
<?php $__env->startSection('page'); ?>
<div class="page-wrapper">
    <div class="page-title"> 
        <div class="container">
            <div class="row">
                <div class="col-sm-12">
                    <h1><?php echo $data_page['title']; ?></h1>
                </div>
            </div><!--col-->
        </div><!--row-->
    </div><!--page title-->
    <div class="page-description container">
        <?php echo $data_page['description']; ?>

    </div>
    <div class="page-form container">
        <p class="text-danger">* Please submit the form below with your full details and inquiries.</p>
        <?php echo Form::open(array('class' => "gap-top contact-form")); ?>

            <div class="row">
                <div class="col-sm-3 form-group">
                    <?php echo Form::label('name', 'Full name'); ?> <em>*</em>
                    <?php echo Form::text('name', '', array('class' => 'form-control', 'required' => 'required')); ?>

                    <?php echo $errors->first('name'); ?>

                </div>
                <div class="col-sm-3 form-group">         
                    <?php echo Form::label('email', 'Email address'); ?> <em>*</em>
                    <?php echo Form::email('email', '', array('class' => 'form-control', 'required' => 'required')); ?>

                    <?php echo $errors->first('email'); ?>

                </div>
                <div class="col-sm-3 form-group">
                    <?php echo Form::label('contact_number', 'Contact number'); ?>

                    <?php echo Form::text('contact_number', '', array('class' => 'form-control')); ?>

                    <?php echo $errors->first('contact_number'); ?>

                </div>
                <div class="col-sm-3 form-group">         
                    <?php echo Form::label('subject', 'Subject'); ?>

                    <?php echo Form::text('subject', '', array('class' => 'form-control')); ?>

                    <?php echo $errors->first('subject'); ?>

                </div>
            </div>
            <div class="row">
                <div class="col-md-12 col-sm-12 form-group"> 
                    <?php echo Form::label('comments', 'Message'); ?><em>*</em>
                    <?php echo Form::textarea('comments', '', array('class' => 'form-control', 'rows' => 3, 'required' => 'required')); ?>

                    <?php echo $errors->first('comments'); ?>

                </div>
            </div>
            <div class="row">
                <div class="col-md-12 form-group">
                    <button type="submit" id="contact_submit" name="submit" class="btn send-us hvr-fade btn-lg"><i class="fa  fa-envelope"></i> &nbsp; Send </button>
                </div>
            </div>
        <?php echo Form::close(); ?>

    </div>
</div><!--container-->
<script type="text/javascript">var switchTo5x=true;</script>
<script type="text/javascript" src="http://w.sharethis.com/button/buttons.js"></script>
<script type="text/javascript">stLight.options({publisher: "f1c231e9-2c4f-4609-b8f7-f3b172204124", doNotHash: false, doNotCopy: false, hashAddressBar: false});</script>
<?php $__env->stopSection(); ?>
<?php echo $__env->make('website/layouts/website-layout', array_except(get_defined_vars(), array('__data', '__path')))->render(); ?>