Mini Shell

<?
extract($_POST);

?>

 <div id="layerslider" class="ls-wp-container" style="width:100%;height:145px;margin:0 auto;border-bottom:1px solid #eee;">

      <div class="ls-slide" data-ls="slidedelay:5000;transition2d:1;"><img src="#" data-src="<?=$base_url;?>/faixa.jpg" class="ls-bg" alt="MAYER" /><div class="ls-l" style="top:240px;left:61px;white-space: nowrap;"><br></div></div>


 </div> 
  

 <section id="main-content-pin" class="portfolio-pin">
                
        
      <hr class="vertical-space1">
        <div class="container">
          <div class="col-sm-12">

            <h1 class="">Solicitar Contato</h1>

            <div class="col-sm-12">
                                 
                                <form action="<?=$base_url;?>/solicitar-contato-gravar" method="POST">

                                  

                                      <input class="txbx" name="referencia" type="hidden" value="<?=$referencia;?>" readonly/>

                                      <input class="txbx" name="produto" type="text" value="<?=$produto;?>" readonly/>

                                        <input class="txbx" name="nome" type="text" placeholder="Nome"/>

                                    <input class="txbx" name="email" type="text" placeholder="Email" />

                                    <input class="txbx" name="telefone" type="text" placeholder="Telefone" />

                                    

                                   <button class="btn btn-block btn-round btn-d" id="cfsubmit" name="BTEnvia" type="submit" value="Enviar">Enviar</button>


                                 </form>
                              </div> <!-- end col-sm-4 -->

 
    
         
      </div> <!-- end col-sm-12 -->
   </div>

      <div class="container">
          


         <div id="pin-content">

          


<br><br>

         

        
         </div>
         <!-- end-pin-content -->
         <div class="vertical-space2"></div>
      </div>
   </section>