Mini Shell

Direktori : /var/www/vhosts/nezakettasbeautycenter.com.tr/httpdocs/detay/
Upload File :
Current File : /var/www/vhosts/nezakettasbeautycenter.com.tr/httpdocs/detay/randevu-al.php

<div class="breadcumb-wrapper" data-bg-src="resimler/<?=$bead["resim"]?>">
    <div class="container">
        <div class="breadcumb-content">
            <h1 class="breadcumb-title">Randevu / Bilgi</h1>
            <ul class="breadcumb-menu">
                <li><a href="index.html">Anasayfa</a></li>
                <li>Randevu Al</li>
            </ul>
        </div>
    </div>
</div>
<br><br>
<section class="space-bottom overflow-hidden">
<div class="container">
    <div class="row gy-40 align-items-end">
        <div class="col-xl-8">
           
           <form class="get-insurance__form" method="post" action="admin/include/fonksiyonlar.php">

                        <h3 class="form-title">Bilgi / Randevu</h3>
                        <div class="row">
                            
                                <div class="form-group col-md-6">
                                <input type="text" class="form-control" placeholder="Ad Soyad" name="adsoyad"><i class="fal fa-user"></i>
                                </div>
                                <div class="form-group col-md-6">
                                <input type="email" class="form-control" placeholder="Email" name="email"><i class="fal fa-envelope"></i>
                                </div>
                                <div class="form-group col-md-6">
                                <input type="email" class="form-control" placeholder="Telefon" name="telefon"><i class="fal fa-phone"></i>
                                </div>
                                <div class="form-group col-md-6">
                                <input type="text" class="form-control" placeholder="Konu" name="konu"><i class="fal fa-comment"></i>
                                </div>
                                <div class="form-group col-12">
                                <textarea name="mesaj" cols="30" rows="3" class="form-control" placeholder="Mesajınız"></textarea><i class="fal fa-comment"></i>
                            </div>

                            <div class="form-btn col-12">
                                <button type="submit" class="as-btn" name="iletisim-formu">Gönder</button>
                            </div>
                        </div>
                        <p class="form-messages mb-0 mt-3">
                        </p>
                    </form>
        </div>
        <div class="col-xl-4">
            <div class="contact-img">
                <img src="assets/img/normal/contact_1.png" alt="vector">
            </div>
        </div>
    </div>
</div>
</section>