RR-JS-HTML-Resume/Part 2.html at 384ac2e4b279f24e3119d97e550e390d33c282be · code-differently/RR-JS-HTML-Resume · GitHub

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<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <link rel="stylesheet" href="style.css"/>

    <title>Contact Form</title>

</head>

<body>
    <form action="Contact-Form.html" method="post">
        <h1 class="title">Contact Form</h1>
            <fieldset>
                <legend>Your Basic Info</legend><br>

                    <label for="f_name">First Name:</label>
                    <input type="text" id="first_name" name="f_name" maxlength="30" placeholder="First Name" required><br><br>

                    <label for="l_name">Last Name:</label>
                    <input type="text" id="last_name" name="l_name" maxlength="30" placeholder="Last Name" required><br><br>

                    <label for="tele">Contact Phone Number:</label>
                    <input type="text" id="telephone" name="tele" placeholder="###-###-####" maxlength="10" pattern="[0-9]{3}-[0-9]{3}-[0-9]{4}" required><br><br>

                    <span>Phone Number Type:</span>
                        <input type="radio" id="land_line" name="num_type" value="Landline" required>
                        <label for="landline">Landline</label>

                        <input type="radio" id="cellphone" name="num_type" value="mobile">
                        <label for="mobile">Mobile</label><br><br>

                        <label for="email">Contact Email:</label>
                        <input type="text" id="email_add" name="email" maxlength="50" placeholder="Your@email.com" required><br><br>
            </fieldset><br><br>

            <fieldset>
                <legend>Contact</legend><br>

                    <label for="marketing">How Did You Hear About Us?</label>
                    <select name="marketing" id="marketing" required>
                        <option value="search-engine">Search Engine</option>
                        <option value="social media">Social Media</option>
                        <option value="recruiter">Recruiter</option>
                    </select>

            </fieldset><br><br>

            <fieldset>
                 <legend>Interest for Contacting</legend><br>

                    <input type="checkbox" name="interest1" id="skills1" required>
                    <label for="interest1">JavaScript</label><br><br>

                    <input type="checkbox" name="interest2" id="skills2" required>
                    <label for="interest2">Java</label><br><br>

                    <input type="checkbox" name="interest3" id="skills3" required>
                    <label for="interest3">Web Development</label><br><br>

                    <input type="checkbox" name="interest4" id="skills4" required>
                    <label for="interest4">Operational Leadership</label><br><br>


                    <label for="message">Additional Information</label><br><br>
                    <textarea name="message" id="message" maxlength="250" placeholder="Type message here..."></textarea>

            </fieldset><br><br>

            <button type="submit">Submit</button>
    </form>
</body>
</html>