%PDF- %PDF-
Mini Shell

Mini Shell

Direktori : /home/vacivi36/public_bakcup/produtos-covid/pages/
Upload File :
Create Path :
Current File : /home/vacivi36/public_bakcup/produtos-covid/pages/contact.php

<div class="uk-container">
  <div class="uk-child-width-1-2@s uk-child-width-1-2@m" uk-grid>
    <div>
      <div>
        <div class="textContact">
          <p>EM CASO DE DÚVIDAS, <br> <span>ENTRE EM CONTATO COM A VACIVITTA</span></p>
          <h6>Unidades: Salto | Itu | Indaiatuba | São Paulo | Jundiaí | Salto de Pirapora</h6>
          <ul>
            <li><a href="https://api.whatsapp.com/send?phone=5511933138713" target="_blank"><i class="fab fa-whatsapp"></i> (11) 93313-8713</a></li>
            <li><a href="https://api.whatsapp.com/send?phone=5511993928580" target="_blank"><i class="fab fa-whatsapp"></i> (11) 99392-8580</a></li>
          </ul>
          <h6>Unidade Itanhaém/SP</h6>
          <ul>
            <li><a href="tel:01333663566"><i class="fas fa-phone-alt"></i> (13) 3366-3566</a></li>
            <li><a href="https://api.whatsapp.com/send?phone=5513996256832" target="_blank"><i class="fab fa-whatsapp"></i> (13) 99625-6832</a></li>
          </ul>
          <h6>Unidade Rio de Janeiro/RJ</h6>
          <ul>
            <li><a href="tel:02131455909"><i class="fas fa-phone-alt"></i> (21) 3145-5909</a></li>
            <li><a href="https://api.whatsapp.com/send?phone=5521994701253" target="_blank"><i class="fab fa-whatsapp"></i> (21) 99470-1253</a></li>
          </ul>
          <h6>Unidade Dois Vizinhos/PR</h6>
          <ul>
            <li><a href="tel:02130101469"><i class="fas fa-phone-alt"></i> (46) 3010-1469</a></li>
            <li><a href="https://api.whatsapp.com/send?phone=5546999241551" target="_blank"><i class="fab fa-whatsapp"></i> (46) 99924-1551</a></li>
          </ul>
        </div>
      </div>
    </div>
    <div>
      <div>
        <div class="formBlock">
          <p>preencha com seus dados que <br> entraremos em contato.</p>
          <form id="formContact" action="" method="POST">
            <label class="uk-form-label" for="inputNomeFooter">Nome:</label>
            <div class="uk-form-controls">
              <input class="uk-input" id="inputNomeFooter" type="text" name="nomeUsuarioFooter">
            </div>
            <label class="uk-form-label" for="inputCelularFooter">Celular:</label>
            <div class="uk-form-controls">
              <input class="uk-input" id="inputCelularFooter" type="text" name="celularUsuarioFooter">
            </div>
            <label class="uk-form-label" for="inputMailFooter">Email:</label>
            <div class="uk-form-controls">
              <input class="uk-input" id="inputMailFooter" type="mail" name="emailUsuarioFooter">
            </div>
            <label class="uk-form-label" for="selectUnidade">Selecione uma unidade</label>
            <div class="uk-form-controls">
              <select class="uk-select" id="selectUnidadeFooter">
                <option value="Salto">Salto/SP</option>
                <option value="Itu">Itu/SP</option>
                <option value="Indaiatuba">Indaiatuba/SP</option>
                <option value="Jundiaí">Jundiaí/SP</option>
                <option value="Salto de Pirapora">Salto de Pirapora/SP</option>
                <option value="Itanhaém">Itanhaém/SP</option>
                <option value="São Paulo">São Paulo/SP</option>
                <option value="Rio de Janeiro">Rio de Janeiro/RJ</option>
                <option value="Dois Vizinhos">Dois Vizinhos/PR</option>
              </select>
            </div>
            <div class="uk-margin uk-grid-small uk-child-width-auto uk-grid">
              <label><input class="uk-checkbox" type="checkbox"> Quero falar pelo WhatsApp</label>
            </div>
            <div class="uk-margin">
              <button class="uk-button uk-button-primary" type="submit">Agendar Teste</button>
            </div>
          </form>
        </div>
      </div>
    </div>
  </div>
</div>

Zerion Mini Shell 1.0