187 lines
4.8 KiB
HTML
187 lines
4.8 KiB
HTML
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<title>Order Form</title>
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<style>
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* {
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margin: 0;
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padding: 0;
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box-sizing: border-box;
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}
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body {
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font-family: 'Segoe UI', Tahoma, Geneva, Verdana, sans-serif;
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background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);
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padding: 20px;
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min-height: 100vh;
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display: flex;
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justify-content: center;
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align-items: center;
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}
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.container {
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background: white;
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border-radius: 10px;
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box-shadow: 0 10px 40px rgba(0, 0, 0, 0.2);
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padding: 40px;
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max-width: 600px;
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width: 100%;
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}
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h1 {
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color: #333;
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margin-bottom: 30px;
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text-align: center;
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font-size: 28px;
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}
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.form-group {
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margin-bottom: 20px;
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}
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label {
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display: block;
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margin-bottom: 8px;
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color: #555;
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font-weight: 600;
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font-size: 14px;
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}
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input[type="text"],
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input[type="email"],
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select,
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textarea {
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width: 100%;
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padding: 12px;
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border: 2px solid #e0e0e0;
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border-radius: 5px;
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font-size: 14px;
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transition: border-color 0.3s;
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font-family: inherit;
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}
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input[type="text"]:focus,
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input[type="email"]:focus,
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select:focus,
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textarea:focus {
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outline: none;
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border-color: #667eea;
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}
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textarea {
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resize: vertical;
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min-height: 80px;
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}
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.btn-order {
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width: 100%;
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padding: 15px;
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background: linear-gradient(135deg, #667eea 0%, #764ba2 100%);
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color: white;
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border: none;
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border-radius: 5px;
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font-size: 16px;
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font-weight: 600;
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cursor: pointer;
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transition: transform 0.2s, box-shadow 0.2s;
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margin-top: 10px;
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}
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.btn-order:hover {
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transform: translateY(-2px);
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box-shadow: 0 5px 20px rgba(102, 126, 234, 0.4);
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}
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.btn-order:active {
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transform: translateY(0);
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}
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</style>
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</head>
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<body>
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<div class="container">
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<h1>Product Order Form</h1>
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<form id="orderForm">
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<div class="form-group">
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<label for="productType">Product Type *</label>
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<select id="productType" name="productType" required>
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<option value="">Select a product</option>
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<option value="chair">Chair</option>
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<option value="sofa">Sofa</option>
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<option value="desk">Desk</option>
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<option value="table">Table</option>
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<option value="cabinet">Cabinet</option>
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</select>
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</div>
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<div class="form-group">
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<label for="color">Color *</label>
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<select id="color" name="color" required>
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<option value="">Select a color</option>
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<option value="red">Red</option>
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<option value="green">Green</option>
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<option value="blue">Blue</option>
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<option value="black">Black</option>
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<option value="white">White</option>
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<option value="brown">Brown</option>
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</select>
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</div>
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<div class="form-group">
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<label for="name">Full Name *</label>
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<input type="text" id="name" name="name" placeholder="Enter your full name" required>
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</div>
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<div class="form-group">
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<label for="email">Email Address *</label>
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<input type="email" id="email" name="email" placeholder="your.email@example.com" required>
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</div>
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<div class="form-group">
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<label for="address">Street Address *</label>
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<input type="text" id="address" name="address" placeholder="123 Main Street" required>
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</div>
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<div class="form-group">
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<label for="city">City *</label>
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<input type="text" id="city" name="city" placeholder="City" required>
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</div>
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<div class="form-group">
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<label for="state">State/Province *</label>
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<input type="text" id="state" name="state" placeholder="State" required>
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</div>
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<div class="form-group">
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<label for="zipCode">ZIP/Postal Code *</label>
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<input type="text" id="zipCode" name="zipCode" placeholder="12345" required>
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</div>
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<button type="button" class="btn-order">Order</button>
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</form>
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</div>
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<script>
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const form = document.getElementById('orderForm');
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const submit = () => {
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location.href = './fill-form-submit.html#?' + new URLSearchParams(new FormData(form)).toString();
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};
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document.querySelector('.btn-order').addEventListener('click', () => {
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if (form.checkValidity()) {
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if (window.confirm(`Please confirm your order for a ${form.color.value} ${form.productType.value}.`))
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submit();
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} else {
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form.reportValidity();
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}
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});
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form.addEventListener('submit', e => {
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e.preventDefault();
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submit();
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});
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</script>
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</body>
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