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var MauticSDKLoaded = true;
var head = document.getElementsByTagName('head')[0];
var script = document.createElement('script');
script.type = 'text/javascript';
script.src = 'https://c2.centric.ae/media/js/mautic-form.js?v44056f1a';
script.onload = function () {
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head.appendChild(script);
var MauticDomain = 'https://c2.centric.ae';
var MauticLang = {
'submittingMessage': "Please wait..."
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<script type="text/javascript">
function verifyCallback_cac62a14858799cf2db70b49eecdea39(response) {
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<script src="https://www.google.com/recaptcha/api.js"></script>
<style type="text/css" scoped>
{#
.mauticform_wrapper {
max-width: 600px;
margin: 10px auto;
}
.mauticform-innerform {}
.mauticform-post-success {}
.mauticform-name {
font-weight: bold;
font-size: 1.5em;
margin-bottom: 3px;
}
.mauticform-description {
margin-top: 2px;
margin-bottom: 10px;
}
.mauticform-error {
margin-bottom: 10px;
color: red;
}
.mauticform-message {
margin-bottom: 10px;
color: green;
}
.mauticform-row {
display: block;
margin-bottom: 20px;
}
.mauticform-label {
font-size: 1.1em;
display: block;
font-weight: bold;
margin-bottom: 5px;
}
.mauticform-row.mauticform-required .mauticform-label:after {
color: #e32;
content: " *";
display: inline;
}
.mauticform-helpmessage {
display: block;
font-size: 0.9em;
margin-bottom: 3px;
} #}
.mauticform-errormsg {
display: block;
color: red;
margin-top: 2px;
}
{# .mauticform-selectbox,
.mauticform-input,
.mauticform-textarea {
width: 100%;
padding: 0.5em;
border: 1px solid #CCC;
background: #fff;
box-shadow: 0 0 0 #fff inset;
border-radius: 4px;
box-sizing: border-box;
}
.mauticform-checkboxgrp-row {}
.mauticform-checkboxgrp-label {
font-weight: normal;
}
.mauticform-checkboxgrp-checkbox {}
.mauticform-radiogrp-row {}
.mauticform-radiogrp-label {
font-weight: normal;
}
.mauticform-radiogrp-radio {}
.mauticform-button-wrapper .mauticform-button.btn-default,
.mauticform-pagebreak-wrapper .mauticform-pagebreak.btn-default {
color: #5d6c7c;
background-color: #ffffff;
border-color: #dddddd;
}
.mauticform-button-wrapper .mauticform-button,
.mauticform-pagebreak-wrapper .mauticform-pagebreak {
display: inline-block;
margin-bottom: 0;
font-weight: 600;
text-align: center;
vertical-align: middle;
cursor: pointer;
background-image: none;
border: 1px solid transparent;
white-space: nowrap;
padding: 6px 12px;
font-size: 13px;
line-height: 1.3856;
border-radius: 3px;
-webkit-user-select: none;
-moz-user-select: none;
-ms-user-select: none;
user-select: none;
}
.mauticform-button-wrapper .mauticform-button.btn-default[disabled],
.mauticform-pagebreak-wrapper .mauticform-pagebreak.btn-default[disabled] {
background-color: #ffffff;
border-color: #dddddd;
opacity: 0.75;
cursor: not-allowed;
}
.mauticform-pagebreak-wrapper .mauticform-button-wrapper {
display: inline;
} #}
</style>
<style type="text/css" scoped>
.mauticform-field-hidden {
display: none
}
</style>
<div id="mauticform_wrapper_centricusacontactusform" class="mauticform_wrapper section contactus-form">
<div class="container">
<div class="row">
<div class="col-xxl-12">
<form autocomplete="false" role="form" method="post" action="https://c2.centric.ae/form/submit?formId=9" id="mauticform_centricusacontactusform" data-mautic-form="centricusacontactusform" enctype="multipart/form-data">
<div class="mauticform-innerform">
<div class="mauticform-page-wrapper mauticform-page-1 row" data-mautic-form-page="1">
<div id="mauticform_centricusacontactusform_f_name" data-validate="f_name" data-validation-type="text" class="col-xxl-12 mauticform-row mauticform-text mauticform-field-1 mauticform-required">
<input id="mauticform_input_centricusacontactusform_f_name" name="mauticform[f_name]" value="" placeholder="Enter Your Name" class="mauticform-input" type="text">
<span class="mauticform-errormsg" style="display: none;">Please enter your email</span>
</div>
<div id="mauticform_centricusacontactusform_email" data-validate="email" data-validation-type="email" class="col-xxl-12 mauticform-row mauticform-email mauticform-field-2 mauticform-required">
<input id="mauticform_input_centricusacontactusform_email" name="mauticform[email]" value="" placeholder="Enter Your Email" class="mauticform-input" type="email">
<span class="mauticform-errormsg" style="display: none;">Please enter a valid email</span>
</div>
<div id="mauticform_centricusacontactusform_company" data-validate="company" data-validation-type="text" class="col-xxl-12 mauticform-row mauticform-text mauticform-field-3 mauticform-required">
<input id="mauticform_input_centricusacontactusform_company" name="mauticform[company]" value="" placeholder="Enter Your Company" class="mauticform-input" type="text">
<span class="mauticform-errormsg" style="display: none;">Please enter your company name</span>
</div>
<div id="mauticform_centricusacontactusform_i_am_potential1" data-validate="i_am_potential1" data-validation-type="select" class="col-xxl-12 mauticform-row mauticform-select mauticform-field-4 mauticform-required">
<select id="mauticform_input_centricusacontactusform_i_am_potential1" name="mauticform[i_am_potential1]" value="I am Potential ..." class="mauticform-selectbox" placeholder="I am Potential ...">
<option value="Customer">Customer</option>
<option value="Job Seeker">Job Seeker</option>
<option value="supplier">supplier</option>
</select>
<span class="mauticform-errormsg" style="display: none;">Please enter your potential</span>
</div>
<div id="mauticform_centricusacontactusform_description1" data-validate="description1" data-validation-type="textarea" class="col-xxl-12 mauticform-row mauticform-text mauticform-field-5 mauticform-required">
<textarea id="mauticform_input_centricusacontactusform_description1" name="mauticform[description1]" placeholder="Briefly Describe your Project..." class="mauticform-textarea"></textarea>
<span class="mauticform-errormsg" style="display: none;">Please describe your project</span>
</div>
<div id="mauticform_centricusacontactusform_phone" data-validate="phone" data-validation-type="tel" class="col-xxl-12 mauticform-row mauticform-tel mauticform-field-6 mauticform-required">
<input id="mauticform_input_centricusacontactusform_phone" name="mauticform[phone]" value="" placeholder="Enter your Contact Number" class="mauticform-input" type="number">
<span class="mauticform-errormsg" style="display: none;">Please enter your contact number</span>
</div>
<div id="mauticform_centricusacontactusform_recaptcha" class="col-xxl-12 mauticform-row mauticform-div-wrapper mauticform-field-7">
<div class="g-recaptcha" data-sitekey="6Lc2AnMjAAAAANbeGsZj8zOwMPRDizJy-LgIXxLk" data-callback="verifyCallback_cac62a14858799cf2db70b49eecdea39"></div>
<input id="mauticform_input_centricusacontactusform_recaptcha" name="mauticform[recaptcha]" value="" class="mauticform-input" type="hidden">
<span class="mauticform-errormsg" style="display: none;"></span>
</div>
<div id="mauticform_centricusacontactusform_submit" class="col-xxl-12 btn-align mauticform-row mauticform-button-wrapper mauticform-field-8">
<button type="submit" name="mauticform[submit]" id="mauticform_input_centricusacontactusform_submit" value="" class="mauticform-button">Send<i class="fas fa-arrow-right"></i></button>
</div>
</div>
</div>
<div class="mauticform-error" id="mauticform_centricusacontactusform_error"></div>
<div class="mauticform-message" id="mauticform_centricusacontactusform_message"></div>
<input type="hidden" name="mauticform[formId]" id="mauticform_centricusacontactusform_id" value="9">
<input type="hidden" name="mauticform[return]" id="mauticform_centricusacontactusform_return" value="">
<input type="hidden" name="mauticform[formName]" id="mauticform_centricusacontactusform_name" value="centricusacontactusform">
</form>
</div>
</div>
</div>
</div>