<div class="bg-img">
<form method="POST" action="https://click2call.aosystemsgroup.com/wcb.php">
<div class="input-container">
    <span class="material-icons icon" style="font-size: 14px; background: rgb(22,58,130); background: linear-gradient(0deg, rgba(22,58,130,1) 30%, rgba(112,172,222,1) 70%)">call</span>
    <input type="text" class="input-field" name="num" placeholder="Phone Number:" id="webcallbackinput" onkeydown="javascript:backspacerDOWN(this,event);" onkeyup="javascript:backspacerUP(this,event);" value=""/>
    <input type="hidden" id="dest" value="http://click2call.aosystemsgroup.com/wcb.php"/>
    <input type="hidden" id="i" value="1"/>
    <input type="image" height="37" src="images/c2c_button.png" width="145" style="  position: relative; left: 8px; top: 145px" alt="submit"/>
</div>
</form>