<div class="lp-quote-form padding-top-70 padding-bottom-70" id="detail5-quote">
    <div class="container">
        <div class="row">
            <div class="col-md-10 align-center">
                <div class="lp-quote-form-user-info text-center margin-bottom-20" id="freeQuoteFormWrap">
                    <div class="lp-quote-user-img"></div>
                    <h2>Get a FREE Quote Today!</h2>
                    <p>Complete the form below to receive a free quote from Alli Burbink</p>
                </div>
                <div class="lp-quote-form-container">
                    <h4><?php echo esc_html__('Which services are needed for your event?', 'listingpro'); ?></h4>
                    <div class="lp-quote-checkboxs margin-bottom-20">
                        <ul class="list-style-none clearfix">
                            <li><div class="checkbox ">
                                    <input type="checkbox" name="searchtags" id="check_1" class="searchtags" value="41">
                                    <label for="check_1">Comedy Magician</label>
                                </div></li>
                            <li><div class="checkbox ">
                                    <input type="checkbox" name="searchtags" id="check_1" class="searchtags" value="41">
                                    <label for="check_1">Comedy Magician</label>
                                </div></li>
                            <li><div class="checkbox ">
                                    <input type="checkbox" name="searchtags" id="check_1" class="searchtags" value="41">
                                    <label for="check_1">Comedy Magician</label>
                                </div></li>
                            <li><div class="checkbox ">
                                    <input type="checkbox" name="searchtags" id="check_1" class="searchtags" value="41">
                                    <label for="check_1">Comedy Magician</label>
                                </div></li>
                        </ul>
                    </div>

                    <div class="form-group clearfix lp-select-event-planing">
                        <label><?php echo esc_html__('What type of event are you planning?', 'listingpro'); ?></label>
                        <select data-placeholder="Please Select" id="inputCategory" name="category[]" class="select2 postsubmitSelect select2-hidden-accessible" tabindex="-1" multiple="" aria-hidden="true">
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                        </select>
                    </div>
                    <div class="form-group">
                        <label for="listingprice"><?php echo esc_html__('Name of the City where event is taking place', 'listingpro'); ?></label>
                        <input type="text" name="listingprice" class="form-control" id="listingprice">

                    </div>
                    <div class="form-group">
                        <label for="listingprice"><?php echo esc_html__('What is the address?', 'listingpro'); ?></label>
                        <textarea class="form-control" name="desc" id="about" rows="2"></textarea>
                    </div>
                    <div class="row">
                        <div class="form-group col-md-6">
                            <label for="listingprice"><?php echo esc_html__('What is the date of your event?', 'listingpro'); ?></label>
                            <input type="text" name="listingprice" class="form-control" id="listingprice">
                        </div>
                        <div class="form-group col-md-6">
                            <label for="listingprice"><?php echo esc_html__('What time should the vendor start?', 'listingpro'); ?></label>
                            <input type="text" name="listingprice" class="form-control" id="listingprice">
                        </div>
                    </div>
                    <div class="form-group clearfix">
                        <label><?php echo esc_html__('How many guests are you expecting at the event? (approximate) ', 'listingpro'); ?></label>
                        <select data-placeholder="Please Select" id="inputCategory" name="category[]" class="select2 postsubmitSelect select2-hidden-accessible" tabindex="-1" multiple="" aria-hidden="true">
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                        </select>
                    </div>
                    <div class="form-group clearfix">
                        <label><?php echo esc_html__('How long will the vendor be needed? ', 'listingpro'); ?></label>
                        <select data-placeholder="Please Select" id="inputCategory" name="category[]" class="select2 postsubmitSelect select2-hidden-accessible" tabindex="-1" multiple="" aria-hidden="true">
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                            <option>ss</option>
                        </select>
                    </div>
                    <div class="form-group">
                        <label for="listingprice"><?php echo esc_html__('Tell me more about your event?', 'listingpro'); ?></label>
                        <textarea class="form-control" name="desc" id="about" rows="8"></textarea>
                    </div>
                    <div class="lp-spectial-offer margin-bottom-20">
                        <h4><?php echo esc_html__('Select Special Offer', 'listingpro'); ?></h4>
                        <div class="lp-spectial-offer-inner">
                            <div class="lp-listing-form pos-relative">
                                <label>
                                    <div class="lp-spectial-offer-inner-radio-content">
                                        <h4>Book Event in march or November</h4>
                                        <p>Book Event in march or November Book the band for an event in M</p>
                                    </div>
                                    <div class="radio radio-danger">
                                        <input class="radio_checked" type="radio" name="method" id="rd1" value="wire">
                                        <label for="rd1">
                                        </label>
                                    </div>
                                </label>
                            </div>
                            <div class="lp-listing-form pos-relative">
                                <label>
                                    <div class="lp-spectial-offer-inner-radio-content">
                                        <h4>Extra 2 Hours for FREE</h4>
                                        <p>Book Event in march or November Book the band for an event in M</p>
                                    </div>
                                    <div class="radio radio-danger">
                                        <input class="radio_checked" type="radio" name="method" id="rd1" value="wire">
                                        <label for="rd2">
                                        </label>
                                    </div>
                                </label>
                            </div>
                        </div>
                    </div>
                    <div class="form-group">
                        <label for="listingprice"><?php echo esc_html__('Your full Name', 'listingpro'); ?></label>
                        <input type="text" name="listingprice" class="form-control" id="listingprice">
                    </div>
                    <div class="row">
                        <div class="form-group col-md-6">
                            <label for="listingprice"><?php echo esc_html__('Your Phone Number', 'listingpro'); ?></label>
                            <input type="text" name="listingprice" class="form-control" id="listingprice">
                        </div>
                        <div class="form-group col-md-6">
                            <label for="listingprice"><?php echo esc_html__('Your Email Address', 'listingpro'); ?></label>
                            <input type="text" name="listingprice" class="form-control" id="listingprice">
                        </div>
                    </div>
                    <div class="form-group margin-top-20">
                        <div class="">
                            <input type="submit" name="profileupdate" value="Submit & Contact me Now!" class="lp-quote-submit-btn">
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
</div>