<div class="banform">
    <div class="container">
        <div class="row">
            <div class="ban-form">
                <form action="https://designproboards.com/brand/ebookpublishingagency/lead" method="GET">
                    <input type="hidden" name="brand_name" value="ebookpublishingagency.com">
                    <input type="hidden" id="lead_area" name="lead_area" value="https://ebookpublishingagency.com/">

                    <div class="row">
                        <div class="col-lg-12">
                            <div class="fldset">
                                <input id="username" name="name" minlength="2" type="text"
                                    placeholder="Enter your name *" required>
                            </div>
                        </div>
                        <div class="col-lg-12">
                            <div class="fldset">
                                <input type="email" name="email" placeholder="Enter email here *" required>
                            </div>
                        </div>
                        <div class="col-lg-12">
                            <div class="fldset">
                                <input name="phone" placeholder="Phone Number *" minlength="11"
                                    maxlength="11" type="tel" required>
                            </div>
                        </div>
                        <div class="col-lg-12">
                            <div class="fldset">
                                <textarea name="message" rows="7" placeholder="Talk About Your Project"
                                    required></textarea>
                            </div>
                        </div>
                        <div class="col-lg-12">
                            <div class="fldset">
                                <input name="submit" type="submit" placeholder="Connect With Us" required>

                            </div>
                        </div>

                    </div>
                </form>
            </div>
        </div>
    </div>
</div>