<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 col-md-12">
            <div class="text-center">
                <h2 class="main-heading">Let's Chat with Us</h2>
                <p class="main-para">Need assistance with your book? Contact us for an
                    appointment on any book project.</p>
            </div>
        </div>
        <div class="col-md-6">
            <div class="fldst">
                <input name="name" minlength="2" type="text" placeholder="Enter your name" required>

            </div>
        </div>
        <div class="col-md-6">
            <div class="fldst">
                <input  type="email" name="email" placeholder="Enter email here" required>
            </div>
        </div>
        <div class="col-md-12">
            <div class="fldst">
                <input  minlength="11" maxlength="11" type="tel" placeholder="Phone Number" required>
            </div>
        </div>
        <div class="col-md-12">
            <div class="fldst btnattach">
                <textarea name="message" placeholder="Enter message here" required></textarea>
                <input class="submit" type="submit" value="Submit" class="btnsb">
            </div>
        </div>
    </div>
</form>