File: /home/dv-pro/public_html/BU/trustedhealth/lp/form.html
<!DOCTYPE html>
<html lang="zxx">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<meta name="keywords" content="">
<meta name="description" content="">
<title>Trusted Healthcare Providers</title>
<!-- Loading Bootstrap -->
<link href="css/bootstrap.min.css" rel="stylesheet">
<!-- Loading Template CSS -->
<link href="css/style.css" rel="stylesheet">
<link href="css/animate.css" rel="stylesheet">
<link rel="stylesheet" href="css/pe-icon-7-stroke.css">
<link href="css/style-magnific-popup.css" rel="stylesheet">
<!-- Awsome Fonts -->
<link rel="stylesheet" href="css/all.min.css">
<!-- Fonts -->
<link href="https://fonts.googleapis.com/css2?family=Montserrat:ital,wght@0,100;0,200;0,300;0,400;0,500;0,600;0,700;0,800;0,900;1,100;1,200;1,300;1,400;1,500;1,600;1,700;1,800;1,900&display=swap" rel="stylesheet">
<!-- Font Favicon -->
<link rel="shortcut icon" href="images/favicon.ico">
<style>
input.register-input, select.register-input {
padding-left: 1.2em !important;
}
</style>
</head>
<body>
<!--begin header -->
<header class="header">
<!--begin navbar-fixed-top -->
<nav class="navbar navbar-expand-lg navbar-default navbar-fixed-top">
<!--begin container -->
<div class="container-fluid">
<!--begin logo -->
<a class="navbar-brand align-middle" href="/">
<img src="images/logo.svg" width="60" class="d-inline-block" alt="">
</a> <!--end logo -->
<!--begin logo -->
<a class="navbar-brand" href="#"><span style="font-weight: 500;">Trusted Healthcare Providers</span> </a>
<!--end logo -->
<!--begin navbar-toggler -->
<button class="navbar-toggler collapsed" type="button" data-toggle="collapse" data-target="#navbarCollapse" aria-controls="navbarCollapse" aria-expanded="false" aria-label="Toggle navigation">
<span class="navbar-toggler-icon"><i class="fas fa-bars"></i></span>
</button>
<!--end navbar-toggler -->
<!--begin navbar-collapse -->
<div class="navbar-collapse collapse" id="navbarCollapse" style="">
<!--begin navbar-nav -->
<ul class="navbar-nav ml-auto">
<li><a href="#home">Home</a></li>
<li><a href="#about">About</a></li>
<li><a href="#testimonials">Testimonials</a></li>
<li><a href="#team">Team</a></li>
<li><a href="#portfolio">Work</a></li>
<li><a href="#features">Features</a></li>
<li><a href="#pricing">Pricing</a></li>
<li class="discover-link"><a href="#contact" class="discover-btn">Request a Consultation</a></li>
</ul>
<!--end navbar-nav -->
</div>
<!--end navbar-collapse -->
</div>
<!--end container -->
</nav>
<!--end navbar-fixed-top -->
</header>
<!--end header -->
<!--begin home section -->
<section class="home-section" id="home">
<div class="home-section-overlay"></div>
<!--begin container -->
<div class="container">
<!--begin row -->
<div class="row">
<!--begin col-md-6-->
<div class="col-md-6 margin-top-40 hero-content">
<p class="title">Easy Access. No Waiting. Save Time.</p>
<hr style="width: 20%; height:2px; border-width:0; color:white; background-color:white;">
<h1>Access to a Physician by
phone or video from any location.</h1>
<p class="hero-text">Discover the future of healthcare with Trusted Healthcare Providers.</p>
<!--begin newsletter_form_box -->
<div class="newsletter_form_box">
<!--begin success_box -->
<p class="newsletter_success_box" style="display:none;">We received your message and you'll hear from us soon. Thank You!</p>
<!--end success_box -->
<!--begin newsletter-form -->
<p class="title">
<span>Request a Consultation <i class="fa fa-angle-right"></i></span>
</p>
</div>
<!--end newsletter_form_box -->
</div>
<!--end col-md-6-->
<!--begin col-md-6-->
<div class="col-md-6">
</div>
<!--end col-md-6-->
</div>
<!--end row -->
</div>
<!--end container -->
</section>
<!--end home section -->
<section class="section-bg-2" id="contact">
<div class="section-bg"></div>
<!--begin container-->
<div class="container">
<!--begin row -->
<div class="row">
<!--begin col-md-12-->
<div class="col-md-12 text-center padding-bottom-10">
<h3 class="section-title">Get Your Free Consultation</h3>
<p class="section-subtitle">Fill out the form and we reach out to you as soon as possible.</b></p>
</div>
<!--end col-md-12 -->
</div>
<!--end row -->
<!--begin row-->
<div class="row justify-content-md-center">
<!--begin col-md-8-->
<div class="col-md-6 text-center margin-top-10">
<!--begin register-form-wrapper-->
<div class="register-form-wrapper wow bounceIn" data-wow-delay="0.5s" style="visibility: visible; animation-delay: 0.5s; animation-name: bounceIn;">
<!--begin form-->
<div>
<!--begin success message -->
<p class="register_success_box" style="display:none;">We received your message and you will hear from us soon. Thank You!</p>
<!--end success message -->
<!--begin register form -->
<form id="register-form" class="register-form register" action="php/register.php" method="post">
<input class="register-input white-input" required="" name="register_names" placeholder="First Name*" type="text">
<input class="register-input white-input" required="" name="register_names" placeholder="First Name*" type="text">
<input class="register-input white-input" required="" name="register_email" placeholder="Email Adress*" type="email">
<input value="Start Trial" class="register-submit" type="submit">
</form>
<!--end register form -->
<p class="register-form-terms">Free 14-Day Trial • Money Back Guarantee</p>
</div>
<!--end form-->
</div>
<!--end register-form-wrapper-->
</div>
<!--end col-md-8-->
</div>
<!--end row-->
</div>
<!--end container-->
</section>
<!--begin footer -->
<div class="footer">
<!--begin container -->
<div class="container">
<!--begin row -->
<div class="row">
<!--begin col-md-5 -->
<div class="col-md-7">
<p> © Trusted Healthcare Providers 2019-2020 All Rights Reserved. </p>
</div>
<!--end col-md-5 -->
<!--begin col-md-5 -->
<div class="col-md-5">
<!--begin footer_social -->
<ul class="footer_social">
<li><a href="#" style="color:#364451 !important;">Privacy Policy</a></li>
<li><a href="#" style="color:#364451 !important;">| Terms and Conditions</a></li>
</ul>
<!--end footer_social -->
</div>
<!--end col-md-5 -->
</div>
<!--end row -->
</div>
<!--end container -->
</div>
<!--end footer -->
<!-- Load JS here for greater good =============================-->
<script src="js/jquery-3.3.1.min.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/jquery.scrollTo-min.js"></script>
<script src="js/jquery.magnific-popup.min.js"></script>
<script src="js/jquery.nav.js"></script>
<script src="js/wow.js"></script>
<script src="js/plugins.js"></script>
<script src="js/custom.js"></script>
</body>
</html>