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<?php require('inc/header.php');

if(isset($_POST['submit-form'])){
     $to = 'rumpa.kyptronix@gmail.com'; // Change this to the email address you want to send the email to 
    $subject = 'Quote Form';
    
    // Get the form data
    $name = $_POST['your-name'];
    $email = $_POST['your-email'];
    $phone = $_POST['your-phone'];
    $services = $_POST['services'];
    $message = $_POST['your-message'];
    
    // Create the email headers
    $headers = "From: $name <$email>\r\n";
    $headers .= "Reply-To: $email\r\n";
    
    // Build the email content
    $email_content = "Name: $name\n";
    $email_content .= "Email: $email\n";
    $email_content .= "phone: $phone\n";
    $email_content .= "services: $services\n";
    $email_content .= "Message: $message\n";
    
    // Send the email
    $success = mail($to, $subject, $email_content, $headers);
    
    if($success){
        echo "<script>alert('Email sent successfully!')</script>";
    }else{
        echo "<script>alert('Failed to send email. Please try again later.')</script>";
    }
}
?>

<section class="page-title style-two centred bg_image" data-image-src="images/page-title-5.jpg">
<div class="auto-container">
<div class="content-box clearfix">
<h1>Get Free Quote</h1>
<ul class="bread-crumb clearfix">

<li><span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Go to Business &amp; consullting." href="index.php" class="home"><span property="name">Home</span></a><meta property="position" content="1"></span></li><li>Get Free Quote</li> </ul>
</div>
</div>
</section>

<section class="contact-section service-page-2">
<div class="auto-container">
<div class="row clearfix">
<div class="col-xl-6 col-lg-12 col-md-12 m-auto content-column">
<div id="content_block_nine">
<div class="content-box">
<div class="sec-title style-three left light">
<h5 style="color:#000 !important">TRY OUR SERVICES</h5>
<h2 style="color:#000 !important" class="heading">Get Free Quote</h2>
</div>
<div class="form-inner">
<div role="form" class="wpcf7" id="wpcf7-f262-p547-o2" lang="en-US" dir="ltr">
<div class="screen-reader-response"><p role="status" aria-live="polite" aria-atomic="true"></p> <ul></ul></div>
<form method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
<div style="display: none;">
<input type="hidden" name="_wpcf7" value="262" />
<input type="hidden" name="_wpcf7_version" value="5.6.4" />
<input type="hidden" name="_wpcf7_locale" value="en_US" />
<input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f262-p547-o2" />
<input type="hidden" name="_wpcf7_container_post" value="547" />
<input type="hidden" name="_wpcf7_posted_data_hash" value />
</div>
<div class="form-group"> <span class="wpcf7-form-control-wrap" data-name="your-name">
    <input type="text" name="your-name" value size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Your Name" /></span></div>
<div class="form-group"> <span class="wpcf7-form-control-wrap" data-name="your-email">
    <input type="email" name="your-email" value size="40" class="wpcf7-form-control wpcf7-text wpcf7-email wpcf7-validates-as-required wpcf7-validates-as-email" aria-required="true" aria-invalid="false" placeholder="Email address" /></span></div>
<div class="form-group"> <span class="wpcf7-form-control-wrap" data-name="your-phone">
    <input type="text" name="your-phone" value size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false" placeholder="Your Phone" /></span></div>
  <div class="form-group"> <span class="wpcf7-form-control-wrap" data-name="your-services">
        <select name="services" id="services">
  <option value="Select Services"> Select Services</option>
  <option value="Life Insurance">Life Insurance</option>
  <option value="Health Insurance">Health Insurance</option>
  <option value="Estate Planning">Estate Planning</option>
  <option value="Investment & Retirement Income Planning">Investment & Retirement Income Planning</option>
</select>
</span>
</div>
<div class="form-group"> <span class="wpcf7-form-control-wrap" data-name="your-message">
    <textarea name="your-message" cols="40" rows="10" class="wpcf7-form-control wpcf7-textarea" aria-invalid="false" placeholder="Message"></textarea></span></div>
<div class="form-group message-btn"> 
<button type="submit" class="theme-btn style-three wpcf7-form-control wpcf7-submit" name="submit-form">send message</button></div>
<div class="wpcf7-response-output" aria-hidden="true"></div>
</form>
</div> 
</div>
</div>
</div>
</div>
</div>
</div>
</section>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</section>
</div>
</div>
</div>

<?php require('inc/footer.php'); ?>