html-css-devcamp/forms.html at master · rails-camp/html-css-devcamp · GitHub

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<!DOCTYPE html>
<html>
	<head>
		<meta charset="UTF-8">
		<title>HTML5 Forms</title>
	</head>

	<body>
		<form action="contact_form.php" method="get" oninput="invoice.value=parseInt(total.value)+parseInt(shipping.value)">

			<label for="name">Name:</label>
			<input type="text" name="name" placeholder="SNOW, JON" required><br>

			<label for="name">Email:</label>
			<input type="text" name="email" placeholder="jon@snow.com" required><br>

			<label for="message">Message:</label><br>
			<textarea name="message" rows="15" cols="100"></textarea><br>

			<label for="source">How did you hear about us?</label>
			<select name="source">
				<option value="fb">Facebook</option>
				<option value="google">Google</option>
				<option value="yahoo">Yahoo</option>
				<option value="twitter">Twitter</option>
			</select>

			<br>

			<label for="shipping_method">Shipping Method:</label>
			<select name="shipping_method">
				<optgroup label="Business">
					<option value="biz_overnight">Overnight</option>
					<option value="biz_groung">Ground</option>
				</optgroup>
				<optgroup label="Residential">
					<option value="res_overnight">Overnight</option>
					<option value="res_groung">Ground</option>
				</optgroup>
			</select>

			<hr>

			<label for="options">Packing Requirements (select all that apply):</label><br>
			<input type="checkbox" name="options" value="premium"> Premium<br>
			<input type="checkbox" name="options" value="automated"> Automated<br>
			<input type="checkbox" name="options" value="rush"> Rush<br>

			<hr>

			<label for="delivery">Shipping Preference:</label><br>
			<input type="radio" name="delivery" value="in_store"> In Store<br>
			<input type="radio" name="delivery" value="shipping"> Shipping<br>

			<hr>

			<label for="total">Subtotal:</label><br>
			<input type="text" name="total" value="0" /><br>

			<label for="shipping">Shipping:</label><br>
			<input type="text" name="shipping" value="9" /><br>

			Total for invoice: $<output name="invoice" for="total tax"></output>

			<hr>

			<input type="submit" value="Send Contact Request">
		</form>
	</body>

</html>