97 lines
4.5 KiB
PHP
97 lines
4.5 KiB
PHP
<?php
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$success = false;
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$errors = [];
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if ($_SERVER['REQUEST_METHOD'] === 'POST') {
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$name = trim(htmlspecialchars($_POST['name'] ?? '', ENT_QUOTES));
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$email = trim(htmlspecialchars($_POST['email'] ?? '', ENT_QUOTES));
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$phone = trim(htmlspecialchars($_POST['phone'] ?? '', ENT_QUOTES));
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$subject = trim(htmlspecialchars($_POST['subject'] ?? '', ENT_QUOTES));
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$message = trim(htmlspecialchars($_POST['message'] ?? '', ENT_QUOTES));
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if (!$name) $errors[] = 'Name is required.';
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if (!filter_var($email, FILTER_VALIDATE_EMAIL)) $errors[] = 'A valid email is required.';
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if (!$message) $errors[] = 'Message is required.';
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if (empty($errors)) {
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// TODO: swap for DB insert + email once credentials are configured
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$success = true;
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}
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}
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?>
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<section class="section page-hero">
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<div class="container">
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<span class="section__eyebrow">Reach Out</span>
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<h1 class="section__heading">Contact Us</h1>
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<p class="section__sub">Questions about service, coverage, or your account? We're here to help.</p>
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</div>
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</section>
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<section class="section">
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<div class="container contact__grid">
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<div class="contact__info">
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<h2 class="contact__heading">Get In Touch</h2>
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<ul class="contact__details">
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<li>📞 <a href="tel:+10000000000">(000) 000-0000</a></li>
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<li>✉ <a href="mailto:info@alwisp.com">info@alwisp.com</a></li>
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<li>🕐 Mon–Fri 8am–6pm CST<br>Emergency support 24/7</li>
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</ul>
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</div>
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<div class="contact__form-wrap">
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<?php if ($success): ?>
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<div class="alert alert--success" role="alert">
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Thanks! We'll be in touch within one business day.
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</div>
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<?php endif; ?>
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<?php if (!empty($errors)): ?>
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<div class="alert alert--error" role="alert">
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<ul><?php foreach ($errors as $e) echo "<li>" . $e . "</li>"; ?></ul>
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</div>
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<?php endif; ?>
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<form method="post" action="/contact" class="form" novalidate>
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<div class="form__row form__row--2">
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<div class="form__group">
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<label for="name" class="form__label">Name <span aria-hidden="true">*</span></label>
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<input type="text" id="name" name="name" class="form__input" required
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value="<?= htmlspecialchars($_POST['name'] ?? '') ?>">
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</div>
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<div class="form__group">
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<label for="email" class="form__label">Email <span aria-hidden="true">*</span></label>
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<input type="email" id="email" name="email" class="form__input" required
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value="<?= htmlspecialchars($_POST['email'] ?? '') ?>">
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</div>
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</div>
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<div class="form__row form__row--2">
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<div class="form__group">
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<label for="phone" class="form__label">Phone</label>
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<input type="tel" id="phone" name="phone" class="form__input"
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value="<?= htmlspecialchars($_POST['phone'] ?? '') ?>">
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</div>
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<div class="form__group">
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<label for="subject" class="form__label">Subject</label>
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<select id="subject" name="subject" class="form__input">
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<option value="">Select a topic…</option>
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<option value="new-service">New Service Inquiry</option>
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<option value="support">Technical Support</option>
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<option value="billing">Billing Question</option>
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<option value="coverage">Coverage Question</option>
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<option value="other">Other</option>
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</select>
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</div>
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</div>
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<div class="form__group">
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<label for="message" class="form__label">Message <span aria-hidden="true">*</span></label>
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<textarea id="message" name="message" class="form__input form__textarea" rows="5" required><?= htmlspecialchars($_POST['message'] ?? '') ?></textarea>
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</div>
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<button type="submit" class="btn btn--primary">Send Message</button>
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</form>
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</div>
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</div>
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</section>
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