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contactus.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8" />
<meta name="viewport" content="width=device-width, initial-scale=1" />
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<!-- build:css css/main.css -->
<link rel="stylesheet" href="node_modules/bootstrap/dist/css/bootstrap.min.css" />
<link rel="stylesheet" href="node_modules/font-awesome/css/font-awesome.min.css" >
<link rel="stylesheet" href="node_modules/bootstrap-social/bootstrap-social.css" />
<link rel="stylesheet" href="css/home.css">
<!-- endbuild -->
<link href="https://fonts.googleapis.com/css2?family=Libre+Franklin&display=swap" rel="stylesheet">
<title>Calabasas Speech Clinic</title>
</head>
<body>
<!--Jumbotron-->
<header class="jumbotron jumbotron-fluid">
<div class="container jumbocotainer">
<div class="row align-items-center ">
<div class="col col-lg-3">
<a href="index.html"><img src="images/Calabasas Speech Logo.svg" alt="Calabasas Speech logo" /></a>
</div>
<div class="col d-none d-lg-block text-center">
<h2>Speech and Language Services</h2>
</div>
<div class="col col-lg-3 text-right">
<a class="btn btn-secondary btn-lg freeconsult" id="freeconsultbtn">Free Consultation</a>
</div>
</div>
</div>
</header>
<!--Navbar-->
<nav class="navbar navbar-expand-md navbar-light sticky-top">
<div class="container ">
<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#speechNavbar"><span class="navbar-toggler-icon"></span></button>
<div class="collapse navbar-collapse" id="speechNavbar">
<ul class="navbar-nav ml-auto mr-auto">
<li class="nav-item"><a class="nav-link" href="index.html"><span class="fa fa-home "></span> Home</a></li>
<li class="nav-item "><a class="nav-link" href="aboutus.html"><span class="fa fa-info"></span> About Us</a></li>
<li class="nav-item"><a class="nav-link" href="freeresources.html"><span class="fa fa-file-o"></span> Free Resources</a></li>
<li class="nav-item active"><a class="nav-link" href="#"><span class="fa fa-address-card-o"></span> Contact Us</a></li>
</ul>
</div>
</div>
</nav>
<!--Free Consult Modal-->
<div id="freeconsult" class="modal fade" role="dialog">
<div class="modal-dialog modal-dialog-centered modal-lg" role="document">
<div class="modal-content">
<div class="modal-header ">
<h3>Schedule a Free Phone Consultation</h3>
<button type="button" class="close" data-dismiss="modal">×</button>
</div>
<div class="modal-body">
<div class="container-fluid">
<form>
<div class="row form-group">
<label class="col-3 col-form-label" for="clientname"> Name</label>
<div class="col">
<input type="text" class="form-control" id="clientname" name="clientname" required>
</div>
</div>
<div class="row form-group">
<label class="col-3 col-form-label" for="clientphone"> Phone Number</label>
<div class="col">
<input type="tel" class="form-control" id="clientphone" name="clientphone" required>
</div>
</div>
<div class="row form-group">
<div class="col">
<p>Let us know when is good time for you to talk:</p>
</div>
</div>
<div class="row form-row">
<div class="col">
<p>Days</p>
</div>
<div class="col">
<p>Times</p>
</div>
</div>
<div class="row form-row">
<div class="col mr-4">
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="monday" id="monday">
<label for="monday" class="form-check-label">Monday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="tuesday" id="tuesday">
<label for="tuesday" class="form-check-label">Tuesday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="wednesday" id="wednesday">
<label for="wednesday" class="form-check-label">Wednesday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="Thursday" id="thursday">
<label for="thursday" class="form-check-label">Thursday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="friday" id="friday">
<label for="friday" class="form-check-label">Friday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="saturday" id="saturday">
<label for="saturday" class="form-check-label">Saturday</label>
</div>
</div>
<div class="col">
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="times" value="morning" id="morning">
<label for="morning" class="form-check-label">8am-12noon</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="times" value="afternoon" id="afternoon">
<label for="afternoon" class="form-check-label">12noon-4pm</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="times" value="evening" id="evening">
<label for="evening" class="form-check-label">5pm-9pm</label>
</div>
</div>
</div>
<div class="row form-group align-items-center">
<div class="col-9 mt-3">
<p>We will contact you at our earliest availability!</p>
</div>
<div class="col text-center mt-3">
<button type="submit" class="btn consult-submit-button text-white">Submit</button>
</div>
</div>
</form>
</div>
</div>
</div>
</div>
</div>
<div class="container">
<div class="row justify-content-center mt-5">
<div class="col col-md-2 text-center text-md-right">
<h4>Call Us</h4>
</div>
<div class="col-12 col-md-4 col-lg-3 text-center text-md-left">
<a role="button" href="tel:+18181231234" class="btn btn-link"><span class="fa fa-phone"></span> +1-818-123-1234</a>
</div>
</div>
<div class="row justify-content-center">
<div class="col-12 col-lg-4 col-md-5 text-center text-md-right ">
<h4>Email Us</h4>
</div>
<div class="col-xs-12 col-sm col-lg-5 text-center text-md-left">
<a role="button" href="mailto:goldydogsend@CalabasasSpeech.com" class="btn btn-link"><span class="fa fa-envelope"></span> goldydogsent@CalSpeech.com</a>
</div>
</div>
<div class="row mt-3">
<div class="col text-center">
<hr >
</div>
</div>
<div class="row justify-content-center">
<div class="col col-md-9">
<form id="contactusform">
<div class="row form-group">
<label class=" col-4 col-md-3 col-form-label" for="clientname"> Name</label>
<div class="col">
<input type="text" class="form-control" id="clientname" name="clientname" required>
</div>
</div>
<div class="row form-group">
<label class="col-4 col-md-3 col-form-label" for="clientphone"> Phone Number</label>
<div class="col">
<input type="tel" class="form-control" id="clientphone" name="clientphone" required>
</div>
</div>
<div class="row form-group">
<label class="col-4 col-md-3 col-form-label" for="clientage">Client's Age</label>
<div class="col">
<input type="text" class="form-control" id="clientage" name="clientage" required>
</div>
</div>
<div class="row form-group">
<label class="col-4 col-md-3 col-form-label" for="aboutyou">Have Questions?</label>
<div class="col">
<textarea rows="6" class="form-control" placeholder="Please let us know about your concerns"></textarea>
</div>
</div>
<div class="row form-group align-items-center">
<label class="col-4 col-md-3 col-form-label" for="clientname">Preferred Setting</label>
<div class="col">
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="settingspreference" value="inhome" id="inhome">
<label for="inhome" class="form-check-label">In Home</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="settingspreference" value="inoffice" id="inoffice">
<label for="inoffice" class="form-check-label">Office</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="settingspreference" value="onsite" id="onsite">
<label for="onsite" class="form-check-label">On Site</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="settingspreference" value="teletherapysetting" id="teletherapysetting">
<label for="teletherapysetting" class="form-check-label">Tele-thearpy</label>
</div>
</div>
</div>
<div class="row form-group">
<div class="col">
<p>When is a good time for you to talk:</p>
</div>
</div>
<div class="row form-row">
<div class="col">
<p>Days</p>
</div>
<div class="col">
<p>Times</p>
</div>
</div>
<div class="row form-row">
<div class="col mr-4">
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="monday" id="monday">
<label for="monday" class="form-check-label">Monday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="tuesday" id="tuesday">
<label for="tuesday" class="form-check-label">Tuesday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="wednesday" id="wednesday">
<label for="wednesday" class="form-check-label">Wednesday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="Thursday" id="thursday">
<label for="thursday" class="form-check-label">Thursday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="friday" id="friday">
<label for="friday" class="form-check-label">Friday</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="days" value="saturday" id="saturday">
<label for="saturday" class="form-check-label">Saturday</label>
</div>
</div>
<div class="col">
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="times" value="morning" id="morning">
<label for="morning" class="form-check-label">8am-12noon</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="times" value="afternoon" id="afternoon">
<label for="afternoon" class="form-check-label">12noon-4pm</label>
</div>
<div class="form-check form-check-inline">
<input class="form-check-input" type="checkbox" name="times" value="evening" id="evening">
<label for="evening" class="form-check-label">5pm-9pm</label>
</div>
</div>
</div>
<div class="row form-group align-items-center">
<div class="col-9 mt-3">
<p>We will contact you at our earliest availability!</p>
</div>
<div class="col text-center mt-3">
<button type="submit" class="btn consult-submit-button text-white">Submit</button>
</div>
</div>
</form>
</div>
</div>
</div>
<footer class="site-footer">
<div class="container">
<div class="row">
<div class="col">
<h5>Links</h5>
<ul class="list-unstyled">
<li><a href="index.html">Home</a></li>
<li><a href="#">About Us</a></li>
<li><a href="contactus.html">Contact Us</a></li>
<li><a href="freeresources.html">Free Resources</a></li>
<li><a href="blog.html">Blog</a></li>
</ul>
</div>
<div class="col">
<h5>Let's Connect</h5>
<div class="row ">
<div class="col-2">
<a class="btn btn-social-icon btn-instagram" href="http://instagram.com/"><i class="fa fa-instagram"></i></a>
</div>
<div class="col-2">
<a class="btn btn-social-icon btn-facebook" href="http://facebook.com/"><i class="fa fa-facebook"></i></a>
</div>
<div class="col">
<a class="btn btn-social-icon btn-google" href="http://google.com/"><i class="fa fa-google"></i></a>
</div>
</div>
</div>
<div class="col">
<a role="button" href="tel:+18181231234" class="btn btn-link"><span class="fa fa-phone"></span>+1-818-123-1234</a>
<a href="https://www.google.com/maps/"><span class="btn btn-link"><span class="fa fa-map-marker fa-lg"></span> 123 Ficitonal Road,<br> Calabasas, CA, 91302</a>
</div>
</div>
</div>
</footer>
<!-- jQuery must come first, then Popper.js, then the Bootstrap JavaScript plugins.-->
<!-- build:js js/main.js -->
<script src="node_modules/jquery/dist/jquery.slim.min.js"></script>
<script src="node_modules/popper.js/dist/umd/popper.min.js"></script>
<script src="node_modules/bootstrap/dist/js/bootstrap.min.js"></script>
<script src="js/scripts.js"></script>
<!-- endbuild -->
</body>
</html>