Project Details"  name="message" cols="40" rows="7" id="themeple_message" > </textarea></p>
	<p style="margin-left:-40px"><input class="span6" name="nopages" placeholder="No Of Pages"  type="text" id="nopages" value=""/></p>
	<p style="margin-left:-40px"><input class="span6" name="category" placeholder="Project Category"  type="text" id="category"  value=""/></p>
	<div class="header" style="width:250px;" ><h3>On Line Chat</h3></div><p style="margin-top:75px; margin-left:-100px"><input type="radio" value="1" name="img_ny" onClick="haveaweb_yes();" />
	Yes 
	<input type="radio" value="2" name="img_ny" onClick="haveaweb_no();" />
	No </p>
	<div id="weby" style="display:">
	<p style="margin-left:-40px"> <input class="span6" style="width:250px" name="chatid" placeholder="Chat Id"  type="text" id="chatid"  value=""/></p>
	<p style="margin-left:-40px"> <input class="span6" style="width:250px" name="time" placeholder="Time"  type="text" id="time"  value=""/></p><p style="margin-left:-40px"> <input class="span6" style="width:250px" name="date" placeholder="Date"  type="text" id="date"  value=""/>
	<a href="javascript:NewCal('date','yyyymmdd')">&nbsp;<img src="images/cal.gif" alt="Pick a date" border="0" height="16" width="16"></a></p>
	</div></div>
	
	</div>   </form>             
                </div>
             
                    </div>
        </div>
    </section>

 <!-- Social Profiles -->
    

<!-- Footer -->
    </div>
</div>
   <div class="footer_wrapper">
    <?
		require_once "includes/footerss.php";
	?><!-- #footer -->
</div>


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