Source Code: (back to article)
<!DOCTYPE html>
<html>
<head>
<title>Travel Booking Form</title>
<link href="https://fonts.googleapis.com/css?family=Roboto:300,400,500,700" rel="stylesheet">
<link rel="stylesheet" href="https://use.fontawesome.com/releases/v5.5.0/css/all.css" integrity="sha384-B4dIYHKNBt8Bc12p+WXckhzcICo0wtJAoU8YZTY5qE0Id1GSseTk6S+L3BlXeVIU" crossorigin="anonymous">
<style>
html, body {
min-height: 100%;
}
body, div, form, input, select, textarea, p {
padding: 0;
margin: 0;
outline: none;
font-family: Roboto, Arial, sans-serif;
font-size: 14px;
color: #666;
line-height: 22px;
}
h1 {
position: absolute;
margin: 0;
line-height: 55px;
font-size: 55px;
color: #fff;
z-index: 2;
}
.testbox {
display: flex;
justify-content: center;
align-items: center;
height: inherit;
padding: 20px;
}
form {
width: 100%;
padding: 20px;
border-radius: 6px;
background: #fff;
box-shadow: 0 0 30px 0 #a37547;
}
.banner {
position: relative;
height: 230px;
background-image: url("/uploads/media/default/0001/02/3dd647f39593e88f45f61aaac6ff3027dce15506.jpeg");
background-size: cover;
display: flex;
justify-content: center;
align-items: center;
text-align: center;
}
.banner::after {
content: "";
background-color: rgba(0, 0, 0, 0.4);
position: absolute;
width: 100%;
height: 100%;
}
input, select, textarea {
margin-bottom: 10px;
border: 1px solid #ccc;
border-radius: 3px;
}
input {
width: calc(100% - 10px);
padding: 5px;
}
select {
width: 100%;
padding: 7px 0;
background: transparent;
}
textarea {
width: calc(100% - 12px);
padding: 5px;
}
.item:hover p, .item:hover i, .question:hover p, .question label:hover, input:hover::placeholder {
color: #a37547;
}
.item input:hover, .item select:hover, .item textarea:hover {
border: 1px solid transparent;
box-shadow: 0 0 6px 0 #a37547;
color: #a37547;
}
.item {
position: relative;
margin: 10px 0;
}
input[type=radio], input[type=checkbox] {
display: none;
}
label.radio {
position: relative;
display: inline-block;
margin: 5px 20px 15px 0;
cursor: pointer;
}
.question span {
margin-left: 30px;
}
label.radio:before {
content: "";
position: absolute;
left: 0;
width: 17px;
height: 17px;
border-radius: 50%;
border: 2px solid #ccc;
}
input[type=radio]:checked + label:before, label.radio:hover:before {
border: 2px solid #a37547;
}
label.radio:after {
content: "";
position: absolute;
top: 6px;
left: 5px;
width: 8px;
height: 4px;
border: 3px solid #a37547;
border-top: none;
border-right: none;
transform: rotate(-45deg);
opacity: 0;
}
input[type=radio]:checked + label:after {
opacity: 1;
}
.btn-block {
margin-top: 10px;
text-align: center;
}
button {
width: 150px;
padding: 10px;
border: none;
border-radius: 5px;
background: #6b4724;
font-size: 16px;
color: #fff;
cursor: pointer;
}
button:hover {
box-shadow: 0 0 18px 0 #3d2914;
}
@media (min-width: 568px) {
.name-item, .city-item {
display: flex;
flex-wrap: wrap;
justify-content: space-between;
}
.name-item input, .city-item input {
width: calc(50% - 20px);
}
.city-item select {
width: calc(50% - 8px);
}
}
</style>
</head>
<body>
<div class="testbox">
<form action="/">
<div class="banner">
<h1>Travel Booking Form</h1>
</div>
<div class="item">
<p>Passenger contact name</p>
<div class="name-item">
<input type="text" name="name" placeholder="First" />
<input type="text" name="name" placeholder="Last" />
</div>
</div>
<div class="item">
<p>Email</p>
<input type="email" name="email"/>
</div>
<div class="item">
<p>Phone</p>
<input type="text" name="phone" placeholder="### ### ####"/>
</div>
<div class="item">
<p>Address</p>
<input type="text" name="name" placeholder="Street address" required/>
<input type="text" name="name" placeholder="Street address line 2" required/>
<div class="city-item">
<input type="text" name="name" placeholder="City" required/>
<input type="text" name="name" placeholder="Region" required/>
<input type="text" name="name" placeholder="Postal / Zip code" required/>
<select required>
<option selected value="" disabled>Country</option>
<option value="1">Russia</option>
<option value="2">Germany</option>
<option value="3">France</option>
<option value="4">Armenia</option>
<option value="5">USA</option>
</select>
</div>
</div>
<div class="item">
<p>Total number of adults</p>
<input type="text" name="adults"/>
</div>
<div class="item">
<p>Adults' names</p>
<textarea rows="3"></textarea>
Yes
</div>
<div class="item">
<p>Total number of children</p>
<input type="text" name="adults"/>
</div>
<div class="item">
<p>Children names and ages</p>
<textarea rows="3"></textarea>
</div>
<div class="item">
<p>Type of travel</p>
<select required>
<option value="">Business</option>
<option value="1">Adventure</option>
<option value="2">Cultural</option>
<option value="3">Cruising</option>
<option value="4">Active mobility</option>
<option value="5">Active vacation</option>
<option value="6">Quiet vacation</option>
<option value="7">Package tour</option>
<option value="8">Creative trip</option>
<option selected value="9">Honeymoon</option>
</select>
</div>
<div class="item">
<p>Destination</p>
<input type="text" name="destination"/>
</div>
<div class="item">
<p>Preferred hotel / resort</p>
<input type="text" name="hotel"/>
</div>
<div class="item">
<p>Number of rooms</p>
<input type="text" name="number"/>
</div>
<div class="item">
<p>Size of group</p>
<input type="text" name="size"/>
</div>
<div class="item">
<p>King / double / suite / penthouse</p>
<input type="text" name="room"/>
</div>
<div class="question">
<p>Transportation to and from hotel</p>
<div class="question-answer">
<div>
<input type="radio" value="none" id="radio_1" name="question1"/>
<label for="radio_1" class="radio"><span>Yes</span></label>
</div>
<div>
<input type="radio" value="none" id="radio_2" name="question1"/>
<label for="radio_2" class="radio"><span>No</span></label>
</div>
</div>
</div>
<div class="item">
<p>Estimated trip amount</p>
<input type="number" name="amount" placeholder="USD 0.00"/>
</div>
<div class="question">
<p>Is anyone traveling over the Age of 55?</p>
<div class="question-answer">
<div>
<input type="radio" value="none" id="radio_3" name="question2"/>
<label for="radio_3" class="radio"><span>Yes</span></label>
</div>
<div>
<input type="radio" value="none" id="radio_4" name="question2"/>
<label for="radio_4" class="radio"><span>No</span></label>
</div>
</div>
<div class="question">
<p>Does anyone traveling have a military background?</p>
<div class="question-answer">
<div>
<input type="radio" value="none" id="radio_5" name="question3"/>
<label for="radio_5" class="radio"><span>Yes</span></label>
</div>
<div>
<input type="radio" value="none" id="radio_6" name="question3"/>
<label for="radio_6" class="radio"><span>No</span></label>
</div>
</div>
</div>
<div class="item">
<p>Special instructions</p>
<textarea rows="3"></textarea>
</div>
<div class="item">
<p>Activities: spa, golf, excursion, event ticket, shows, etc.</p>
<textarea rows="3"></textarea>
</div>
<div class="question">
<p>Include travel insurance</p>
<div class="question-answer">
<div>
<input type="radio" value="none" id="radio_7" name="question4"/>
<label for="radio_7" class="radio"><span>Yes</span></label>
</div>
<div>
<input type="radio" value="none" id="radio_8" name="question4"/>
<label for="radio_8" class="radio"><span>No</span></label>
</div>
</div>
</div>
<div class="btn-block">
<button type="submit" href="/">Book</button>
</div>
</form>
</div>
</body>
</html>