<div class="row">
<div class="col-md-6 col-sm-6 text-center">
<form id="pwww-cf" class="form-horizontal">
    <div class="form-group">
	  <div class="col-md-12">
		  <input name="name" placeholder="Full Name" class="form-control input-md" required="" type="text" /> 
	  </div>
    </div>
    <div class="form-group">
	  <div class="col-md-12">
		  <input name="mail" placeholder="Email" class="form-control input-md" required="" type="text" /> 
	  </div>
    </div>
    <div class="form-group">
	  <div class="col-md-12">
		  <input name="phone" placeholder="Phone" class="form-control input-md" required="" type="text" /> 
	  </div>
    </div>
    <div class="form-group">
	  <div class="col-md-12">
		  <textarea name="message" placeholder="Message" style="width:100%;height:200px;color:#000;"></textarea>
	  </div>
    </div>
    <div class="form-group">
	    <div class="col-md-12 text-center">
	        <button id="singlebutton" class="btn btn-pw" name="singlebutton" type="submit">
		        <span class="glyphicon glyphicon-log-in"></span> 
		        Send
	        </button>
	    </div>
     </div>
</form>
</div>
<div class="col-md-6 col-sm-6 col-xs-12 text-center">
	<div class="call-mob">
	    <img src="https://www.professionalcliniccenter.com/en/wp-content/themes/planet/img/viber.png" alt="">
		<img class="wow pulse" src="https://www.professionalcliniccenter.com/en/wp-content/themes/planet/img/whatsapp.png" alt="">
        <p class="ltr">+905444433551</p>
	    <i class="fa fa-envelope" aria-hidden="true"></i>
        <p>info@professionalcliniccenter.com</p>
	   <i class="fa fa-map" aria-hidden="true"></i>
        <p>Istanbul - Turkey</p>
	</div>
</div>
</div>
<div id="msgs"></div>
<script>
$(function(){
    $("#pwww-cf").submit(function(){
        $("#msgs").html("Sending ...");
        $.post("https://www.professionalcliniccenter.com/en/wp-content/themes/planet/inc/mail.php", $(this).serialize(), function(data){
            $("#msgs").html(data);
        }).fail(function() {
            $("#msgs").html( "Send Faild .. Try Again Later" );
        });
        return false;
    });
});
</script>
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