Hacktoberfest2022/Form at master · yashg02/Hacktoberfest2022 · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Forms</title>
</head>
<body>
    <form method="get" enctype="application/x-www-form-urlencoded" action="/html/codes/html_form_handler.cfm">

        <p>
        <label>Name
        <input type="text" name="customer_name" required>
        </label>
        </p>

        <p>
        <label>Phone
        <input type="tel" name="phone_number">
        </label>
        </p>

        <p>
        <label>Email
        <input type="email" name="email_address">
        </label>
        </p>

        <fieldset>
        <legend>Which taxi do you require?</legend>
        <p><label> <input type="radio" name="taxi" required value="car"> Car </label></p>
        <p><label> <input type="radio" name="taxi" required value="van"> Van </label></p>
        <p><label> <input type="radio" name="taxi" required value="tuktuk"> Tuk Tuk </label></p>
        </fieldset>

        <fieldset>
        <legend>Extras</legend>
        <p><label> <input type="checkbox" name="extras" value="baby"> Baby Seat </label></p>
        <p><label> <input type="checkbox" name="extras" value="wheelchair"> Wheelchair Access </label></p>
        <p><label> <input type="checkbox" name="extras" value="tip"> Stock Tip </label></p>
        </fieldset>

        <p>
        <label>Pickup Date/Time
        <input type="datetime-local" name="pickup_time" required>
        </label>
        </p>

        <p>
        <label>Pickup Place
        <select id="pickup_place" name="pickup_place">
        <option value="" selected="selected">Select One</option>
        <option value="office" >Taxi Office</option>
        <option value="town_hall" >Town Hall</option>
        <option value="telepathy" >We'll Guess!</option>
        </select>
        </label>
        </p>

        <p>
        <label>Dropoff Place
        <input type="text" name="dropoff_place" required list="destinations">
        </label>

        <datalist id="destinations">
        <option value="Airport">
        <option value="Beach">
        <option value="Fred Flinstone's House">
        </datalist>
        </p>

        <p>
        <label>Special Instructions
        <textarea name="comments" maxlength="500"></textarea>
        </label>
        </p>

        <p><button>Submit Booking</button></p>

        </form>
</body>
</html>