InteractiveSystemsDev/contact.html at main · Elo-1/InteractiveSystemsDev · GitHub

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<!DOCTYPE html>
<html>
  <head>
    <meta charset="UTF-8" />
    <meta name="viewport" content="width=device-width, initial-scale=1.0" />
    <title>Contact Us</title>
    <link rel="stylesheet" href="styles.css" />
  </head>
  <body>
    <h1>Contact Us</h1>
    <form>
      <label for="name">Name:</label>
      <input type="text" id="name" name="name" required />

      <label for="email">Email:</label>
      <input type="email" id="email" name="email" required />

      <label for="phone">Phone:</label>
      <input type="tel" id="phone" name="phone" required />

      <label for="subject">Subject:</label>
      <select id="subject" name="subject" required>
        <option value="" selected disabled hidden>Select a subject</option>
        <option value="General Inquiry">General Inquiry</option>
        <option value="Feedback">Feedback</option>
        <option value="Complaint">Complaint</option>
      </select>

      <label for="message">Message:</label>
      <textarea id="message" name="message" rows="5" required></textarea>

      <fieldset>
        <legend>How did you hear about us?</legend>
        <input type="radio" id="google" name="how" value="Google" />
        <label for="google">Google</label>
        <br />

        <input type="radio" id="facebook" name="how" value="Facebook" />
        <label for="facebook">Facebook</label>
        <br />

        <input type="radio" id="instagram" name="how" value="Instagram" />
        <label for="instagram">Instagram</label>
        <br />

        <input type="radio" id="friend" name="how" value="Friend" />
        <label for="friend">Friend</label>
        <br />

        <input type="radio" id="other" name="how" value="Other" />
        <label for="other">Other</label>
        <br />
      </fieldset>

      <fieldset>
        <legend>What services are you interested in?</legend>
        <input type="checkbox" id="coffee" name="services" value="Coffee" />
        <label for="coffee">Coffee</label>
        <br />

        <input type="checkbox" id="pastries" name="services" value="Pastries" />
        <label for="pastries">Pastries</label>
        <br />

        <input type="checkbox" id="sandwiches" name="services" value="Sandwiches" />
        <label for="sandwiches">Sandwiches</label>
        <br />

        <input type="checkbox" id="salads" name="services" value="Salads" />
        <label for="salads">Salads</label>
        <br />
      </fieldset>

      <button type="submit">Submit</button>
    </form>
  </body>
</html>