

<?php $__env->startSection('title', 'Welcome'); ?>

<?php $__env->startSection('content'); ?>
	

<section class="pt-5 mb-5 pb-5 contact-b">
		 <div class="container">
		  <div class="row">
            <div class="col-lg-12 text-center">
			<h1 class="headings white-text">CONTACT US</h1>
			</div>
		  </div>
		 
		 </div>
		</section>	
		 <section class="pt-5 mt-5 mb-5 pb-5">
		 <div class="container">
		  <div class="row">
            <div class="form-group col-lg-12 col-md-12">
                <form action="<?php echo e(route('contact.store')); ?>" method="post" enctype="multipart/form-data">
                    <?php echo csrf_field(); ?>
			 <div class="d-lg-flex d-md-flex">
			   <div class="form-group col mb-3">
			    <label>Full Name</label>
			    <input class="form-control" type="text" placeholder="Name" name="name" value="" >
			   </div>
			   <div class="col mb-3">
			    <label>Company/Firm Name</label>
			    <input class="form-control" type="text" placeholder="Company / Firm Name" name="company_name" value="" >
			   </div>
			 </div>
			 <div class="d-lg-flex d-md-flex">
			   <div class="form-group col mb-3">
			    <label>Your Email</label>
			    <input class="form-control" type="email" placeholder="Email" name="email" value="" >
			   </div>
			   <div class="form-group col mb-3">
			    <label>Phone</label>
			    <input class="form-control" type="tel" placeholder="Phone" name="phone" value="" >
			   </div>
			 </div>
			 <div class="d-lg-flex d-md-flex">
			   <div class="form-group col mb-3">
			    <label>Pincode </label>
			    <input class="form-control" type="text" placeholder="Pincode" name="pincode" value="" >
			   </div>
			   <div class="form-group col mb-3">
			    <label>State</label>
			    <select autocomplete="off" class="form-control" data-val="true" data-val-number="The field StateID must be a number." data-val-required="The StateID field is required." id="StateID" name="state" placeholder="State" required="required" style="background-color:#f7f7f7" data-bv-field="StateID"><option value="">Please Select</option>
                    <option value="Andaman Nicobar Ils">Andaman &amp; Nicobar Ils</option>
                    <option value="Andhra Pradesh">Andhra Pradesh</option>
                    <option value="Arunachal Pradesh">Arunachal Pradesh</option>
                    <option value="Assam">Assam</option>
                    <option value="Bihar">Bihar</option>
                    <option value="Chandigarh">Chandigarh</option>
                    <option value="Chhattisgarh">Chhattisgarh</option>
                    <option value="Daman Diu">Daman &amp; Diu</option>
                    <option value="Dadra Nagar Haveli">Dadra Nagar Haveli</option>
                    <option value="Delhi">Delhi</option>
                    <option value="Goa">Goa</option>
                    <option value="Gujarat">Gujarat</option>
                    <option value="Haryana">Haryana</option>
                    <option value="Himachal Pradesh">Himachal Pradesh</option>
                    <option value="Jammu Kashmir">Jammu &amp; Kashmir</option>
                    <option value="Jharkhand">Jharkhand</option>
                    <option value="Karnataka">Karnataka</option>
                    <option value="Kerala">Kerala</option>
                    <option value="Ladakh">Ladakh</option>
                    <option value="Lakshadweep">Lakshadweep</option>
                    <option value="Madhya Pradesh">Madhya Pradesh</option>
                    <option value="Maharashtra">Maharashtra</option>
                    <option value="Manipur">Manipur</option>
                    <option value="Meghalaya">Meghalaya</option>
                    <option value="Mizoram">Mizoram</option>
                    <option value="Nagaland">Nagaland</option>
                    <option value="Odisha">Odisha</option>
                    <option value="Punjab">Punjab</option>
                    <option value="Puducherry">Puducherry</option>
                    <option value="Rajasthan">Rajasthan</option>
                    <option value="Sikkim">Sikkim</option>
                    <option value="Tamil Nadu">Tamil Nadu</option>
                    <option value="Telangana">Telangana</option>
                    <option value="Tripura">Tripura</option>
                    <option value="Uttarakhand">Uttarakhand</option>
                    <option value="Uttar Pradesh">Uttar Pradesh</option>
                    <option value="West Bengal">West Bengal</option>
                    </select>
			   </div>
			   <div class="form-group col mb-3">
			    <label>City</label>
			    <input class="form-control" type="text" placeholder="City" name="city" value="" >
			   </div>
			 </div>
			  <div class="form-group col mb-3">
			    <label>Address</label>
			    <textarea class="form-control" placeholder="Address" name="address"></textarea>
			   </div>
			   <div class="form-group col mb-3">
			    <label>Message</label>
			    <textarea class="form-control" placeholder="Message" name="massage"></textarea>
			   </div>
		
                <button type="submit" class="btn btn-success" style="text-align: center;">Submit</button>
             
			</div>
			</form>
		  </div>
		 
		 </div>
		</section>
  <?php $__env->stopSection(); ?>
 
	

<?php echo $__env->make('layouts.app', \Illuminate\Support\Arr::except(get_defined_vars(), ['__data', '__path']))->render(); ?><?php /**PATH /home/603031.cloudwaysapps.com/pvusfnxuud/public_html/suymedia/resources/views/contact.blade.php ENDPATH**/ ?>