PATH:
home
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u865795251
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domains
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whatisnewis.com
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public_html
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global
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forms
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Editing: contact-form.php
<div class="form-card"> <div class="form-card-header"> <h3>Contact Us for Immigration & Visa-Related Enquiries</h3> <p>Share your details and our visa experts will contact you for personalized guidance.</p> </div> <!-- Success/Error Message Container --> <div id="formMessage" class="form-message"></div> <form id="contactForm" action="forms/form-handler.php" method="POST"> <!-- Hidden Honeypot --> <div style="display:none;"> <input type="text" name="website" tabindex="-1" autocomplete="off"> </div> <div class="form-group"> <div class="input-icon"> <i class="fas fa-user"></i> <input type="text" name="full_name" class="form-control" placeholder="Full Name" required> </div> </div> <div class="form-group"> <div class="input-icon"> <i class="fas fa-envelope"></i> <input type="email" name="email" class="form-control" placeholder="Email Address" required> </div> </div> <div class="form-group"> <div class="input-icon"> <i class="fas fa-phone-alt"></i> <input type="tel" name="phone" class="form-control" placeholder="Contact Number" required> </div> </div> <div class="form-group"> <div class="input-icon"> <i class="fas fa-globe"></i> <select name="destination_country" class="form-control" required> <option value="" disabled selected>Destination Country</option> <option value="Schengen Area">Schengen Area</option> <option value="Canada">Canada</option> <option value="USA">USA</option> <option value="UK">UK</option> <option value="Australia">Australia</option> <option value="Other">Other</option> </select> </div> </div> <div class="form-row"> <div class="col-half"> <div class="input-icon"> <i class="fas fa-calendar-alt"></i> <select name="age_range" class="form-control"> <option value="" disabled selected>Age Range</option> <option value="18-25">18-25</option> <option value="26-35">26-35</option> <option value="36-45">36-45</option> <option value="46-60">46-60</option> <option value="60+">60+</option> </select> </div> </div> <div class="col-half"> <div class="input-icon"> <i class="fas fa-graduation-cap"></i> <select name="education_level" class="form-control"> <option value="" disabled selected>Education Level</option> <option value="High School">High School</option> <option value="Bachelor's">Bachelor's Degree</option> <option value="Master's">Master's Degree</option> <option value="PhD">PhD / Doctorate</option> <option value="Other">Other</option> </select> </div> </div> </div> <div class="form-group"> <div class="input-icon"> <i class="fas fa-passport"></i> <select name="visa_category" class="form-control" required> <option value="" disabled selected>Visa Category</option> <option value="Tourist Visa">Tourist / Visit Visa</option> <option value="Business Visa">Business Visa</option> <option value="Student Visa">Student Visa</option> <option value="Work Visa">Work Visa</option> <option value="Family Visit">Family / Friend Visit</option> </select> </div> </div> <div class="form-group"> <div class="input-icon"> <i class="fas fa-map-marker-alt"></i> <input type="text" name="preferred_location" class="form-control" placeholder="Preferred Location"> </div> </div> <div class="form-group checkbox-wrapper"> <label class="checkbox-group"> <input type="checkbox" name="terms" required> <span>I accept the Terms & Conditions</span> </label> </div> <button type="submit" class="btn btn-cta form-submit-btn"> <i class="fas fa-paper-plane"></i> Submit Enquiry </button> <div class="trust-badges"> <div class="trust-item"><i class="fas fa-check-circle"></i> Confidential consultation</div> <div class="trust-item"><i class="fas fa-check-circle"></i> Expert-led visa guidance</div> <div class="trust-item"><i class="fas fa-check-circle"></i> Transparent and compliant process</div> </div> </form> </div>
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