<?php
// Append Host Name and requested resource location
$pageurl = $_SERVER['HTTP_HOST'].$_SERVER['REQUEST_URI'];
?>
<div class="cta-2"  style="border-radius: 14px; background: #00bcd4; margin-bottom: 25px; padding-bottom: 30px;">
    <div class="container">
        <div class="row align-items-center ">
            
            <div class="col-lg-8">

                <div class="section-heading white-text" style="text-align:center; margin-bottom: 10px;margin-top: 15px; ">
                   
                    
                    <p style="color:#fff; margin:0 0 18px;font-size: 22px;">Get in touch with our course guide for more information.</p>
                </div>
                <div class="subscribe-form1" style="text-align:center;">
              <form class="form-inline" action="apply_pre.php" name="form15" id="form15" method="POST" style="display:block;">
				<input type="hidden" id="txturl" name="txturl" value="<?php echo $pageurl;?>" />
            <div class="messages" style="color: #ec171f;font-weight: bold;font-size:18px;margin-bottom:10px;"></div>
  
           <div class="row">
           <div class="col-lg-9 col-md-12 col-xl-9">
           <div class="row" style="margin-top: 6px;">
           <div class="col-lg-3 col-md-6 col-xl-3" style="margin-bottom: 10px;">
           <div class="form-group"> 
              <input style="width: 100%" class="form-control" id="txtname" name="txtname" type="text" placeholder="Name" required="">
    </div>
           </div>
           <div class="col-lg-3 col-md-6 col-xl-3" style="margin-bottom: 10px;">
           <div class="form-group"> 
             <input style="width: 100%; " class="form-control" id="phone" name="phone" type="text" placeholder="Phone No" required="">
    </div>
           </div>
           <div class="col-lg-3 col-md-6 col-xl-3" style="margin-bottom: 10px;">
           <div class="form-group"> 
               <input style="width: 100%" class="form-control" id="txtemail" name="txtemail" type="email" placeholder="Email" required="">     </div>
           </div>
           <div class="col-lg-3 col-md-6 col-xl-3" style="margin-bottom: 10px;">
           <div class="form-group"> 
              <input style="width: 100%" class="form-control" id="location" name="location" type="text" placeholder="Location" required="">      </div>
           </div>
           </div>
           </div>
           <div class="col-lg-3 col-md-12 col-xl-3">
           <div class="form-group"> 
             <button type="submit" class="btn btn-danger" name="common_course_submit" id="submit" style="padding: 6px 4px;font-size: 14px;width: 100%;margin-top: 7px;" value="save_data_common"><b>Enquire Now</b></button>

           </div>
           </div>

                </div></form>
                
            </div>
        </div>
    </div>
</div></div>