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booking.html
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<!DOCTYPE HTML>
<!-- Website Template by freewebsitetemplates.com -->
<html>
<head>
<meta charset="UTF-8">
<title>Book An Apppointment - Car Repair Shop Website Template</title>
<link rel="stylesheet" href="css/style.css" type="text/css">
<!--[if lt IE 9]>
<link rel="stylesheet" type="text/css" href="css/ie.css">
<![endif]-->
</head>
<body>
<div id="body">
<div class="content">
<div class="section">
<div class="booking">
<h2>book an appointment</h2>
<p>
This website template has been designed by <a href="http://www.freewebsitetemplates.com/">Free Website Templates</a> for you, for free. You can replace all this text with your own text. You can remove any link to our website from this website template, you're free to use this website template without linking back to us. If you're having problems editing this website template, then don't hesitate to ask for help on the <a href="http://www.freewebsitetemplates.com/forums/">Forums</a>.
</p>
<form action="index.html">
<h4>fill in your contact details</h4>
<div class="form1">
<label for="fname"> <span>first name</span>
<input type="text" name="fname" id="fname">
</label>
<label for="lname"> <span>last name</span>
<input type="text" name="lname" id="lname">
</label>
<label for="email3"> <span>email address</span>
<input type="text" name="email3" id="email3">
</label>
<label for="phone"> <span>phone number</span>
<input type="text" name="phone" id="phone">
</label>
<label for="address1"> <span>address 1</span>
<input type="text" name="address1" id="address1">
</label>
<div>
<label for="city"> <span>city</span>
<select name="city" id="city">
<option value=""></option>
<option value=""></option>
<option value=""></option>
</select>
</label>
<label for="state"> <span>state</span>
<select name="state" id="state">
<option value=""></option>
<option value=""></option>
<option value=""></option>
</select>
</label>
</div>
<label for="address2"> <span>address 2</span>
<input type="text" name="address2" id="address2">
</label>
<label for="zip"> <span>zipcode</span>
<input type="text" name="zip" id="zip">
</label>
<label for="schedule"> <span>When Do You Prefer Us To Call? (We only call during weekdays and Saturdays)</span>
<select name="schedule" id="schedule">
<option value=""></option>
<option value="">In the morning (Between 9am - 12nn)</option>
<option value="">In the afternoon (Between 1pm - 5pm)</option>
<option value="">In the evening (Between 6pm-7pm)</option>
</select>
</label>
</div>
<h4>fill in details about your vehicle</h4>
<div class="form2">
<div>
<label for="brand"> <span>brand</span>
<input type="text" name="brand" id="brand">
</label>
<label for="model"> <span>model</span>
<input type="text" name="model" id="model">
</label>
<label for="year"> <span>year</span>
<input type="text" name="year" id="year">
</label>
<label for="mileage"> <span>estimated mileage</span>
<input type="text" name="mileage" id="mileage">
</label>
</div>
<label for="confirm" id="confirm2"> <span>If needed, are you ok with leaving your vehicle for the day?</span>
<input type="text" name="confirm" id="confirm">
</label>
<label for="message2"> <span>Leave us a short message regarding your concerns and needs.</span>
<textarea name="message2" id="message2" cols="30" rows="10"></textarea>
</label>
</div>
<input type="submit" name="send2" id="send2" value="">
</form>
</div>
</div>
<div class="sidebar">
<div class="contact">
<div>
<a href="gallery.html"><img src="images/lava2.jpg" alt=""></a>
</div>
<h4>contact information</h4>
<ul>
<li>
<b>address:</b> <span>426 Grant Street Pine Hill, TX 75652</span>
</li>
<li>
<b>phone:</b> <span>903-889-6313</span>
</li>
<li>
<b>fax:</b> <span>903-889-6313</span>
</li>
<li>
<b>email:</b> <span><a href="http://www.freewebsitetemplates.com/misc/contact">[email protected]</a></span>
</li>
</ul>
</div>
<div class="featured">
<h3>featured services</h3>
<ul>
<li>
<a href="services.html">engine maintenance</a>
</li>
<li>
<a href="services.html">wheel alignment</a>
</li>
<li>
<a href="services.html">air condition services</a>
</li>
<li>
<a href="services.html">transmission</a>
</li>
<li>
<a href="services.html">promos & discounts</a>
</li>
</ul>
</div>
</div>
</div>
</div>
</body>
</html>