{Header}
  	<section class="inner-banner pattern-3">
        <div class="container text-center">
            <h2>Contact Us</h2>
        </div>
    </section>
	
	<section class="checkout-section section-padding cart-section">
        <div class="container">
            <div class="row clearfix">
				<div class="col-lg-6 col-xs-12">

                    <div class="section-title text-left">
                        <h1><span>Contact Info</span></h1>
                    </div>
					<div class="col-md-12 col-sm-12 col-xs-12 column form-column"></div>
                    
					<div class="contact-info-box">
                        
                        <ul>
                            <li>
                                <div class="icon-box">
                                    <i class="fa fa-map-marker"></i>
                                </div>
                                <!-- /.icon-box -->
                                <div class="text-box">
                                    <p>D.No 6-267, Yadavula Bazar, Gorantla.
                                        <br />Guntur, Andhra Pradesh, India - 522 034.</p>
                                </div>
                                <!-- /.text-box -->
                            </li>
                            <li>
                                <div class="icon-box">
                                    <i class="fa fa-phone"></i>
                                </div>
                                <!-- /.icon-box -->
                                <div class="text-box">
                                    <p>Phone No.: +91 6360900983</p>
                                </div>
                                <!-- /.text-box -->
                            </li>
                            <li>
                                <div class="icon-box">
                                    <i class="fa fa-envelope"></i>
                                </div>
                                <!-- /.icon-box -->
                                <div class="text-box">
                                    <p><a href="mailto:meditation@tatpurusha.org">meditation@tatpurusha.org</a></p>
                                </div>
                                <!-- /.text-box -->
                            </li>
                            <li>
                                <div class="icon-box">
                                    <i class="fa fa-clock-o"></i>
                                </div>
                                <!-- /.icon-box -->
                                <div class="text-box">
                                    <p class="text-justify">Week Days&nbsp;&nbsp;&nbsp;&nbsp;: 05:00 AM – 11:00 PM 
                                        <br />Saturday &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: 08:00 AM – 07:00 PM 
                                        <br />Sunday&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: 08:00 AM – 12:00 PM</p>
                                </div>
                                <!-- /.text-box -->
                            </li>
                        </ul>
                    </div>
	
					
					
           
				</div>
				<div class="col-lg-6 col-xs-12">
              
                    <div class="section-title text-left">
                        <h1><span>Feed Back</span></h1>
                    </div>
					<div class="col-md-12 col-sm-12 col-xs-12 column form-column"></div>
                    <div class="default-form billing-info-form">
	 <!--BeginFormmembers_record-->
						<form method="POST" action="{FileName}" name="members_record">
					   <div class="col-md-12 col-sm-12 col-xs-12 column form-column">
					   <div class="row clearfix">

                                               <!--Beginmembers_recordsuccess-->
						<div class="form-group col-md-12 col-sm-12 col-xs-12">
                                               <h3 style="color:#337ab7">{successMsg}</h3>
						</div>
						 <!--Endmembers_recordsuccess-->
					   
							<!--Beginmembers_recordError-->
							<div class="form-group col-md-12 col-sm-12 col-xs-12">
							<font color="#FF0000" size="-1">{smembers_recordErr}</font>
							</div>
							<!--Endmembers_recordError-->
					   
								   <div class="form-group col-md-12 col-sm-12 col-xs-12">
										<div class="field-label">Name*</div>
										<input type="text" name="name" maxlength="50" value="{name}" size="25">
									</div>
									
									<div class="form-group col-md-12 col-sm-12 col-xs-12">
										<div class="field-label">Email ID*</div>
										<input type="text" name="emailId" maxlength="50" value="{emailId}" size="25">
									</div>
									<div class="form-group col-md-12 col-sm-12 col-xs-12">
										<div class="field-label">Mobile No*</div>
										<input type="text" name="mobileNo" maxlength="50" value="{mobileNo}" size="25">
									</div>
									
									
									
									<div class="form-group col-md-12 col-sm-12 col-xs-12">
										<div class="field-label">Your Requirement*</div>
			                            <textarea name="requirement" style="width:100%">{requirement}</textarea>
									</div>
									
									
									<div class="margin-top-40 text-right">
									   
				  <input type="hidden" name="FormName" value="members_record"/>
									<input type="hidden" value="insert" name="FormAction">
      <input type="submit" name="imageField22" id="imageField22" value="Submit" class="thm-btn thm-blue-bg" onClick="document.members_record.FormAction.value = 'insert';">
								
							</div>
								</div>
							</div>
							
						
							
                        </form>
 <!--EndFormmembers_record-->
                    </div>
					
					

					
					
					
					
					
					
					
                <!--Form Column-->
				</div>
            </div>
        </div>
    </section>
	
	 <section class="home-google-map">
        <div class="google-map" id="contact-google-map" data-map-lat="16.301222" data-map-lng="80.420277" data-icon-path="img/resources/map-marker.png" data-map-title="Main Road, A T Agraharam, Guntur, Andhra Pradesh, India." data-map-zoom="12"></div>
    </section>
     <script src="assets/jquery-1.12.4.min.js"></script>
    <!-- bootstrap js -->
    <script src="assets/bootstrap/js/bootstrap.min.js"></script>
    <!-- jQuery ui js -->
    <script src="assets/jquery-ui-1.11.4/jquery-ui.js"></script>
    <!-- owl carousel js -->
    <script src="assets/owl.carousel-2/owl.carousel.min.js"></script>
    <!-- gmap.js helper -->
    <script src="http://maps.google.com/maps/api/js?key=AIzaSyAGXEOvx_2ubrG_DRl7zewyczQ5iVyKh7c"></script>
    <!-- gmap.js -->
    <script src="assets/gmap.js"></script>
    <!-- mixit up -->
    <script src="assets/jquery.mixitup.min.js"></script>
   
    <!-- fancy box -->
    <script src="assets/fancyapps-fancyBox/source/jquery.fancybox.pack.js"></script>
    <script src="assets/bootstrap-touch-spin/jquery.bootstrap-touchspin.js"></script>
    <script src="assets/jquery-appear/jquery.appear.js"></script>
    <script src="assets/jquery.countTo.js"></script>
    <script src="assets/menuzord/js/menuzord.js"></script>
    <script src="assets/bootstrap-select/dist/js/bootstrap-select.min.js"></script>
    <script src="assets/jquery.isotope.js"></script>
    <!-- waypoints js -->
    <script src="assets/waypoint.js"></script>
    <!-- theme custom js  -->
    <script src="js/default-map.js"></script>
    <script src="js/custom.js"></script>  
    
{Footer}