File: //home/nyiet8349bzl/icbm.sbsc.in/embedded-form.php
<h4 class="side-title mb-0">Leave your thought here</h4>
<p class="mb-4">Your email address will not be published. Required fields are marked *</p>
<form action="#" method="post">
<div class="input-grids row">
<div class="form-group col-lg-6">
<input type="text" name="Name" class="form-control" placeholder="Your Name*" required="">
</div>
<div class="form-group col-lg-6">
<input type="email" name="Email" class="form-control" placeholder="Email*"required="">
</div>
</div>
<div class="form-group">
<textarea name="Comment" class="form-control" placeholder="Your Comment*" required="" spellcheck="false"></textarea>
</div>
<div class="submit text-right">
<button class="btn btn-style btn-theme2">Submit </button>
</div>
</form>