parent
2bc22aa325
commit
db10f101c5
@ -0,0 +1,156 @@
|
||||
<!--A Design by W3layouts
|
||||
Author: W3layout
|
||||
Author URL: http://w3layouts.com
|
||||
License: Creative Commons Attribution 3.0 Unported
|
||||
License URL: http://creativecommons.org/licenses/by/3.0/
|
||||
-->
|
||||
<!DOCTYPE HTML>
|
||||
<html>
|
||||
<head>
|
||||
<title>Fare Order Form a Responsive Widget Template :: w3layouts</title>
|
||||
<meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1">
|
||||
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
|
||||
<meta name="keywords" content="Fare Order Form Responsive Widget,Login form widgets, Sign up Web forms , Login signup Responsive web form,Flat Pricing table,Flat Drop downs,Registration Forms,News letter Forms,Elements" />
|
||||
<script type="application/x-javascript"> addEventListener("load", function() { setTimeout(hideURLbar, 0); }, false); function hideURLbar(){ window.scrollTo(0,1); } </script>
|
||||
<!-- jQuery (necessary for Bootstrap's JavaScript plugins) -->
|
||||
<!-- Custom Theme files -->
|
||||
<!-- font-awesome-icons -->
|
||||
<link href="css/font-awesome.css" rel="stylesheet">
|
||||
<!-- //font-awesome-icons -->
|
||||
<link href="css/style.css" rel='stylesheet' type='text/css' />
|
||||
<!--fonts-->
|
||||
<link href="//fonts.googleapis.com/css?family=Roboto:300,400,500,700" rel="stylesheet">
|
||||
<link href="//fonts.googleapis.com/css?family=Niconne" rel="stylesheet">
|
||||
<!--//fonts-->
|
||||
</head>
|
||||
<body>
|
||||
<!--background-->
|
||||
<h1> Fare Order Form </h1>
|
||||
<div class="bg-agile">
|
||||
<img src="images/side.png" alt="">
|
||||
<div class="book-appointment">
|
||||
<h2>Make Your Order Here</h2>
|
||||
<div class="book-form agileits-login">
|
||||
<form action="#" method="post">
|
||||
<div class="phone_email">
|
||||
<label>Full name : </label>
|
||||
<div class="form-text">
|
||||
<i class="fa fa-user" aria-hidden="true"></i>
|
||||
<input type="text" name="Name" placeholder="" required="">
|
||||
</div>
|
||||
</div>
|
||||
<div class="phone_email phone_email1">
|
||||
<label>Email : </label>
|
||||
<div class="form-text">
|
||||
<i class="fa fa-envelope-o" aria-hidden="true"></i>
|
||||
<input type="email" name="email" placeholder="" required="">
|
||||
</div>
|
||||
</div>
|
||||
<div class="phone_email">
|
||||
<label>Phone number : </label>
|
||||
<div class="form-text">
|
||||
<i class="fa fa-phone" aria-hidden="true"></i>
|
||||
<input type="text" name="Phone no" placeholder="" required="">
|
||||
</div>
|
||||
</div>
|
||||
<div class="phone_email phone_email1">
|
||||
<label>Address : </label>
|
||||
<div class="form-text">
|
||||
<i class="fa fa-map-marker" aria-hidden="true"></i>
|
||||
<input type="text" name="address" placeholder="" required="">
|
||||
</div>
|
||||
</div>
|
||||
<div class="clear"></div>
|
||||
<div class="agileits_reservation_grid">
|
||||
<div class="span1_of_1">
|
||||
<label>Date : </label>
|
||||
<div class="book_date">
|
||||
<i class="fa fa-calendar" aria-hidden="true"></i>
|
||||
<input id="datepicker" name="Text" type="text" value="" onfocus="this.value = '';" onblur="if (this.value == '') {this.value = 'mm/dd/yyyy';}" required="">
|
||||
|
||||
</div>
|
||||
</div>
|
||||
<div class="span1_of_1">
|
||||
<!-- start_section_room -->
|
||||
<label>Time : </label>
|
||||
<div class="section_room">
|
||||
<i class="fa fa-clock-o" aria-hidden="true"></i>
|
||||
<select id="country" onchange="change_country(this.value)" class="frm-field required">
|
||||
<option value="AX"></option>
|
||||
<option value="null">Lunch</option>
|
||||
<option value="null">Dinner</option>
|
||||
<option value="AX">Break Fast</option>
|
||||
</select>
|
||||
</div>
|
||||
</div>
|
||||
<div class="span1_of_1">
|
||||
<label>No.of people : </label>
|
||||
<!-- start_section_room -->
|
||||
<div class="section_room">
|
||||
<i class="fa fa-users" aria-hidden="true"></i>
|
||||
<select id="country1" onchange="change_country(this.value)" class="frm-field required sect">
|
||||
<option value="AX"></option>
|
||||
<option value="null">1 People</option>
|
||||
<option value="null">2 People</option>
|
||||
<option value="null">3 People</option>
|
||||
<option value="AX">4 People</option>
|
||||
<option value="AX">More</option>
|
||||
</select>
|
||||
</div>
|
||||
</div>
|
||||
<div class="clear"></div>
|
||||
</div>
|
||||
<div class="wthree-text">
|
||||
<h6>Items</h6>
|
||||
<ul>
|
||||
<li>
|
||||
<label class="anim">
|
||||
<input type="checkbox" class="checkbox">
|
||||
<span>Soups</span>
|
||||
</label>
|
||||
</li>
|
||||
<li>
|
||||
<label class="anim">
|
||||
<input type="checkbox" class="checkbox">
|
||||
<span>Burger</span>
|
||||
</label>
|
||||
</li>
|
||||
<li>
|
||||
<label class="anim">
|
||||
<input type="checkbox" class="checkbox">
|
||||
<span>Drinks</span>
|
||||
</label>
|
||||
</li>
|
||||
<li>
|
||||
<label class="anim">
|
||||
<input type="checkbox" class="checkbox">
|
||||
<span>Desserts</span>
|
||||
</label>
|
||||
</li>
|
||||
</ul>
|
||||
<div class="clearfix"> </div>
|
||||
</div>
|
||||
<input type="submit" value="Order Now">
|
||||
</form>
|
||||
</div>
|
||||
|
||||
</div>
|
||||
</div>
|
||||
<!--copyright-->
|
||||
<div class="copy w3ls">
|
||||
<p>© 2017. Fare Order Form . All Rights Reserved | Design by <a href="http://w3layouts.com/" target="_blank">W3layouts</a> </p>
|
||||
</div>
|
||||
<!--//copyright-->
|
||||
<script type="text/javascript" src="js/jquery-2.1.4.min.js"></script>
|
||||
<!-- Calendar -->
|
||||
<link rel="stylesheet" href="css/jquery-ui.css" />
|
||||
<script src="js/jquery-ui.js"></script>
|
||||
<script>
|
||||
$(function() {
|
||||
$( "#datepicker,#datepicker1,#datepicker2,#datepicker3" ).datepicker();
|
||||
});
|
||||
</script>
|
||||
<!-- //Calendar -->
|
||||
|
||||
</body>
|
||||
</html>
|
||||
Loading…
Reference in new issue