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<section class="contact-us">
<div class="container">
<div class="row">
<div class="col-12">
<h1>Contact us</h1>
</div>
</div>
</div>
</section>
<div class="breadcrumbs">
<div class="container">
<div class="row">
<div class="col-12">
<div class="d-flex justify-content-between align-items-center">
<ol>
<li><a href="<?php echo base_url();?>">Home</a></li>
<li>Contact us</li>
</ol>
</div>
</div>
</div>
</div>
</div>
<!-- Demo header-->
<section class="py-5 contact-main">
<div class="container py-4">
<div class="row">
<div class="col-md-3">
<!-- Tabs nav -->
<div class="nav flex-column nav-pills nav-pills-custom" id="v-pills-tab" role="tablist" aria-orientation="vertical">
<a class="nav-link mb-2 p-3 shadow active" id="v-pills-home-tab" data-toggle="pill" href="#v-pills-home" role="tab" aria-controls="v-pills-home" aria-selected="true" data-kmt="1">
<i class="fa fa-car" aria-hidden="true"></i>
<span class=" text-uppercase">Car Enquiry</span></a>
<a class="nav-link mb-2 p-3 shadow" id="v-pills-profile-tab" data-toggle="pill" href="#v-pills-profile" role="tab" aria-controls="v-pills-profile" aria-selected="false" data-kmt="1">
<i class="fa fa-calendar-minus-o mr-2"></i>
<span class="text-uppercase">Service Booking</span></a>
<a class="nav-link mb-2 p-3 shadow" id="v-pills-messages-tab" data-toggle="pill" href="#v-pills-messages" role="tab" aria-controls="v-pills-messages" aria-selected="false" data-kmt="1">
<i class="fa fa-question" aria-hidden="true"></i>
<span class="text-uppercase">Complaints/ Queries</span></a>
<a class="nav-link mb-2 p-3 shadow" id="v-pills-settings-tab" data-toggle="pill" href="#v-pills-settings" role="tab" aria-controls="v-pills-settings" aria-selected="false" data-kmt="1">
<i class="fa fa-check mr-2"></i>
<span class="text-uppercase">Feedback</span></a>
</div>
</div>
<div class="col-md-9">
<!-- Tabs content -->
<div class="tab-content" id="v-pills-tabContent">
<div class="tab-pane fade shadow rounded bg-white show active p-2" id="v-pills-home" role="tabpanel" aria-labelledby="v-pills-home-tab">
<div id="crmWebToEntityForm" class="zcwf_lblLeft crmWebToEntityForm">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="content-type" content="text/html;charset=UTF-8">
<form action="<?php echo base_url();?>contact" method="POST" accept-charset="UTF-8" data-kmt="1">
<!-- Do not remove this code. -->
<div class="form-row">
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="name">Name</label>
<input type="text" id="firstname" name="firstname" class="form-control" placeholder="Name" required="">
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="email">E-Mail Id</label>
<input type="email" id="Email" name="email" class="form-control" placeholder="E-Mail" required="">
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="Phone">Mobile Number</label>
<input type="text" id="phone" name="phone" placeholder="Phone Number" minlength="10" maxlength="10" class="form-control " required="">
</span>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<span class="has-float-label">
<label for="name">Outlet</label>
<select class="custom-select mr-sm-2" id="LEADCF23" name="outlet" required="">
<option value="">-Select Outlet-</option>
<option value="Showroom">Gurgaon Showroom</option>
<option value="Workshop">Gurgaon Workshop</option>
</select>
</span>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<span class="has-float-label">
<label for="name">Model</label>
<select class="custom-select mr-sm-2" id="LEADCF6" name="model" required="">
<option value="">-Select model-</option>
<option value="SKODA-OCTAVIA">ŠKODA OCTAVIA</option>
<option value="SKODA-KUSHAQ">ŠKODA KUSHAQ</option>
<option value="SKODA-RAPID">ŠKODA RAPID</option>
<option value="SKODA-SUPERB">ŠKODA SUPERB</option>
</select>
</span>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<span class="has-float-label">
<label for="text">Comment</label>
<textarea rows="3" name="comment" placeholder="" style="width:100%; border-radius:5px; height:auto" id="car-enquiry-comment"></textarea>
</span>
</div>
</div>
<div class="col-12 mb-3">
<p>Disclaimer: I agree that by clicking the ‘Submit’ button below, I am explicitly soliciting a call / Message from Ring Road Škoda (Masyy Cars Private Limited) or its Representatives on my ‘Mobile’.</p>
</div>
<div class="col-12">
<input type="checkbox" id="defaultCheck" name="example2" required="" required="">
<label for="defaultCheck" class="declaimer">Please agree with the above disclaimer</label>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab"></div>
<div class="zcwf_col_fld">
<input type="submit" id="formsubmit" name="submit" class="btn btn-theme formsubmit zcwf_button btn btn-primary" value="Submit" title="Submit">
</div>
</div>
</div>
</form>
</div>
</div>
<div class="tab-pane fade shadow rounded bg-white" id="v-pills-profile" role="tabpanel" aria-labelledby="v-pills-profile-tab">
<div id="crmWebToEntityForm" class="zcwf_lblLeft crmWebToEntityForm">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="content-type" content="text/html;charset=UTF-8">
<form action="<?php echo base_url();?>bookingservice" method="POST" accept-charset="UTF-8" data-kmt="1">
<h3>Personal Details :</h3>
<div class="form-row">
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab">
<label for="Last_Name">Name<span style="color:red;">*</span></label>
</div>
<div class="zcwf_col_fld">
<input type="text" id="Last_Name" name="firstname" class="form-control" maxlength="80" required="">
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab">
<label for="Email">Email</label>
</div>
<div class="zcwf_col_fld">
<input type="email" id="Email" name="email" class="form-control" maxlength="100">
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab">
<label for="Mobile">Mobile No<span style="color:red;">*</span></label>
</div>
<div class="zcwf_col_fld">
<input type="tel" id="phone" name="phone" minlength="10" maxlength="10" pattern="[6-9]{1}[0-9]{9}" class="form-control" required="">
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<span class="has-float-label">
<label for="text">Customer Address</label>
<textarea name="address" placeholder="" style="width: 100%; border-radius:5px;" id="car-enquiry-COMMENT"></textarea>
</span>
</div>
</div>
</div>
<h3>Vehicle Details :</h3>
<div class="form-row">
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;">
<label for="LEADCF6">Model<span style="color:red;">*</span></label>
</div>
<div class="zcwf_col_fld"><select class="zcwf_col_fld_slt custom-select mr-sm-2" id="LEADCF6" name="model" required="">
<option value="">- Select Model -</option>
<option value="SKODA-OCTAVIA">ŠKODA OCTAVIA</option>
<option value="SKODA-KUSHAQ">ŠKODA KUSHAQ</option>
<option value="SKODA-RAPID">ŠKODA RAPID</option>
<option value="SKODA-SUPERB">ŠKODA SUPERB</option>
<option value="OTHER">OTHER</option>
</select>
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4 mb-3">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;">
<label for="LEADCF22">PickUp Required</label>
</div>
<div class="zcwf_col_fld">
<select class="zcwf_col_fld_slt custom-select form-control" id="LEADCF22" name="pickup">
<option value="">-Select Option-</option>
<option value="yes">Yes</option>
<option value="no">No</option>
</select>
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="name">Service Type</label>
<select class="custom-select mr-sm-2" id="LEADCF6" name="servic_type" required="">
<option value="">-Select Service Type-</option>
<option value="Free Service">Free Service</option>
<option value="Paid Service">Paid Service</option>
</select>
</span>
</div>
</div>
<div class="col-12 mb-4">
<p>Disclaimer: I agree that by clicking the ‘Submit’ button below, I am explicitly soliciting a call / Message from Ring Road Škoda (Masyy Cars Private Limited) or its Representatives on my ‘Mobile’.</p>
</div>
<div class="col-12">
<input type="checkbox" id="defaultCheck" name="example2" required="" required="">
<label for="defaultCheck" class="declaimer">Please agree with the above disclaimer</label>
</div>
<div class="zcwf_row">
<div class="zcwf_col_fld">
<input type="submit" id="formsubmit" class="formsubmit zcwf_button btn btn-primary" name="submit" value="BOOK SERVICE" title="Submit">
</div>
</div>
</div>
</form>
</div>
</div>
<div class="tab-pane fade shadow rounded bg-white p-2" id="v-pills-messages" role="tabpanel" aria-labelledby="v-pills-messages-tab">
<div id="crmWebToEntityForm" class="zcwf_lblLeft crmWebToEntityForm">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="content-type" content="text/html;charset=UTF-8">
<form action="<?php echo base_url();?>complaints" method="POST" accept-charset="UTF-8" data-kmt="1">
<div class="form-row">
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="name">Name</label>
<input type="text" id="firstname" name="firstname" class=" form-control" placeholder="Name" required="">
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="email">E-Mail Id</label>
<input type="email" ftype="email" id="email" name="email" class=" form-control" placeholder="E-Mail" required="">
</span>
</div>
</div>
<div class="col-md-4">
<div class="form-group">
<span class="has-float-label">
<label for="Phone">Mobile Number</label>
<input type="tel" id="phone" name="phone" placeholder="Phone Number" minlength="10" maxlength="10" pattern="[6-9]{1}[0-9]{9}" class="form-control" required="">
</span>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<span class="has-float-label">
<label for="name">Outlet</label>
<select class="custom-select mr-sm-2" id="outlet" name="outlet" required="">
<option value="">Select Outlet</option>
<option value="Showroom">Gurgaon Showroom</option>
<option value="Workshop">Gurgaon Workshop</option>
</select>
</span>
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<span class="has-float-label">
<label for="name">Model</label>
<select class="custom-select mr-sm-2" id="LEADCF6" name="model" required="">
<option value="">-Select model-</option>
<option value="SKODA-OCTAVIA">ŠKODA OCTAVIA</option>
<option value="SKODA-KUSHAQ">ŠKODA KUSHAQ</option>
<option value="SKODA-RAPID">ŠKODA RAPID</option>
<option value="SKODA-SUPERB">ŠKODA SUPERB</option>
</select>
</span>
</div>
</div>
<div class="col-md-12">
<div class="form-group">
<span class="has-float-label">
<label for="text">Comment</label>
<textarea rows="3" name="comment" placeholder="" style="width:100%; border-radius:5px; height:auto" id="car-enquiry-comment"></textarea>
</span>
</div>
</div>
<div class="col-12 mb-3">
<p>Disclaimer: I agree that by clicking the ‘Submit’ button below, I am explicitly soliciting a call / Message from Ring Road Škoda (Masyy Cars Private Limited) or its Representatives on my ‘Mobile’.</p>
</div>
<div class="col-12">
<input type="checkbox" id="defaultCheck" name="example2" required="">
<label for="defaultCheck" class="declaimer">Please agree with the above disclaimer</label>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab"></div>
<div class="zcwf_col_fld">
<input type="submit" id="formsubmit" class="btn btn-theme formsubmit zcwf_button btn btn-primary" name="submit" value="Submit" title="Submit">
</div>
</div>
</div>
</form>
</div>
</div>
<div class="tab-pane fade shadow rounded bg-white p-2" id="v-pills-settings" role="tabpanel" aria-labelledby="v-pills-settings-tab">
<div id="crmWebToEntityForm" class="zcwf_lblLeft crmWebToEntityForm">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta http-equiv="content-type" content="text/html;charset=UTF-8">
<form action="<?php echo base_url();?>feedback" method="POST" accept-charset="UTF-8" data-kmt="1">
<div class="form-row">
<div class="col-md-4 mb-3">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab">
<label for="Last Name">Name<span style="color:red;">*</span></label>
</div>
<div class="zcwf_col_fld">
<input type="text" id="firstname" name="firstname" class="form-control" maxlength="80" required="">
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4 mb-3">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab">
<label for="Email">Email</label>
</div>
<div class="zcwf_col_fld">
<input type="email" ftype="email" id="email" name="email" class="form-control" maxlength="100" required="">
<div class="zcwf_col_help">
</div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4 mb-3">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab">
<label for="Phone">Phone<span style="color:red;">*</span></label>
</div>
<div class="zcwf_col_fld">
<input type="tel" id="phone" name="phone" class="form-control" maxlength="10" minlength="10" pattern="[6-9]{1}[0-9]{9}" required="">
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-4 mb-3">
<div class="form-group">
<span class="has-float-label">
<div class="zcwf_row">
<div class="zcwf_col_lab" style="font-size:12px; font-family: Arial;">
<label for="LEADCF23">Outlet<span style="color:red;">*</span></label>
</div>
<div class="zcwf_col_fld">
<select class="zcwf_col_fld_slt custom-select form-control" id="outlet" name="outlet" required="">
<option value="">-None-</option>
<option value="Showroom">Gurgaon Showroom</option>
<option value="Workshop">Gurgaon Workshop</option>
</select>
<div class="zcwf_col_help"></div>
</div>
</div>
</span>
</div>
</div>
<div class="col-md-8">
<div class="form-group">
<span class="has-float-label">
<label for="text">Comment</label>
<div class="zcwf_col_fld">
<textarea id="comment" name="comment" class="form-control"></textarea>
<div class="zcwf_col_help"></div>
</div>
</span>
</div>
</div>
<div class="form-row" style="padding-left: 5px;">
<div class="col-md-12">
<p>Rating</p>
<div class="rating">
<input type="radio" id="1" name="rating" value="Poor"><label for="1">Poor</label>
<input type="radio" id="2" name="rating" value="Average"><label for="2">Average</label>
<input type="radio" id="3" name="rating" value="Good"><label for="3">Good</label>
<input type="radio" id="4" name="rating" value="Best"><label for="4">Best</label>
<input type="radio" id="5" name="rating" value="Excellent"><label for="5">Excellent</label>
</div>
</div>
</div>
<div class="col-12 mb-3">
<p>Disclaimer: I agree that by clicking the ‘Submit’ button below, I am explicitly soliciting a call / Message from Ring Road Škoda (Masyy Cars Private Limited) or its Representatives on my ‘Mobile’.</p>
</div>
<div class="col-12">
<input type="checkbox" id="defaultCheck" name="example2" required="">
<label for="defaultCheck" class="declaimer">I agree </label>
</div>
<div class="zcwf_row">
<div class="zcwf_col_lab"></div>
<div class="zcwf_col_fld">
<input type="submit" id="formsubmit" class="formsubmit zcwf_button btn btn-primary" value="Submit" title="Submit">
<input type="reset" class="zcwf_button" name="reset" value="Reset" title="Reset">
</div>
</div>
</div></form>
</div>
</div>
</div>
</div>
</div>
</div>
</section>