@model HealthchoiceMVC.NonDbModels.ContactUsViewModel

@{
    ViewBag.Title = "Contact Us";
}
<div class="row">
    <div class="col-md-9">
        <h2>@ViewBag.Title</h2>
        @*<h3>@ViewBag.Message</h3>*@
        @*<hr />*@

        <p>
            <strong>Healthchoice welcomes comments, queries and enquiries.</strong> Should you wish to communicate with us please fill in the form below and click on the send button. We'll contact you with our response as soon as possible. You can also contact us directly at
            <script language="JavaScript">eval(unescape('%64%6F%63%75%6D%65%6E%74%2E%77%72%69%74%65%28%27%3C%61%20%68%72%65%66%3D%22%6D%61%69%6C%74%6F%3A%69%6E%66%6F%40%68%65%61%6C%74%68%63%68%6F%69%63%65%2E%63%6F%2E%7A%61%22%3E%69%6E%66%6F%40%68%65%61%6C%74%68%63%68%6F%69%63%65%2E%63%6F%2E%7A%61%3C%2F%61%3E%27%29'))</script>
        </p>

        @using (Html.BeginForm())
        {

            @Html.ValidationSummary(true)
            <div class="form-horizontal" role="form">
                @*<div class="form-group ">

                        @Html.ValidationMessageFor(model => model.Name, "", new { @class = "col-sm-offset-2 alert-warning" })
                    </div>*@
                <div class="form-group">
                    <div class="col-sm-10">
                        @Html.LabelFor(model => model.Name, "Name", new { @class = "col-sm-2 control-label" })

                        @Html.TextBoxFor(model => model.Name, "", new { @class = "col-sm-10 form-control", placeholder = "Name" })

                        @Html.ValidationMessageFor(model => model.Name, "", new { @class = "col-sm-offset-2 col-sm-10" })
                    </div>

                </div>
                <div class="form-group">
                    <div class="col-sm-10">
                        @Html.LabelFor(model => model.Phone, "Phone", new { @class = "col-sm-2 control-label" })

                        @Html.TextBoxFor(model => model.Phone, "", new { @class = "col-sm-10 form-control", placeholder = "Phone" })

                        @Html.ValidationMessageFor(model => model.Phone, "", new { @class = "col-sm-offset-2 col-sm-10" })
                    </div>
                </div>
                <div class="form-group">
                    <div class="col-sm-10">
                        @Html.LabelFor(model => model.Email, "Email", new { @class = "col-sm-2 control-label" })

                        @Html.TextBoxFor(model => model.Email, "", new { @class = "col-sm-10 form-control", placeholder = "Email" })

                        @Html.ValidationMessageFor(model => model.Email, "", new { @class = "col-sm-offset-2 col-sm-10" })
                    </div>
                </div>
                <div class="form-group">
                    <div class="col-sm-10">
                        @Html.LabelFor(model => model.Comment, "Comment", new { @class = "col-sm-2 control-label" })

                        @Html.TextAreaFor(model => model.Comment, 5, 20, new { @class = "col-sm-10 form-control", placeholder = "Comment" })

                        @Html.ValidationMessageFor(model => model.Comment, "", new { @class = "col-sm-offset-2 col-sm-10" })
                    </div>
                </div>
                <div class="form-group">
                    <div class=" col-sm-10">
                        <button type="submit" class="col-sm-offset-2 btn btn-primary">Click to send comment</button>
                    </div>
                </div>
            </div>
        }

        @*<form class="form-horizontal" role="form">
                <div class="form-group">
                    <label for="inputName" class="col-sm-2 control-label">Name</label>
                    <div class="col-sm-10">
                        <input type="text" class="form-control" id="inputName" placeholder="Name">
                    </div>
                </div>
                <div class="form-group">
                    <label for="inputEmail3" class="col-sm-2 control-label">Email</label>
                    <div class="col-sm-10">
                        <input type="email" class="form-control" id="inputEmail3" placeholder="Email">
                    </div>
                </div>
                <div class="form-group">
                    <label for="inputPhone" class="col-sm-2 control-label">Phone</label>
                    <div class="col-sm-10">
                        <input type="password" class="form-control" id="inputPhone" placeholder="Phone number">
                    </div>
                </div>
                <div class="form-group">
                    <label for="inputComment" class="col-sm-2 control-label">Comment</label>
                    <div class="col-sm-10">
                        <textarea class="form-control" id="inputComment" placeholder="Comment" rows="5"></textarea>
                    </div>
                </div>

            </form>*@

    </div>
    <div class="col-sm-3 bg-info body-content">
        <img src="~/Images/girl-dandelion.jpg" style="padding-top:25px;" class="img-responsive" alt="Image of a doctor and patient" />
        @*<br />*@
        <hr />

        @*<address>
                One Microsoft Way<br />
                Redmond, WA 98052-6399<br />
                <abbr title="Phone">P:</abbr>
                425.555.0100
            </address>*@
        <address>
            <strong>Telephone:</strong> 0861 000 350<br /><br />
            <strong>Email:</strong>
            <script language="JavaScript">eval(unescape('%64%6F%63%75%6D%65%6E%74%2E%77%72%69%74%65%28%27%3C%61%20%68%72%65%66%3D%22%6D%61%69%6C%74%6F%3A%69%6E%66%6F%40%68%65%61%6C%74%68%63%68%6F%69%63%65%2E%63%6F%2E%7A%61%22%3E%69%6E%66%6F%40%68%65%61%6C%74%68%63%68%6F%69%63%65%2E%63%6F%2E%7A%61%3C%2F%61%3E%27%29'))</script>
        </address>


        @*<aside></aside>*@
    </div>
</div>