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<div class="breadcrumb">
<div class="container">
<div class="row">
<div class="col-md-12">
<ul>
<li><?php echo $this->Html->link('Home', array('controller'=>'pages','action'=>'home'),array('escape' => false));?></li>
<li>Enquiry</li>
</ul>
</div>
</div>
</div>
</div>
<div class="pages">
<div class="container">
<div class="row">
<div class="col-lg-offset-3 col-lg-6 col-md-offset-3 col-md-6 col-sm-12 col-xs-12">
<div class="single-login">
<h1>Enquiry</h1>
<div class="container">
<?php echo $this->Form->create('enquiry', ['url' => ['controller' => 'pages', 'action' => 'thanku'],'class'=>'user-form','method' => 'post']);?>
<div class="row">
<?php //echo $this->Form->templates(['inputContainer' => '{{content}}']);?>
<div class="col-xs-12 col-sm-12 col-md-12"><div class="form-group"><label for="password">Name *</label><?php echo $this->Form->input('names', array('div'=>false,'templates' => ['inputContainer' => '{{content}}'],'label'=>false,'placeholder'=>'Name','required'=>'required'));?></div></div>
<div class="col-xs-12 col-sm-12 col-md-12"><div class="form-group"><label for="password">Treatment *</label><?php echo $this->Form->input('treatment', array('class'=>'select-searchcategory','type' =>'select','label' =>false,'div' => false,'options' => $treatmentsoptions,'empty'=>'ALL','required'=>'required','default'=>$this->request->getQuery('treatment')));?></div></div>
<div class="col-xs-12 col-sm-12 col-md-12"><div class="form-group"><label for="password">Email *</label><?php echo $this->Form->input('email', array('div'=>false,'templates' => ['inputContainer' => '{{content}}'],'label'=>false,'pattern'=>'[a-z0-9._%+-]+@[a-z0-9.-]+\.[a-z]{2,3}$','title'=>'please enter email','placeholder'=>'Email','required'=>'required'));?></div></div>
<div class="col-xs-12 col-sm-12 col-md-12"><div class="form-group"><label for="password">Phone *</label><?php echo $this->Form->input('phone', array('div'=>false,'templates' => ['inputContainer' => '{{content}}'],'label'=>false,'pattern'=>'[7896][0-9]{9}','title'=>'please enter 10 digit mobile number','placeholder'=>'Phone','required'=>'required'));?></div></div>
<div class="col-xs-12 col-sm-12 col-md-12"><div class="form-group"><label for="password">City *</label><?php echo $this->Form->input('city', array('div'=>false,'templates' => ['inputContainer' => '{{content}}'],'label'=>false,'placeholder'=>'City','required'=>'required'));?></div></div>
<input type="hidden" name="id" value="<?= $id ?>" >
<div class="col-xs-12 col-sm-12 col-md-122"><?php echo $this->Form->button("Next",array('class'=>'submit','div' => 'form-group', 'name' => 'submit','value'=>'find'));?></div>
</div>
<?php echo $this->Form->end();?>
</div>
</div>
</div>
</div>
</div>
</div>