<?php
include("../../header.php");
?>
<!-- page content -->
<div class="right_col" role="main">
<div class="">
<div class="page-title">
<div class="">
<div class="col-md-12 col-sm-12 col-xs-12">
<div class="x_panel">
<div class="x_title">
<h2>Contact me</h2>
<div class="clearfix"></div>
</div>
<div class="x_content">
<br />
<!-- <form id="demo-form2" data-parsley-validate class="form-horizontal form-label-left">-->
<form id="from1" name="from1" enctype="multipart/form-data" action="<?php echo $home_path;?>/pages/master/action/addcontact.php" method="post" class="form-horizontal form-label-left" style="" autocomplete="off">
<?php
$sql=mysqli_query($conn,"select * from contact where id='1'");
$rw=mysqli_fetch_array($sql);
?>
<div class="form-group">
<label class="control-label col-md-3 col-sm-3 col-xs-12" for="first-name">Name <span class="required">*</span>
</label>
<div class="col-md-6 col-sm-6 col-xs-12">
<input type="text" id="fname" name="namea" required="required" class="form-control col-md-7 col-xs-12" value="<?php echo $rw['namea']; ?>">
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3 col-sm-3 col-xs-12" for="first-name">Email <span class="required">*</span>
</label>
<div class="col-md-6 col-sm-6 col-xs-12">
<textarea id="fname" name="mail" required="required" class="form-control col-md-7 col-xs-12" style="height:50px;"><?php echo $rw['mail']; ?></textarea>
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3 col-sm-3 col-xs-12" for="first-name">Phone Number <span class="required">*</span>
</label>
<div class="col-md-6 col-sm-6 col-xs-12">
<textarea id="fname" name="phno" required="required" class="form-control col-md-7 col-xs-12" style="height:50px;"><?php echo $rw['phno']; ?></textarea>
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3 col-sm-3 col-xs-12" for="first-name">Address <span class="required">*</span>
</label>
<div class="col-md-8 col-sm-8 col-xs-12">
<textarea id="fname" name="details" required="required" class="form-control col-md-7 col-xs-12" style="height:150px;"><?php echo $rw['details']; ?></textarea>
</div>
</div>
<div class="form-group">
<label class="control-label col-md-3 col-sm-3 col-xs-12" for="first-name">Map <span class="required">*</span>
</label>
<div class="col-md-8 col-sm-8 col-xs-12">
<textarea id="fname" name="map" class="form-control col-md-7 col-xs-12" style="height:150px;"><?php echo $rw['map']; ?></textarea>
</div>
</div>
<div class="form-group">
<div class="col-md-6 col-sm-6 col-xs-12 col-md-offset-3">
<button type="submit" class="btn btn-success">Submit</button>
</div>
<br><br><br><br>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<!-- /page content -->
<?php
include("../../footer.php");
?> |