-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathform.html
38 lines (29 loc) · 1.16 KB
/
form.html
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
<html>
<head>
<title>
Feedback Form
</title>
</head>
<body id="body">
<div class="container">
<img src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcSx1jogC31vfaHU3D6YElsWMvUzjpWZy9vSjj1DpxEln_kfe5eb&usqp=CAU" style="width:50%;">
<div class="top-left">
<form action="#">
<br><br>
<input type="text" required placeholder="First Name">
<input type="text" required placeholder="Last Name">
<br><br>
<input type="text" required placeholder="Institute Name">
<br><br>
<input type="text" required placeholder="Phone Number">
<br><br>
<label>
<input type="checkbox" required name="Privacy notice"> I Agree to privacy notice
</label>
<br><br>
<button type="submit">Submit !</button>
</form>
<a href="#body">Go up</a>
</div>
</body>
</html>