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<?php header("Location: https://ecogenix.in/enquiry.php"); exit; ?> <!DOCTYPE html> <html lang="en"> <head> <meta charset="UTF-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0"> <title> Enquiry \| Contact Us for Rice Husk Supply \| Ricehusksupplier </title> <meta name="description" content="Send your enquiry for high-quality rice husk. Get details on pricing, bulk orders, and delivery. RiceHuskSupplier is ready to fulfill your needs today!"> <link rel="canonical" href="https://ricehusksupplier.com/enquiry.php" /> <link rel="icon" type="image/x-icon" href="./assets/images/logo2.png"> <link href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.0.0-beta3/css/all.min.css" rel="stylesheet"> <link rel="stylesheet" href="./assets/css/main.css" /> </head> <body> <!-- header --> <?php include_once('./components/header.php') ?> <!-- enquiry-body --> <div class="container"> <div class="form-container"> <div class="form" id="equerySectionForm"> <div class="form-header"> <h2>Enquiry Form</h2> </div> <form id="enquiry-form-submit" id="enquiryFormSubmit"> <!-- Name of Business Entity --> <div class="form-group"> <label for="business-name"> APPLICANT NAME <span class="required"></span></label> <input type="text" id="name" name="applicantName" placeholder="Enter Your Name"> </div> <div class="form-group"> <label for="businessName"> BUSINESS NAME <span class="required"></span></label> <input type="text" id="name" name="businessName" placeholder="Enter Business Name"> </div> <!-- E-Mail ID --> <div class="form-group"> <label for="email-id"> EMAIL ID <span class="required"></span></label> <input type="email" id="email" name="email" placeholder="Enter Email ID"> </div> <!-- Contact Number --> <div class="form-group"> <label for="mobile"> MOBILE NUMBER <span class="required"></span></label> <input type="text" id="mobile" name="contactNo" placeholder="Enter Mobile No" maxlength="10"> </div> <!-- state --> <div class="form-group"> <label for="mobile"> STATE <span class="required">*</span></label> <select id="business-state" size="1" class="form-control" name="businessState" data-gtm-form-interact-field-id="0"> <option value="">Select State</option> <option value="Andaman_And_Nicobar_Island">ANDAMAN AND NICOBAR ISLANDS / अंदमान और निकोबार द्वीपसमूह</option> <option value="Andhra_Pradesh">ANDHRA PRADESH / आन्ध्र प्रदेश </option> <option value="Arunachal_Pradesh">ARUNACHAL PRADESH / अरुणाचल प्रदेश</option> <option value="Assam">ASSAM / असम</option> <option value="Bihar">BIHAR / बिहार</option> <option value="Chhattisgarh">CHHATTISGARH / छत्तीसगढ़</option> <option value="Chandigarh">CHANDIGARH / चंडीगढ़ </option> <option value="Dadara">DADAR AND NAGAR HAVELI / दादरा और नगर हवेली</option> <option value="Daman">DAMAN AND DIU / दमन और दीव</option> <option value="Delhi">DELHI / दिल्ली</option> <option value="Goa">GOA / गोवा</option> <option value="Gujarat">GUJARAT / गुजरात</option> <option value="Haryana">HARYANA / हरियाणा</option> <option value="Himachal_Pradesh">HIMACHAL PRADESH / हिमाचल प्रदेश</option> <option value="Jammu_and_Kashmir">JAMMU AND KASHMIR / जम्मू और कश्मीर</option> <option value="Jharkhand">JHARKHAND / झारखण्ड</option> <option value="Karnataka">KARNATAKA / कर्णाटक</option> <option value="Kerala">KERALA / केरल</option> <option value="Ladakh">LADAKH / लद्दाख</option> <option value="Lakshadweep">LAKSHADWEEP / लक्षद्वीप</option> <option value="Madhya_Pradesh">MADHYA PRADESH / मध्य प्रदेश</option> <option value="Maharashtra">MAHARASHTRA / महाराष्ट्र</option> <option value="Manipur">MANIPUR / मणिपुर</option> <option value="Meghalaya">MEGHALAYA / मेघालय</option> <option value="Mizoram">MIZORAM / मिज़ोरम</option> <option value="Nagaland">NAGALAND / नागालैण्ड</option> <option value="Odisha">ODISHA / ओड़िशा</option> <option value="Puducherry">PUDUCHERRY / पुडुचेरी</option> <option value="Punjab">PUNJAB / पंजाब</option> <option value="Rajasthan">RAJASTHAN / राजस्थान</option> <option value="Sikkim">SIKKIM / सिक्किम</option> <option value="Tamil_Nadu">TAMIL NADU / तमिलनाडु</option> <option value="Telangana">TELANGANA / तेलंगाना</option> <option value="Tripura">TRIPURA / त्रिपुरा</option> <option value="Uttar_Pradesh">UTTAR PRADESH / उत्तर प्रदेश</option> <option value="Uttarakhand">UTTARAKHAND / उत्तराखण्ड</option> <option value="West_Bengal">WEST BENGAL / पश्चिम बंगाल</option> </select> </div> <div class="form-group" id="details-container"> <label for="details">ENQUIRY MESSAGE</label> <textarea id="details" name="enquiryMessage" rows="3" placeholder="Describe your Enquiry"></textarea> </div> <input type="hidden" id="applicantion-type" name="applicationType" value="Enquiry Form"> <button type="submit" class="submit-btn"><span id="loader" style="display:none !important;"></span>Submit</button> <div id="errorMessage" class="note"></div> </form> </div> <div class="thank-you-container1" id="thankYouMessage" style="display:none;"> <div class="thank-you-content"> <div class="thank-you-message"> <div class="thank-you-text"> <span class="thank-you">THANK</span> <span class="you">YOU</span> </div> <p>We're excited about the opportunity to connect with you and will be in touch shortly. </p> </div> <a href="./index.php" class="home-button">Home</a> </div> </div> <div class="instructions"> <div class="instructions-header"> <h2>Instructions</h2> </div> <ol> <li><b>Applicant Name:</b> Applicant are required to enter his / her name as mentioned. </li> <li><b>Email Id:</b> Applicant are required to enter his / her email id.</li> <li><b>Mobile Number:</b> Applicant are required to enter his / her Indian mobile number. Do not add +91.</li> </ol> </div> </div> </div> <!-- Scroll to Top Button --> <button id="scrollToTopBtn" onclick="scrollToTop()"><i class="fa-solid fa-arrow-up"></i></button> <!-- footer --> <?php include_once('./components/footer.php') ?> <script src="./assets/js/jquery.min.js"></script> <script src="./assets/js/custom.js"></script> <script src="./assets/js/enquirySubmit.js"></script> </body> </html>

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