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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<meta name="description" content="">
<meta name="author" content="">
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=Roboto:wght@100;300;400;500;700;900&display=swap"
rel="stylesheet">
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0/dist/css/bootstrap.min.css" rel="stylesheet"
integrity="sha384-gH2yIJqKdNHPEq0n4Mqa/HGKIhSkIHeL5AyhkYV8i59U5AR6csBvApHHNl/vI1Bx" crossorigin="anonymous">
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.2.0/dist/js/bootstrap.bundle.min.js"
integrity="sha384-A3rJD856KowSb7dwlZdYEkO39Gagi7vIsF0jrRAoQmDKKtQBHUuLZ9AsSv4jD4Xa"
crossorigin="anonymous"></script>
<title>Knowledge App</title>
<!-- Additional CSS Files -->
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.8.1/css/all.css"
integrity="sha384-50oBUHEmvpQ+1lW4y57PTFmhCaXp0ML5d60M1M7uH2+nqUivzIebhndOJK28anvf" crossorigin="anonymous">
<link rel="stylesheet" href="assets/css/templatemo-chain-app-dev.css">
</head>
<body>
<header class="header-area header-sticky">
<div class="container">
<div class="row">
<div class="col-12">
<nav class="main-nav">
<a href="index.html" class="logo">
<img src="assets/images/logo.png" alt="Chain App Dev">
</a>
<ul class="nav">
<li class="scroll-to-section"><a href="index.html">Home</a></li>
<li class="scroll-to-section"><a href="services.html">Services</a></li>
<li class="scroll-to-section"><a href="about.html">About</a></li>
<li class="scroll-to-section"><a href="contact.html" class="active">Contact us</a></li>
<li>
</li>
</ul>
<a class='menu-trigger'>
<span>Menu</span>
</a>
</nav>
</div>
</div>
</div>
</header>
<div class=" text-center fs-1 fw-bold">Contact Us</div>
<div class="container">
<div class="row ">
<div class="col-lg-7 mx-auto">
<div class="card mt-2 mx-auto p-4 bg-light">
<div class="card-body bg-light">
<div class="container">
<form id="contact-form" role="form">
<div class="controls">
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="form_name">Firstname *</label>
<input id="form_name" type="text" name="name" class="form-control"
placeholder="Please enter your firstname *" required="required"
data-error="Firstname is required.">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="form_lastname">Lastname *</label>
<input id="form_lastname" type="text" name="surname"
class="form-control" placeholder="Please enter your lastname *"
required="required" data-error="Lastname is required.">
</div>
</div>
</div>
<div class="row">
<div class="col-md-6">
<div class="form-group">
<label for="form_email">Email *</label>
<input id="form_email" type="email" name="email" class="form-control"
placeholder="Please enter your email *" required="required"
data-error="Valid email is required.">
</div>
</div>
<div class="col-md-6">
<div class="form-group">
<label for="form_need">Please specify your need *</label>
<select id="form_need" name="need" class="form-control"
required="required" data-error="Please specify your need.">
<option value="" selected disabled>--Select Your Issue--</option>
<option>Request Invoice for order</option>
<option>Request order status</option>
<option>Haven't received cashback yet</option>
<option>Other</option>
</select>
</div>
</div>
</div>
<div class="row">
<div class="col-md-12">
<div class="form-group">
<label for="form_message">Message *</label>
<textarea id="form_message" name="message" class="form-control"
placeholder="Write your message here." rows="4" required="required"
data-error="Please, leave us a message."></textarea>
</div>
</div>
<div class="col-md-12">
<input type="submit" class="btn btn-primary btn-send pt-2 btn-block
" value="Send Message">
</div>
</div>
</div>
</form>
</div>
</div>
</div>
<!-- /.8 -->
</div>
<!-- /.row-->
</div>
</div>
</body>
</html>