contact.php

<?php
require_once('layout/header.php');
if(!empty($_POST)) {
    $first_name = getPost('first_name');
    $last_name = getPost('last_name');
    $email = getPost('email');
    $phone_number = getPost('phone');
    $subject_name = getPost('subject_name');
    $note = getPost('note');
    $created_at = $updated_at = date('Y-m-d H:i:s');

    $sql = "insert into FeedBack(firstname, lastname, email, phone_number, subject_name, note, status, created_at, updated_at) values('$first_name', '$last_name', '$email', '$phone_number', '$subject_name', '$note', 0, '$created_at', '$updated_at')";

    excute($sql);
}
?>
    <div class="container" style="margin-top: 20px; margin-bottom: 20px;">
        <form method="post">
            <div class="row">
                <div class="col-md-6" style="margin-top: 40px">
                    <div class="row">
                        <div class="col-md-6">
                            <div class="form-group">
                                <input required="true" type="text" class="form-control" id="usr" name="first_name" placeholder="Nhập tên">
                            </div>
                        </div>
                        <div class="col-md-6">
                            <div class="form-group">
                                <input required="true" type="text" class="form-control" id="usr" name="last_name" placeholder="Nhập họ">
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <input required="true" type="email" class="form-control" id="email" name="email" placeholder="Nhập email">
                    </div>
                    <div class="form-group">
                        <input required="true" type="tel" class="form-control" id="phone" name="phone" placeholder="Nhập sđt">
                    </div>
                    <div class="form-group">
                        <input required="true" type="text" class="form-control" id="subject_name" name="subject_name" placeholder="Nhập chủ đề">
                    </div>
                    <div class="form-group">
                        <label for="pwd">Nội dung:</label>
                        <textarea class="form-control" rows="3" name="note"></textarea>
                    </div>
                    <a href="checkout.php"><button class="btn btn-success" style="border-radius: 0px; font-size: 26px; width: 100%;">GỬI PHẢN HỒI</button></a>
                </div>
                <div class="col-md-6">
                    <iframe src="https://www.google.com/maps/embed?pb=!1m18!1m12!1m3!1d3723.904626902814!2d105.78332211488359!3d21.03650178599419!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x3135ab358396c7a7%3A0x8c0029a430be510!2zWHXDom4gVGjhu6d5LCBD4bqndSBHaeG6pXksIEjDoCBO4buZaSwgVmnhu4d0IE5hbQ!5e0!3m2!1svi!2s!4v1635875133085!5m2!1svi!2s" width="600" height="450" style="border:0;" allowfullscreen="" loading="lazy"></iframe>
                </div>
            </div>
        </form>
    </div>
<?php
require_once('layout/footer.php');
?>