<div class="mainfrm">
					<div class="">
						<div class="">
							<div class="form-wrap">
								<img class="imgform" src="assets/images/50percent.webp">
								<h1>Avail upto<span> 60% Discount</span></h1>
								<form  class="ordernow-form form-get-quote" action="sendmail.php" method="POST">
								    <input type="hidden" name="lead_source" value="<?= $_SERVER['SERVER_NAME'] . $_SERVER['REQUEST_URI']; ?>">
									<input type="hidden" name="brand" value="<?= $_SERVER['SERVER_NAME']; ?>">
									<input type="text" name="msclkid" hidden value="<?php echo isset($_SESSION['msclkid']) ? $_SESSION['msclkid'] : ''; ?>">
									<input type="text" name="gclid" hidden value="<?php echo isset($_SESSION['gclid']) ? $_SESSION['gclid'] : ''; ?>">
									<input type="text" name="ip" hidden="" value="<?php echo $_SERVER['REMOTE_ADDR']; ?>">

									<div class="alert alert-danger error" style="display: none;"></div>

									<div class="col-md-12">
										<div class="bnr-inpfild">
											<input type="text" name="full_name" placeholder="Enter Name" class="required" required="">
										</div>
									</div>
									

									<div class="col-md-12">
										<div class="bnr-inpfild">
											<input type="email" name="email" placeholder="Enter Your Email" class="required" required="">
										</div>
									</div>
									<div class="col-md-12">
										<div class="bnr-inpfild brn-numberfild">

											<input type="text" name="phone" id="phone-coun" class="phone-country masking contact phoneNum" placeholder="Phone*" onkeypress="return isNumber(event)"   required="">

											<span class="bg-danger col-lg-offset-3 contact_error " style="display: none;">Contact No Incorrect</span>
										</div>

									</div>
									<div class="col-md-12">
										<div class="bnr-inpfild">
											<select name="service">

												<option value="Illustration Design" pack="1">Illustration Design</option>
												<option value="Content Writing" pack="3">Content Writing </option>
												<option value="Web Development" pack="1">Web Development</option>
												<option value="Digital Marketing" pack="2">Digital Marketing</option>

												<option value="Logo Design" pack="1">Logo Design</option>
												<option value="Ecommerce Web Solutions" pack="2">Ecommerce Web Solutions</option>
												<option value="Motion Graphics" pack="3">Motion Graphics </option>

												<option value="Marketing Collateral" pack="2">Marketing Collateral</option>
												<option value="App Design" pack="3">App Design </option>
												<option value="SEO Services" pack="3">SEO Services </option>


											</select>
										</div>
									</div>
									<div class="col-lg-12">
										<div class="bnr-inpfild">
											<input type="submit" name="submit" value="Let's get Started">



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