<div class="banner_form">
<form class="form-get-quote" id="WBO-brandForm-one" >
<div class="row">
<div class="col-lg-6 col-md-6">
<input type="text" name="name" placeholder="Name">
</div>
<div class="col-lg-6 col-md-6">
<input type="number" name="phone" placeholder="Phone Number">
</div>
<div class="col-lg-6 col-md-6">
<input type="email" name="email" placeholder="Email">
</div>
<div class="col-lg-6 col-md-6">
<input type="text" name="content"
value="<?php echo 'https://' . $_SERVER['HTTP_HOST'] . $_SERVER['REQUEST_URI']; ?>" id="content"
hidden="">
<input name="domain" value="<?php echo $_SERVER['HTTP_HOST']; ?>" type="text" hidden="">
<button type="submit" id="WBO-brandForm-one-btn" class="btn1">Send</button>
</div>
</div>
</form>
</div>