<!-- =========================== Start Fifth Page ===================================  -->


<div class="contact-area" id="5">
    <div class="contact-form mb-5">
        <h1 class="mb-4"></h1>
        <h1>Kanama Group</h1>

        <form class="user" method="post" action="<?= base_url('home/page5'); ?>">

            <div class="txtb">
                        <label>Full Name : <small>[max: 25 char]</small></label>
                        <textarea name="nama" id="nama" cols="30" rows="1" maxlength="25" placeholder="Enter Your Name"></textarea>
                        <small><span id="huruf_na"> </span><span id="jumlah_na"></span></small>
                        <?= form_error('nama', '<small class="text-danger pl-3">', '</small>'); ?>
                    </div>
                    <div class="txtb">
                        <label>Email : <small>[max: 35 char]</small></label>
                        <textarea name="email" id="email" cols="30" rows="1" maxlength="35" placeholder="Enter Your Email"></textarea>
                        <small><span id="huruf_em"> </span><span id="jumlah_em"></span></small>
                        <?= form_error('email', '<small class="text-danger pl-3">', '</small>'); ?>
                    </div>
                    <div class="txtb">
                        <label>Phone Number : <small>[max: 15 char]</small></label>
                        <textarea name="phone" id="phone" cols="30" rows="1" maxlength="15" placeholder="Enter Your Whatsapp Number"></textarea>
                        <small><span id="huruf_ph"> </span><span id="jumlah_ph"></span></small>
                        <?= form_error('phone', '<small class="text-danger pl-3">', '</small>'); ?>
                    </div>
                    <div class="txtb">
                        <label>Message : <small>[max: 130 char]</small></label>
                        <textarea name="pesan" id="pesan" cols="30" rows="3" maxlength="130" placeholder="Only sort message - No Adv.."></textarea>
                        <small><span id="huruf_pe"> </span><span id="jumlah_pe"></span></small>
                        <?= form_error('pesan', '<small class="text-danger pl-3">', '</small>'); ?><br>
                    </div>
            <button type="submit" name="submit" class="btn btn-primary">Send</button>
            <a href="<?= base_url(); ?>" style="text-decoration: none;" class="btn btn-danger" role="button">Cancel</a>
        </form>

        <!-- <a class="btn">Send</a> -->


    </div>

</div>

<!-- =========================== End Fifth Page ===================================  -->