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\n
\n
\n \n \n <h2 className=\"display-5 text-capitalize font-weight-bold mb-4\">\n <i>Client Information</i>\n </h2>\n <form\n action=\"https://formspree.io/tylersnyder619406@gmail.com\"\n method=\"POST\"\n >\n <div className=\"form-row\">\n <div className=\"form-group col-md-6\">\n <label htmlFor=\"firstName\">First Name</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"First Name\"\n id=\"firstName\"\n required\n />\n </div>\n <div className=\"form-group col-md-6\">\n <label htmlFor=\"lastName\">Last Name</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"Last Name\"\n id=\"lastName\"\n required\n />\n </div>\n </div>\n\n <div className=\"form-row\">\n <div className=\"form-group col-md-6\">\n <label htmlFor=\"phone\">Phone</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"Phone\"\n id=\"phone\"\n required\n />\n </div>\n <div className=\"form-group col-md-6\">\n <label htmlFor=\"email\">Email</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"_replyto\"\n id=\"email\"\n required\n />\n </div>\n </div>\n\n <div className=\"form-row\">\n <div className=\"form-group col-md-6\">\n <label htmlFor=\"time\" required>\n Pickup Time\n </label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"Pickup Time\"\n id=\"time\"\n />\n </div>\n <div className=\"form-group col-md-6\">\n <label htmlFor=\"date\">Pick-up Date</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"Date\"\n id=\"date\"\n required\n />\n </div>\n </div>\n\n <label htmlFor=\"amPm\">AM/PM</label>\n <div className=\"form-check\">\n <input\n className=\"form-check-input\"\n type=\"radio\"\n name=\"AM/PM\"\n id=\"gridRadios1\"\n value=\"AM\"\n defaultChecked\n />\n <label className=\"form-check-label\" htmlFor=\"gridRadios1\">\n AM\n </label>\n </div>\n <div className=\"form-check\">\n <input\n className=\"form-check-input\"\n type=\"radio\"\n name=\"AM/PM\"\n id=\"gridRadios2\"\n value=\"PM\"\n />\n <label className=\"form-check-label\" htmlFor=\"gridRadios2\">\n PM\n </label>\n </div>\n\n <div className=\"form-group mt-3\">\n <label htmlFor=\"pickup\">Pick-up Address</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"Pickup Address\"\n id=\"pickup\"\n required\n />\n </div>\n <div className=\"form-group\">\n <label htmlFor=\"dropoff\">Drop-off Address</label>\n <input\n type=\"text\"\n className=\"form-control\"\n name=\"Dropoff Address\"\n id=\"dropoff\"\n required\n />\n </div>\n <div className=\"form-group\">\n <label htmlFor=\"needs\">Special Needs</label>\n <br />\n <select\n name=\"Needs\"\n id=\"needs\"\n required=\"\"\n className=\"form-control\"\n >\n <option value=\"Wheel-chair\">Wheel-chair</option>\n <option value=\"Ambulatory\">Ambulatory</option>\n <option value=\"Stretcher\">Stretcher</option>\n </select>\n </div>\n <button\n type=\"submit\"\n className=\"btn btn-block text-capitalize my-5 text-primary\"\n style={{ background: \"white\" }}\n >\n Submit\n </button>\n </form>\n </div>\n <div className=\"col-12 col-sm-12 col-md-6 pt-5\">\n <FindUsCard />\n <PartnersCard />\n </div>\n </div>\n </div>\n </section>\n );\n \n}\n\nexport default RequestRide","import React from \"react\";\n\nimport Layout from \"../components/layout\";\nimport SEO from \"../components/seo\";\nimport RequestRide from \"../components/Request/RequestRide\";\n\nconst RequestPage = ({ data }) => (\n <Layout>\n <SEO title=\"Request a Ride\" keywords={[`gatsby`, `application`, \"react\"]} />\n <RequestRide />\n </Layout>\n);\n\nexport default RequestPage;\n","module.exports = 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React from 'react'\n\nconst Title = ({ title }) => {\n return (\n <div className=\"row\">\n <div className=\"col text-center mb-3\">\n <h1 id=\"title\" className=\"display-4 text-capitalize font-weight-bold\">{title}</h1>\n </div>\n </div>\n );\n}\n\n\nexport default Title","import React from \"react\";\nimport allScripts from '../../images/allscripts.png'\n\nconst FindUsCard = () => {\n return (\n <div className=\"card\">\n <h5\n className=\"card-header text-white\"\n style={{ background: \"rgb(3, 112, 171)\" }}\n >\n Find Us on ECIN\n </h5>\n <div className=\"card-body\" style={{ background: \"#ece8dc\" }}>\n <img src={allScripts} alt=\"ECIN\" style={{ width: \"200px\" }} />\n <p className=\"card-text text-dark\">\n We are now listed and can be easily found on the{\" \"}\n <a\n href=\"https://www.extendedcare.com/\"\n target=\"_blank\"\n rel=\"noreferrer\"\n >\n Extended Care Information Network\n </a>\n (ECIN) website!\n </p>\n </div>\n </div>\n );\n};\n\nexport default FindUsCard;\n","import React from \"react\";\n// import { Link } from \"gatsby\";\n\nconst PartnerCard = () => {\n return (\n <div className=\"card my-4\">\n <h5\n className=\"card-header text-white\"\n style={{ background: \"rgb(3, 112, 171)\" }}\n >\n Business Partners\n </h5>\n <div className=\"card-body\" style={{ background: \"#ece8dc\" }}>\n <a href=\"https://www.amr.net/\" target=\"_blank\" rel=\"noreferrer\">\n <p className=\"card-text\">Rural Metro / Pacific Ambulance</p>\n </a>\n <p className=\"card-text text-dark\">\n The largest 911 paramedic and non-emergency ambulance provider in San\n Diego County.\n </p>\n <p className=\"card-text text-dark\">\n TLC is in compliance with the requirements of The Metropolitan Transit\n System and the San Diego Sheriff’s Department with regard to\n non-emergency transportation services.\n </p>\n </div>\n </div>\n );\n};\n\nexport default PartnerCard;\n"],"sourceRoot":""}