ikan Uploader :
Directory : /var/www/html/shardahospital_old.org/hbackup/application/views/includes/
Upload File : |
| Current File : /var/www/html/shardahospital_old.org/hbackup/application/views/includes/subscribe.php |
<!--SubscribeNewsletter-Start-->
<section id="subscribe_newsletter" class="subscribe_newsletter_inside">
<div class="container">
<div class="row">
<div class="col-md-5">
<h3>Keep in touch with us for better health Subscribe to our Newsletter</h3>
<h4 id='res_special'></h4>
</div>
<form action="<?php echo site_url('Subscribe'); ?>" method="POST">
<input type="hidden" name="SubscriptionSource" value="<?php echo trim($_SERVER['REQUEST_URI']); ?>">
<input type="hidden" name="name" value="" id="name">
<div class="col-md-4">
<input type="email" name="SubscriptionEmail" id="SubscriptionEmail" value="" required placeholder="Enter your email address here...">
</div>
<div class="col-md-3">
<button type="submit" class="btn btn-default">Submit Now</button>
</form>
</div>
</div>
</div>
</section>
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