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