<!DOCTYPE html>
<html>
<head>
	<meta charset="utf-8">
	<meta name="viewport" content="width=device-width, initial-scale=1">
	<title>Picture Life</title>
	<link rel="shortcut icon" href="images/inst.png">
	<link href="css/bootstrap.min.css" rel="stylesheet">
	<link href="css/animate.css" rel="stylesheet">
	<link href="css/myStyle.css" rel="stylesheet">
	<link rel="stylesheet" type="text/css" href="css/font-awesome.min.css">
	<script src="js/jquery-3.1.1.min.js"></script>
	<script src="js/bootstrap.min.js"></script>
</head>
<body background="images/eirene.jpg">
<?php
	include_once('header.php');
?>
<br><br><br>
<div class = "container">
	 <div class="row">
            <div class="col-md-8">
                <h3>Send us a Message</h3>
                <form name="sentMessage" method="POST" id="contactForm" action="keluhan.php" >
                    <div class="control-group form-group">
                                            </div>
                    <div class="control-group form-group">
                        <div class="controls">
                            <label>Nama Pengunjung:</label>
                            <input type="text" class="form-control" name="namapengunjung" placeholder="Masukkan Nama Anda" id="phone" required>
                        </div>
                    </div>
                    <div class="control-group form-group">
                        <div class="controls">
                            <label>Email Pengunjung:</label>
                            <input type="email" class="form-control" name="emailpengunjung" placeholder="Masukkan Email Anda" id="email" required>
                        </div>
                    </div>
                    <div class="control-group form-group">
                        <div class="controls">
                            <label>Isi Keluhan:</label>
                            <textarea rows="10" cols="100" name="isikeluhan" placeholder="Masukkan Keluhan" class="form-control" id="message"  maxlength="999" style="resize:none" required></textarea>
                        </div>
                    </div>

                    <input type="submit" name="submit" class="btn btn-info" value="Send Message">
					
			   </form>
            </div>
			<div class="col-md-3" style="margin-top:85px;	 float:right; border:solid 1px;">
			
				<div class="kontak">
				<p>Contact Person</p>
				<p><i class="fa fa-phone"></i>&nbsp; 082166171273</p>
				<p><i class="fa fa-envelope"></i>&nbsp; pusatseminaribukitgibeon@yahoo.com</p>
				</div>
			</div>	
        </div>
	</div>
		
	<footer class="footer" style="margin-top:30px">
			<div class="icon">
				<a href="https://facebook.com" target="_blank"><i class="fa fa-facebook" style="font-size: 20px;"></i></a>
				<a href="https://instagram.com" target="_blank"><i class="fa fa-instagram" style="font-size: 20px;"></i></a>
				<a href="https://twitter.com" target="_blank"><i class="fa fa-twitter" style="font-size: 20px;"></i></a>
				<a href="https://gmail.com" target="_blank"><i class="fa fa-google-plus" style="font-size: 20px;"></i></a>
			</div>
			<p>BUKIT GIBEON</p>
			<p>Sekolah Misi Interdenominasi Gereja</p>
			<hr><hr>
			<p>Copyright &copy All Right Reserved - Kelompok PA1-1617-D3TI08 - 2016</p>
	</footer>
</body>
</html>