<form method="post" id="contactUsMailForm" name="contact-form-imenso">
  <div class="" id="error_msg">
    
    <div class="row">                  
      <div class="col-sm-6 col-md-12 col-lg-6">                  
        <div class="form-group">
          <label>Full Name<span class="required_sign">*</span></label>
          <input type="text" class="form-control" id="first_name" name="first_name" placeholder="Enter full name">
          <div class="text-danger d-none first_name_error" id="first_name_error"></div>
        </div>
      </div>
      <div class="col-sm-6 col-md-12 col-lg-6">
        <div class="form-group">
          <label>Email Address<span class="required_sign">*</span></label>
          <input type="text" class="form-control" name="company_email" id="company_email" placeholder="Enter email address">
          <div class="text-danger d-none company_email_error" id="company_email_error"></div>
        </div>
      </div>
    </div>
    <div class="row">
      <div class="col-sm-6 col-md-12 col-lg-6">                  
        <div class="form-group" id="addCountryDropdown">
          <label>Contact Number<span class="required_sign">*</span></label>
          <input type="text" class="form-control" id="company_phone" name="company_phone" placeholder="Enter contact number"> 
          <div class="text-danger d-none company_phone_error" id="company_phone_error"></div>
          <input type="hidden" id="country_code" name="country_code" />
          <input type="hidden" id="user_ip" name="user_ip" />
          <input type="hidden" id="company_phone_full" name="company_phone_full" />
        </div>
      </div>
      
      <div class="col-sm-6 col-md-12 col-lg-6">
        <div class="form-group">
          <label>Company Name <small>(Optional)</small></label>
          <input type="text" class="form-control" id="company_name" name="company_name"  placeholder="Enter company name">
          <div class="text-danger d-none company_name_error" id="company_name_error"></div>
        </div>
      </div>
      
    </div>
    <div class="row">
      
      <div class="col-sm-12">
        <div class="form-group">
          <label class="big_label">Write Your Requirement<span class="required_sign">*</span></label>
          <textarea class="form-control" rows="5" id="req_text" name="req_text" placeholder="Write your requirement..."></textarea>
          <div class="text-danger d-none req_text_error" id="req_text_error"></div>
        </div> 
      </div>
      <div class="col-sm-12">
        <div class="form-group">
          <input type="hidden" name="lead_from_page" class="lead_from_page" value="<?php echo $page_name; ?>" id="lead_from_page">
          <input type="hidden" name="lead_source" id="lead_source" class="lead_source d-none" />
          <input type="hidden" name="g_recaptcha_response" value="" id="g_recaptcha_response">
          <div class="error_msg1 g_recaptcha_response_error d-none" id="g_recaptcha_response_error">Please complete this required field</div>
        </div>
      </div>
    </div>

    <div class="mt-xl-3 text-end">
      <button  class="btn btn-bordered-inverse form-btn" id="contactUsMailSubmitButton">Lets Get Started<span class="loader ms-2" > <i class="fa fa-spinner fa-spin" style="font-size:24px"></i> </span></button>
    </div>
    <div class="error_msg1 common_error d-none">Please complete this required field</div>
  </div>
</form>