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Form.html
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83 lines (64 loc) · 3.09 KB
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<!DOCTYPE html>
<html>
<Head>
<Title>Contact Form</Title>
</Head>
<body>
<form>
<h1>Contact Form</h1><br>
<fieldset>
<legend>Basic Info</legend>
<!--Text field's with limited Characters-->
<label for="First_Name" limit="30">First Name:</label><br>
<input type="text" id="name" name="user_name"><br>
<label for="last_name" limit="30">Last Name:</label><br>
<input type="text" id="name" name="user_name"><br>
<label for="user_email" limit="50">Contact Email:</label><br>
<input type="text" id="Email" name="user_email"><br>
<!--Standrd Text Field no limit-->
<label>Contact Phone Number:</label><br>
<input type="text"><br>
<!--Radio Button-->
<input type="radio" id="Landline" value="Landline" name="phone_type">
<label for="Landline">Landline</label><br>
<input type="radio" id="mobile" value="Mobile" name="phone_type">
<label for="mobile">Mobile</label><br>
</fieldset>
<!--Drop Down-->
<fieldset>
<legend>Intrest For Contacting:</legend>
<input type="checkbox" id="construction" value="construction" name="field_construction">
<label for="construction">Construction</label><br>
<input type="checkbox" id="web_developer" value="web_developer" name="field_web_developer">
<label for="web_developer">Web Development</label><br>
<input type="checkbox" id="music" value="music" name="field_music">
<label for="music">Audio Engineer/Studio Musician</label><br>
</fieldset>
<fieldset>
<legend for="hear_about_us">How did you hear aboout us?:</legend>
<select id="hear_about_us" name="user-about">
<optgroup label="Search Engine">
<option value="Google">Google</option>
<option value="Yahoo">Yahoo</option>
<option value="Bing">Bing</option>
<option value="Duck_duck_go">Duck Duck Google</option>
<option value="Ask.com">Ask.com</option>
</optgroup>
<optgroup label="Social Media">
<option value="facebook">Facebook</option>
<option value="twitter">Twitter</option>
<option value="instagram">Instagram</option>
<option value="Youtube">Youtube</option>
</optgroup>
<optgroup label="Recruiter">
<option value="Teacher">Teacher</option>
<option value="student">Student</option><br>
</optgroup>
</select><br>
<label for="message">Feel Free To Leave A Message:</label><br>
<textarea id="message" name="user_message" limit="250"></textarea><br>
</fieldset>
<button type="submit">Send Now!</button>
</form>
</body>
</html>