Web.QHMIT
.com
Toggle navigation
☰
Home
HTML
CSS
Scripting
Database
Run
<!DOCTYPE html> <title>My Example</title> <form method="get" 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> <hr> <p>More info: <a href="/html/tags/html_form_tag.cfm"><code>form</code></a>, <a href="/html/tutorial/html_forms.cfm">HTML Form Tutorial</a>, <a href="/html/codes/html_form_code.cfm">HTML Form Code</a>, <a href="/html/codes/html_form_to_email.cfm">Form to Email</a>.</p>
Preview