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Current Path : /home/camscanae/www/support/
Upload File :
Current File : /home/camscanae/www/support/warranty_verification.php

<?php


include_once('../include/config.php');

$support = 'support'

?>
<?php $support2 = 'warranty_verification' ?>

<!DOCTYPE html>
<html lang="en">

<head>
  <meta charset="utf-8">
  <meta content="width=device-width, initial-scale=1.0" name="viewport">

  <title>CamScan FZCO |Support</title>
  <?php
  include('../include/header.php');
  include('../include/nav.php');
  $log_status = $_GET['log_status'];
  ?>

  <!-- Email -->
  <?php
  include_once('../support/send-mail/index.php');
  ?>

  <script src="https://ajax.googleapis.com/ajax/libs/jquery/2.2.0/jquery.min.js"></script>

<body>

  <section id="contact" class="contact">
    <div class="container" data-aos="fade-up">

      <div class="section-title">
        <h2>Warranty Verification</h2>
        <p style="text-align: left;">“Thank you for purchasing a CamScan FZCO product. To ensure your product is an original CamScan FZCO product and under warranty kindly fill out the form below.
          You will hear back from us within 3 working days.” </p>
      </div>

    </div>

    <div>


      <div class="container">

        <div class="row">
          <div class="col-md-12">
            <?php
            if (isset($alert)) {
            ?>

              <div class="alert alert-warning alert-dismissible fade show" role="alert">
                <strong>Congratulations!</strong><br>
                <?php echo $alert ?>

              </div>


            <?php } ?>

          </div>
        </div>

        <div class="row">
          <div class="col-md-12">
            <div class="info-box">
              <i class="bx bx-envelope"></i>
              <h3>Send Email</h3>




              <form method="POST" action="" id="add_name" style="margin:20px">
                <div class="row">


                  <div class=" form-group mt-3">
                    <h6 style="text-align: left;">Your Name</h6>
                    <input type="text" name="name" class="form-control" id="name" placeholder="Your Name" required>
                  </div>
                  <div class="col form-group mt-3">
                    <h6 style="text-align: left;">Your Email</h6>
                    <input type="email" name="email" class="form-control" id="email" placeholder="Your Email" placeholder="Enter your email" required>
                  </div>
                </div>

                <br>



                <table class="table table-bordered" id="dynamic_field">

                  <th>
                    <h6 style="text-align: left;">Model Number</h6>
                  </th>

                  <th>
                    <h6 style="text-align: left;">Serial Number</h6>
                  </th>
                  <tr>
                    <td><input type="text" name="data[0][Model_Number]" placeholder="Enter Model Number" class="form-control Model_Number" required /></td>
                    <td><input type="text" name="data[0][Serial_Number]" placeholder="Enter Serial Number" class="form-control Serial_Number" required /></td>
                    <td><button type="button" name="add" id="add" class="btn btn-secondary">Add More +</button></td>
                  </tr>
                </table>


                <br>
                <div class="text-center">
                  <input class="btn rounded-pill" type="submit" name="submit" id="submit" class="btn btn-info" value=" Send " style="background-color: #015d62; color:white ; font-size:18px">

                </div>







              </form>

            </div>
          </div>



        </div>


      </div>


    </div>

    </div>


    </div>




    </div>

    </div>

    </div>
  </section><!-- End Contact Section -->

  </main><!-- End #main -->
  <script src="https://cdnjs.cloudflare.com/ajax/libs/jquery/3.3.1/jquery.min.js"></script>
  <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js" integrity="sha384-JjSmVgyd0p3pXB1rRibZUAYoIIy6OrQ6VrjIEaFf/nJGzIxFDsf4x0xIM+B07jRM" crossorigin="anonymous"></script>
  <!-- ======= Footer ======= -->
  <?php
  include '../include/footer.php';
  ?>

</body>

<script>
  $(document).ready(function() {
    var i = 1;
    $('#add').click(function() {
      i++;
      $('#dynamic_field').append('<tr id="row' + i + '"><td><input type="text" name="data[' + i + '][Model_Number]" placeholder="Enter Model Number" class="form-control Model_Number" /></td><td><input type="text" name="data[' + i + '][Serial_Number]" placeholder="Enter Serial Number" class="form-control Serial_Number" /></td><td><button type="button" name="remove" id="' + i + '" class="btn btn-danger btn_remove">Remove</button></td></tr>');
    });

    $(document).on('click', '.btn_remove', function() {
      var button_id = $(this).attr("id");
      $('#row' + button_id + '').remove();
    });
  });




  if (window.history.replaceState) {
    window.history.replaceState(null, null, window.location.href);
  }
</script>

</html>

Shell File Manager Version 1.1, Coded By Shell
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