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<?php include('inc/function.php');?>
<!DOCTYPE html>
<html lang="zxx">
<head>
<meta charset="UTF-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<?php $get_seo= mysqli_fetch_array($con->query("select * from seo WHERE id=8")); ?>
<title><?php if(!empty($get_seo['meta_title'])){ echo $get_seo['meta_title']; } ?></title>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="description" content="<?php if(!empty($get_seo['meta_description'])){ echo $get_seo['meta_description']; }?>">
<meta name="keywords" content="<?php if(!empty($get_seo['meta_keyword'])){ echo $get_seo['meta_keyword']; }?>"/>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="icon" type="image/png" href="<?php echo IMAGE_SITE_PATH.$get_logo['fevicon']?>" />
<link rel="stylesheet" href="assets/css/animate.min.css" />
<link rel="stylesheet" href="assets/css/bootstrap.min.css" />
<link rel="stylesheet" href="assets/css/fontawsome.min.css" />
<link rel="stylesheet" href="assets/css/flaticon.css" />
<link rel="stylesheet" href="assets/css/meanmenu.min.css" />
<link rel="stylesheet" href="assets/css/owl.carousel.min.css" />
<link rel="stylesheet" href="assets/css/nice-select.min.css" />
<link rel="stylesheet" href="assets/css/owl.theme.default.min.css" />
<link rel="stylesheet" href="assets/css/magnific-popup.min.css" />
<link rel="stylesheet" href="assets/css/jquery-ui.min.css" />
<link rel="stylesheet" href="assets/css/swiper.min.css" />
<link rel="stylesheet" href="assets/css/odometer.min.css" />
<link rel="stylesheet" href="assets/css/style.css" />
<link rel="stylesheet" href="assets/css/responsive.css" />
<link rel="stylesheet" href="assets/css/sweetalert2.min.css" />
<?php echo $setting['head_code']; ?>
</head>
<body>
<?php include('inc/header.php'); ?>
<div class="uni-banner"style="background-image: url('<?php if(!empty($get_seo['banner'])){ echo BANNER_SITE_PATH.$get_seo['banner']; }?>');">
<div class="container-fluid container-large">
<div class="uni-banner-text-area">
<h1><?php if(!empty($get_seo['banner_title'])){ echo $get_seo['banner_title']; }?></h1>
<?php if(!empty($get_seo['banner_sub_title'])){ echo "<p class='text-white'>".$get_seo['banner_sub_title']."</p>"; }?>
<ul>
<li><a href="index.php">Home</a></li>
<li><?php if(!empty($get_seo['page_name'])){ echo $get_seo['page_name']; }?></li>
</ul>
</div>
</div>
</div>
<div class="gift-cards ptb-40">
<div class="container gift-cards-area">
<div class="shaddow-box">
<form method="post" class="validate-form" id="Referral-Form">
<div class="row">
<div class="col-xl-12">
<div class="main-title">
<h5>Referral Programme</h5>
</div>
</div>
<div class="col-lg-12">
<div class="row">
<div class="form-group col-md-6">
<label>Referred By*</label>
<select class="md-text form-control" name="referred_by" id="Referal_By"required data-parsley-trigger="keyup">
<option value="">--Select Referred --</option>
<option value="Owner">Owner</option>
<option value="Manager">Manager</option>
<option value="Technician">Technician</option>
</select>
</div>
<div class="form-group col-md-6">
<label>Name*</label>
<input type="text" id="name" name="name" placeholder="Full Name"class="md-text form-control" required data-parsley-trigger="keyup">
</div>
<div class="form-group col-md-6">
<label>Mobile Number*</label>
<input type="text" id="phone" name="phone" maxlength="10" onkeypress="return onlyNumberKey(event)" placeholder="Phone Number"class="md-text form-control" required data-parsley-trigger="keyup">
</div>
<div class="form-group col-md-6">
<label>Are you an exisiting partner/technician/manager?*</label>
<div class="row">
<div class="col-md-6 col-6">
<input type="radio" class="form-check-input" id="exisiting" value="Yes"name="exisiting" checked="">
<label class="form-check-label" for="ship-different-address">Yes</label>
</div>
<div class="col-md-6 col-6">
<input type="radio" class="form-check-input" id="exisiting" value="No"name="exisiting">
<label class="form-check-label" for="ship-different-address">No</label>
</div>
</div>
</div>
<div class="col-12 ptb-20">
<h3>Enter the details of the client you are referring:-</h3>
</div>
<div class="form-group col-md-6">
<label>Full Name*</label>
<input type="text" id="client_name" name="client_name" placeholder="Full Name"class="md-text form-control" required data-parsley-trigger="keyup">
</div>
<div class="form-group col-md-6">
<label>Mobile Number*</label>
<input type="text" id="client_phone" name="client_phone" maxlength="10" onkeypress="return onlyNumberKey(event)" placeholder="Phone Number"class="md-text form-control" required data-parsley-trigger="keyup">
</div>
<div class="form-group col-md-6">
<label>Email Address*</label>
<input type="email" id="client_email" name="client_email" placeholder="Email Address"class="md-text form-control" required data-parsley-trigger="keyup">
</div>
<div class="form-group col-md-6">
<label>Shop Name*</label>
<input type="text" id="client_shop_name" name="client_shop_name" placeholder="Shop Name"class="md-text form-control" required data-parsley-trigger="keyup">
</div>
<div class="form-group col-md-12">
<label>Shop Address*</label>
<textarea id="client_shop_address" name="client_shop_address" placeholder="Shop Address"class="md-text form-control" required data-parsley-trigger="keyup"></textarea>
</div>
<div class="form-group col-md-12">
<label>Upload Image(Optional)</label>
<div class="file-up-btn">Browse...</div>
<input type="file" class="file-up" name="img" accept=".png, .jpg, .jpeg, .pdf" />
</div>
<div class="col-md-12 form-group text-center mt-30">
<button class="default-button" id="Referral-submit" type="submit"><span>Send Your Message</span></button>
</div>
</div>
</div>
</div>
</form>
</div>
</div>
</div>
<div class="retail-partnership ptb-40 mt-20 default-bg">
<div class="container retail-partnership-area">
<div class="row ">
<div class="col-md-6">
<h3 class="mt-20">Avail offers on successful referrals</h3>
<div class="dsc text-white">
<p>It is time to share joy and cheer amongst your friends, family, acquaintances, companies, and shops. Refer them for a Phixman franchise or a Phixman Store and get exciting incentives including Reward Points and Cash Back for each referral.</p>
</div>
</div>
<div class="col-md-6">
<div class="responsive-image">
<img src="assets/images/gift.png"style="width:230px">
</div>
</div>
</div>
</div>
</div>
<?php include('inc/footer.php'); ?>
<script src="assets/js/jquery.min.js"></script>
<script src="assets/js/jquery-ui.min.js"></script>
<script src="assets/js/bootstrap.bundle.min.js"></script>
<script src="assets/js/meanmenu.js"></script>
<script src="assets/js/owl.carousel2.thumbs.js"></script>
<script src="assets/js/owl.carousel.min.js"></script>
<script src="assets/js/magnific-popup.min.js"></script>
<script src="assets/js/TweenMax.js"></script>
<script src="assets/js/nice-select.min.js"></script>
<script src="assets/js/form-validator.min.js"></script>
<script src="assets/js/contact-form-script.js"></script>
<script src="assets/js/ajaxchimp.min.js"></script>
<script src="assets/js/appear.min.js"></script>
<script src="assets/js/swiper-bundle.min.js"></script>
<script src="assets/js/tilt.js"></script>
<script src="assets/js/odometer.min.js"></script>
<script src="assets/js/sweetalert2.min.js"></script>
<script src="assets/js/parsley.js"></script>
<script src="assets/js/custom.js"></script>
<script>
var UpBtn = document.querySelector(".file-up-btn");
var UpOrgBtn = document.querySelector(".file-up");
UpBtn.addEventListener("click", () => {
UpOrgBtn.click();
});
UpOrgBtn.addEventListener("change", (e) => {
UpBtn.innerHTML = UpOrgBtn.files[0].name;
UpBtn.classList.add("uploaded");
let fsize = UpOrgBtn.files[0].size;
if (fsize > 2000000) {
e.preventDefault();
UpBtn.innerHTML = "maximum filesize should upder 2MB ";
}
});
</script>
</body>
</html>