{% extends 'base.html.twig' %}{% block body %}<main class="mhcc-wrapper mb-4"><article class="mhcc-sec-page-outer"><!--// Main title block STARTS--> <header class="mt-0 mb-4 text-center light-green-bg sec-page-main-header"> <h1 class="text-left sec-page-main-title sec-page-lead-text--light-blue sec-page-main-title--big">{{ "contact-us"|trans|raw }}</h1> </header><!--// Main title block ENDS--> <!--// Form container STARTS --> <div class="mhcc-inner-content"> <p class="mb-4 sec-page-lead-text sec-page-lead-text--big sec-page-lead-text--dark-blue"> {{ "meaningful-lasting-advances"|trans|raw }} </p> <p class="mb-4 sec-page-lead-text sec-page-lead-text--big sec-page-lead-text--dark-blue">{{ "contact-us-2"|trans|raw }}</p> <!--Form starts //--> <form class="mhcc-contact-us-wrapper" action="{{ path('contact_us') }}" method="POST"> <!--Form card starts //--> <section class="card card-default shadow-6dp animated fadeIn animation-delay-7 mb-4"> <header class="card-header mhcc-form-header bg-primary "> <h2 class="no-m pt-4 pb-4 color-white mhcc-form-title mhcc-form-title--left">{{ "contact-us"|trans|raw }}</h2> </header> <!--Card inner block starts //--> <div class="card-block mhcc-card-block-form"> <!-- Form field starts //--> <!-- Hidden by A.P., because no Actual topic is here <div class="form-group mhcc-form-group is-empty"> <div class="input-group" style="z-index:5;margin-left:-12px;"> <span class="input-group-addon"></span> <label for="topicContactUs" class="control-label">* {{ 'topic'|trans|raw }}</label> <div> <div class="btn-group bootstrap-select form-control"> <button type="button" class="btn dropdown-toggle bs-placeholder btn-default" data-toggle="dropdown" role="button" data-id="topicContactUs" title="{{ "choose"|trans|raw }}"> <span class="filter-option pull-left">{{ "choose"|trans|raw }}</span> <span class="bs-caret"> <span class="caret"></span> </span> </button> <div class="dropdown-menu open" role="combobox"> <ul class="dropdown-menu inner" role="listbox" aria-expanded="false"> <li data-original-index="0" class="selected"> <a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="true"> <span class="text">{{ "choose"|trans|raw }}</span> <span class="glyphicon glyphicon-ok check-mark"></span> </a> </li> <li data-original-index="1"> <a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"> <span class="text">{{ "topic"|trans|raw }} 1</span> <span class="glyphicon glyphicon-ok check-mark"></span> </a> </li> <li data-original-index="1"> <a tabindex="0" class="" data-tokens="null" role="option" aria-disabled="false" aria-selected="false"> <span class="text">{{ "topic"|trans|raw }} 1</span> <span class="glyphicon glyphicon-ok check-mark"></span> </a> </li> </ul> </div> </div> </div> </div> </div> --> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label for="firstName" class="control-label">* {{ "first-name"|trans|raw }}</label> <input type="text" name="firstName" id="firstName" value="{{ app.request.get('firstName') }}" class="form-control" required="required" /> </div> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label for="lastName" class="control-label">* {{ "last-name"|trans|raw }}</label> <input type="text" name="lastName" id="lastName" value="{{ app.request.get('lastName') }}" class="form-control" required="required" /> </div> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label for="jobTitle" class="control-label">* {{ "job-title"|trans|raw }}</label> <input type="text" name="jobTitle" id="jobTitle" value="{{ app.request.get('jobTitle') }}" class="form-control" required="required" /> </div> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label class="control-label" for="emailContactUs">* {{ "email"|trans|raw }}</label> <input type="email" id="emailContactUs" name="emailContactUs" class="form-control" required="required" /> </div> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label for="phoneContactUs" class="control-label">{{ "phone"|trans|raw }}</label> <input type="text" name="phoneContactUs" id="phoneContactUs" value="{{ app.request.get('phoneContactUs') }}" class="form-control" /> </div> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label for="subjectContactUs" class="control-label">* {{ "subject"|trans|raw }}</label> <input type="text" name="subjectContactUs" id="subjectContactUs" value="{{ app.request.get('subjectContactUs') }}" class="form-control" required="required"/> </div> <!--Form field starts //--> <div class="form-group label-floating mhcc-form-group is-empty"> <label for="messageContactUs" class="control-label">* {{ "message"|trans|raw }}</label> <textarea class="form-control psla-form" name="messageContactUs" id="messageContactUs" rows="6" required="required"></textarea> </div> <!--Form fields end //--> <!-- To handle spam messages starts --> <div class="sr-only"> <div><span id="checkmeCont"></span></div> <div><span><label for="userid">User ID</label><input type="text" id="userid" name="userid" value="" /><span class="redNote">*</span></span></div> <div><span><label for="password">Password</label><input type="text" id="password" name="password" value="" /><span class="redNote">*</span></span></div> <script type="text/javascript"> var newField = document.createElement("input"); var newFieldLabel = document.createElement("label"); var checkmeCont = document.getElementById("checkmeCont"); newField.id = "checkme"; newField.name = "checkme"; newField.value = "online"; checkmeCont.appendChild(newField); newFieldLabel.htmlFor = "checkme"; newFieldLabel.innerHTML = "Pass"; checkmeCont.appendChild(newFieldLabel); </script> </div> <!-- To handle spam messages starts --> </div> <!--Card inner block ENDS //--> </section> <!--Form card ENDS //--> <!--Submit button starts //--> <div class="mhcc-resources-container-buttons"> <input type="submit" name="submitButton" class="btn btn-raised btn-success mhcc-resources-container-button" value="{{ "submit"|trans|raw }}" /> <div class="ripple-container"></div> </div> <!--Submit button ENDS //--> </form> <!--Form ENDS //--> </div> <!--// Form container ENDS --> </article></main> {% endblock %}{% block javascript %} {{ parent() }} <script src="{{ asset( 'assets/js/component-snackbar.js' ) }}"></script> <script> {% if msg == "sent" %} Snackbar.show({ showAction: false, pos: 'top-center', text: '<h4>{{ "thank-you-contact-us"|trans|raw }}</h4><b>{{ "comments-contact-us"|trans|raw }}', }); {% endif %} </script> {% endblock %}