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<!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title>Request a Quote</title> <!-- Bootstrap CSS --> <link href="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/css/bootstrap.min.css" rel="stylesheet"> </head> <body> <div class="container"> <h2 class="mt-5 mb-4">Request a Quote</h2> <form action="#" method="post"> <div class="form-group"> <label for="name">Name:</label> <input type="text" class="form-control" id="name" name="name" required> </div> <div class="form-group"> <label for="email">Email:</label> <input type="email" class="form-control" id="email" name="email" required> </div> <div class="form-group"> <label for="phone">Phone:</label> <input type="text" class="form-control" id="phone" name="phone" required> </div> <div class="form-group"> <label for="company">Company:</label> <input type="text" class="form-control" id="company" name="company" required> </div> <div class="form-group"> <label for="address">Address:</label> <textarea class="form-control" id="address" name="address" required></textarea> </div> <div class="form-group"> <label for="serviceRequested">Service Requested:</label> <textarea class="form-control" id="serviceRequested" name="serviceRequested" required></textarea> </div> <button type="submit" class="btn btn-primary">Submit</button> </form> </div> <!-- Bootstrap JS and dependencies (Optional) --> <script src="https://code.jquery.com/jquery-3.5.1.slim.min.js"></script> <script src="https://cdn.jsdelivr.net/npm/@popperjs/core@2.5.4/dist/umd/popper.min.js"></script> <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.5.2/js/bootstrap.min.js"></script> </body> </html>