<form class="form" action="/wp-admin/admin-ajax.php" method="post" data-parsley-validate="" data-showroom-form="">
<div class="success text-center d-none">
<p class="text-uppercase">Success!</p>
&nbsp;

</div>
<div class="before">

<input name="action" type="hidden" value="bookavisit" />
<div class="form-group">

<label class="text-uppercase">LỰA CHỌN SHOWROOM
*</label>
<div class="select-wrapper"><select class="form-control" name="showType" required="" data-parsley-error-message="Please select showroom">
<option disabled="disabled">Please select</option>
<option selected="selected" value="Hanoi">Hanoi</option>
<option value="Da Nang">Da Nang</option>
<option value="Ho Chi Minh">Ho Chi Minh</option>
</select></div>
</div>
<div class="form-group"><label class="text-uppercase">HỌ VÀ TÊN*</label>
<input class="form-control" name="fullName" required="" type="text" placeholder="Full Name" data-parsley-error-message="Please enter full name." /></div>
<div class="form-group"><label class="text-uppercase">EMAIL*</label>
<input class="form-control" name="email" required="" type="email" placeholder="Email Address" data-parsley-error-message="Please enter correct email." /></div>
<div class="form-group"><label class="text-uppercase">SỐ ĐIỆN THOẠI</label>
<input class="form-control" name="phoneNumber" type="text" placeholder="Phone Number" /></div>
<div class="form-group">

<label class="text-uppercase">TIÊU ĐỀ*</label>
<div class="select-wrapper"><select class="form-control" name="subject" required="" data-parsley-error-message="Please select subject">
<option disabled="disabled">Please select</option>
<option value="Register for showroom tour">Register for showroom tour</option>
</select></div>
</div>
<div class="form-group"><label class="text-uppercase">NỘI DUNG*</label>
<textarea class="form-control" name="message" required="" rows="3" placeholder="Your Message" data-parsley-error-message="Please enter message."></textarea></div>
<div class="text-right"><button class="btn btn-primary text-uppercase" type="submit">Submit</button></div>
</div>
</form>