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<div class="ycd-bootstrap-wrapper ycd-settings-wrapper"> <div class="row"> <div class="col-lg-8"> <div class="panel panel-default"> <div class="panel-heading"><?php _e('Support', YCD_TEXT_DOMAIN)?></div> <div class="panel-body"> <form id="ycd-form"> <div class="row form-group"> <div class="col-md-3"> <label style="margin-top: 8px;"> <?php _e('Choose Support Type', YCD_TEXT_DOMAIN)?> </label> </div> <div class="col-md-3"> <span> <input type="radio" checked="" name="report_type" value="Technical Support" id="ycd_tab_pr"><label class="ycd-inline-label-radio radio" for="ycd_tab_pr"><?php _e('Technical Support', YCD_TEXT_DOMAIN)?></label> </span> </div> <div class="col-md-3"> <span> <input type="radio" name="report_type" value="Suggestion" id="ycd_tab_sug"> <label class="ycd-inline-label-radio radio" for="ycd_tab_sug"><?php _e('Suggestion', YCD_TEXT_DOMAIN)?></label> </span> </div> <div class="col-md-3"> <span> <input type="radio" name="report_type" value="Feature Request" id="ycd_tab_q"> <label class="ycd-inline-label-radio radio" for="ycd_tab_q"><?php _e('Feature Request', YCD_TEXT_DOMAIN)?></label> </span> </div> </div> <div class="row form-group"> <div class="col-md-3"> <label for="ycd-name"><?php _e('Name', YCD_TEXT_DOMAIN)?>*</label> </div> <div class="col-md-5"> <input type="text" id="ycd-name" class="form-control input-sm ycd-required-fields" data-error="ycd-error-name" name="name" value=""> </div> </div> <div class="row form-group ycd-hide ycd-error-name"> <div class="col-md-12"> <label class="ycd-error"><?php _e('This filed is required', YCD_TEXT_DOMAIN)?></label> </div> </div> <div class="row form-group"> <div class="col-md-3"> <label for="ycd-email"><?php _e('Email Address', YCD_TEXT_DOMAIN)?>*</label> </div> <div class="col-md-5"> <input type="text" id="ycd-email" class="form-control input-sm ycd-required-fields" data-error="ycd-error-email" name="email" value="<?php echo esc_attr(get_option('admin_email')); ?>"> </div> </div> <div class="row form-group ycd-hide ycd-error-email"> <div class="col-md-12"> <label class="ycd-error"><?php _e('This filed is required', YCD_TEXT_DOMAIN)?></label> </div> </div> <div class="row form-group ycd-hide ycd-validate-email-error"> <div class="col-md-12"> <label class="ycd-error"><?php _e('Please enter a valid email address', YCD_TEXT_DOMAIN)?></label> </div> </div> <div class="row form-group"> <div class="col-md-3"> <label for="ycd-website"><?php _e('Website', YCD_TEXT_DOMAIN)?>*</label> </div> <div class="col-md-5"> <input type="text" id="ycd-website" class="form-control input-sm ycd-required-fields" data-error="ycd-error-website" name="website" value="<?php echo esc_attr(get_option('siteurl')); ?>"> </div> </div> <div class="row form-group ycd-hide ycd-error-website"> <div class="col-md-12"> <label class="ycd-error"><?php _e('This filed is required', YCD_TEXT_DOMAIN)?></label> </div> </div> <div class="row form-group"> <div class="col-md-3"> <label for="ycd-message"><?php _e('Message', YCD_TEXT_DOMAIN)?></label> </div> <div class="col-md-5"> <textarea name="ycd-message" for="ycd-message" class="form-control"> </textarea> </div> </div> <div class="row"> <div class="col-md-12"> <input class="button-primary gfbutton" type="submit" id="ycd-support-request-button" name="" value="<?php _e('Request Support', YCD_TEXT_DOMAIN)?>"> <img src="<?php echo esc_attr(YCD_COUNTDOWN_IMG_URL).'ajax.gif'; ?>" alt="gif" class="ycd-support-spinner js-ycd-spinner ycd-hide" width="20px"> </div> </div> </form> <div class="row ycd-support-success ycd-hide"> <div class="col-md-12"> <?php _e('Thank you for contacting us!', YCD_TEXT_DOMAIN)?> </div> </div> </div> </div> </div> <div class="col-lg-6"></div> </div> </div>