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<!DOCTYPE html>
<html lang="zxx">

<title>Para Medical Council | Donation</title>
 <link rel="shortcut icon" href="assets/images/favicon.png">
  
  <meta name="viewport" content="width=device-width, initial-scale=1">
 
  
  <link rel="stylesheet" href="assets/vendors/bootstrap/bootstrap.css">
  
  <link rel="stylesheet" href="assets/vendors/fontawesome/css/all.css">
  <link rel="stylesheet" href="assets/vendors/bicon/css/bicon.min.css">
  <link rel="stylesheet" href="assets/vendors/themify/themify-icons.css">
  
  <link rel="stylesheet" href="assets/vendors/animate-css/animate.css">
  
  <link rel="stylesheet" href="assets/vendors/woocommerce/woocommerce-layouts.css">
  <link rel="stylesheet" href="assets/vendors/woocommerce/woocommerce-small-screen.css">
  <link rel="stylesheet" href="assets/vendors/woocommerce/woocommerce.css">
   
  <link rel="stylesheet" href="assets/vendors/owl/assets/owl.carousel.min.css">
  <link rel="stylesheet" href="assets/vendors/owl/assets/owl.theme.default.min.css">

<link rel="stylesheet" href="assets/css/style.css">
  <link rel="stylesheet" href="assets/css/responsive.css">

</head>

<?php include"includes/header.php" ; ?>

<section class="page-header">
  <div class="container">
    <div class="row justify-content-center">
      <div class="col-lg-8">
          <div class="page-header-content">
            <h1>Donation</h1>
            <ul class="list-inline mb-0">
              <li class="list-inline-item">
                <a href="index.html">Home</a>
              </li>
              <li class="list-inline-item">/</li>
              <li class="list-inline-item">
                  Donation
              </li>
            </ul>
          </div>
      </div>
    </div>
  </div>
</section>

<section class="contact-info section-padding">
    <div class="container">
        <div class="row align-items-center justify-content-center">
            <div class="col-lg-6">
                <div class="section-heading center-heading">
                    <span class="subheading">Para Medical Council</span>
                    <h3>Donation</h3>
                   
                </div>
            </div>
        </div>
       
        <div class="row justify-content-center p-3">

<div class="col-lg-12 form3">
			<form id="contact_form" name="contact_form" class="form-transparent" enctype="multipart/form-data" action="contactform.php" method="post">
              <div class="row">
                <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="fullname" class="form-control" placeholder="Full Name">
                           </div>
                       </div>
					   <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="fathername" class="form-control" placeholder="Father's Name">
                           </div>
                       </div>
					    <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="address" class="form-control" placeholder="Address">
                           </div>
                       </div>
					    <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" id="name" name="contact" class="form-control" placeholder="Contact No.">
                           </div>
                       </div>
                       
                       <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" name="email" id="email" class="form-control" placeholder="Mail Id">
                           </div>
                       </div>
					       <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" name="donationamount" id="email" class="form-control" placeholder="Donation Amount">
                           </div>
                       </div>
					   
					    <div class="col-lg-6">
                           <div class="form-group">
                               <input type="text" name="onlinepayment" id="email" class="form-control" placeholder="Online Payment">
                           </div>
                       </div>
					   
					  
					   
					     
					    
             
              </div>
              
             
			    <div class="col-lg-6">
                           <div class="form-group">
                              <input id="form_attachment" name="filename" class="file" value="" type="file">
                           </div>
                       </div>
            <div class="col-lg-12">
                       <div class="mt-4 text-left">
                           <button class="btn btn-main" type="submit">Submit <i class="fa fa-angle-right ml-2"></i></button>
                       </div>
                   </div>
				   
				   
            </form>
			
               
            </div>
        </div>
    </div>
</section>

</html>