{% extends "public_base.html" %}
{% block content %}

<!-- ⭐ Contact Page Content -->
<div class="contact-container">

    <h1>Contact Us</h1>
    <p class="contact-subtext">
      We’d love to learn more about your company and how we can help.
    </p>

    <form action="/submit_contact" method="POST" class="contact-form">

      <label>Company Name</label>
      <input type="text" name="company_name" required>

      <label>First Name</label>
      <input type="text" name="first_name" required>

      <label>Last Name</label>
      <input type="text" name="last_name" required>

      <label>Email Address</label>
      <input type="email" name="email" required>

      <label>Phone Number (optional)</label>
      <input type="text" name="phone">

      <label>Referred By (optional)</label>
      <select name="referred_by" required>
        <option value="">Select a name</option>
        <option>Bruce Salter</option>
        <option>Buz Stewart</option>
        <option>Clarence Hudson</option>
        <option>Dan Johnson</option>
        <option>Jeff Gorski</option>
        <option>Josh Walker</option>
        <option>Mike Cohen</option>
        <option>Scott Janssen</option>
        <option>Wayne Paul</option>
      </select>

      <button type="submit" class="contact-submit">Submit</button>

    </form>

</div>

{% endblock %}