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<?php require_once('db_main.php'); ?>
<!doctype html>
<html lang="en">
<head>
<?php include_once ("head.html"); ?>
</head>
<body class="bg-all animated fadeIn faster ">
<?php include_once ("chatfacebook.php"); ?>
<div class="container-fluid p-0 " >
<div class="container bg-main fix-page mb-0 pb-0" >
<?php include_once ("menu.php"); ?>
</div>
<!------ data ------>
<div class="container bg-white fix-page mt-0 " id="data">
<div class="row">
<div class="col bg-cl-0 fcl-cl-1 bg-txt-head text-center">
ระบบจองคิวเพื่อเข้าใช้บริการ
</div>
<div class="w-100"></div>
<div class="col text-secondary p-0" >
<div class="ps-4 p-2 box-link fw-300" >
<a href="subEService#data" class="link-danger fw-500">E-service</a> > ระบบจองคิวเพื่อเข้าใช้บริการ
</div>
</div>
<div class="w-100"></div>
<div class="col p-4 pb-5 fw-500">
<div class="mx-auto box_dataeser ">
<div class="fs-30 fw-500 pb-2 text-center"><i class="fas fa-edit me-2"></i>กรอกข้อมูล จองคิวเพื่อเข้าใช้บริการ</div>
<hr class="mt-2 mb-4">
<form id="form_subHelping" name="form_subHelping" action="action/save-subEService-BookingsService" method="POST" enctype="multipart/form-data" >
<div class="row mb-3">
<div class="col-3 m-auto text-end pe-1 lh-1">หัวข้อจองคิว</div>
<div class="col-9"><input type="text" name="txt_name" class="form-control fw-300" maxlength="100" required></div>
</div>
<div class="row mb-3">
<div class="col-3 m-auto text-end pe-1 lh-1">ชื่อ-นามสกุล</div>
<div class="col-9"><input type="text" name="txt_ct_name" class="form-control fw-300" maxlength="100" required></div>
</div>
<div class="row mb-3">
<div class="col-3 m-auto text-end pe-1 lh-1">เบอร์โทรศัพท์</div>
<div class="col-9"><input type="text" name="txt_ct_tel" class="form-control fw-300" oninput="this.value = this.value.replace(/\D+/g, '')" minlength="9" maxlength="10" required></div>
</div>
<div class="row mb-3">
<div class="col-3 m-auto text-end pe-1 lh-1">E-mail<br><small class="fw-300 fs-12">* หากไม่มีอีเมล ไม่ต้องกรอก</small></div>
<div class="col-9"><input type="email" name="txt_ct_email" class="form-control fw-300" maxlength="100"></div>
</div>
<hr class="mt-4 mb-3">
<div class="text-center">
<div class="g-recaptcha" data-callback="enableBtn" data-sitekey="<?php echo $gg_sitekey; ?>"></div>
<button type="submit" id="btn_sm" class="btn btn-dark w-100 fs-300 mt-2" disabled><i class="fas fa-paper-plane me-2" ></i> ส่งข้อมูลการจองคิว</button>
</div>
</form>
</div>
</div>
<div class="w-100"></div>
<div class="col bg-cl-2 text-center fcl-cl-1 fs-1" style="height:10px;"></div>
</div>
</div>
<!------------------>
<script>
function enableBtn(){
$("#btn_sm").prop('disabled',false);
}
</script>
<?php include_once ("footer.php"); ?>
</div>
<?php include_once ("cookie.php"); ?>
</body>
</html>