Source Code: (back to article)
<!DOCTYPE html>
<html>
<head>
<title>Tour 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: 50px;
font-size: 60px;
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 15px 0 #3263cd;
}
.banner {
position: relative;
height: 260px;
background-image: url("/uploads/media/default/0001/02/de5d4fa9c24ed631b1c5d3f3bff8c0d5f3f4f325.png");
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;
}
input[type="date"] {
padding: 4px 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: #3263cd;
}
.item input:hover, .item select:hover, .item textarea:hover {
border: 1px solid transparent;
box-shadow: 0 0 5px 0 #3263cd;
color: #3263cd;
}
.item {
position: relative;
margin: 10px 0;
}
input[type="date"]::-webkit-inner-spin-button {
display: none;
}
.item i, input[type="date"]::-webkit-calendar-picker-indicator {
position: absolute;
font-size: 20px;
color: #a9a9a9;
}
.item i {
right: 2%;
top: 28px;
z-index: 1;
}
[type="date"]::-webkit-calendar-picker-indicator {
right: 1%;
z-index: 2;
opacity: 0;
cursor: pointer;
}
input[type=radio], input[type=checkbox] {
display: none;
}
label.radio, label.checkbox {
position: relative;
display: inline-block;
margin: 5px 20px 15px 0;
cursor: pointer;
}
.question span {
margin-left: 30px;
}
label.radio:before, label.checkbox:before{
content: "";
position: absolute;
left: 0;
width: 17px;
height: 17px;
border-radius: 50%;
border: 2px solid #ccc;
}
label.checkbox:before{ border-radius: 5px}
input[type=radio]:checked + label:before, label.radio:hover:before,
input[type=checkbox]:checked + label:before, label.chekbox:hover:before {
border: 2px solid #3263cd;
}
label.radio:after, label.checkbox:after {
content: "";
position: absolute;
top: 6px;
left: 5px;
width: 8px;
height: 4px;
border: 3px solid #3263cd;
border-top: none;
border-right: none;
transform: rotate(-45deg);
opacity: 0;
}
input[type=radio]:checked + label:after, input[type=checkbox]:checked + label:after {
opacity: 1;
}
.btn-block {
margin-top: 10px;
text-align: center;
}
button {
width: 150px;
padding: 10px;
border: none;
border-radius: 5px;
background: #3263cd;
font-size: 16px;
color: #fff;
cursor: pointer;
}
button:hover {
background: #5b82d7;
}
@media (min-width: 568px) {
.name-item, {
display: flex;
flex-wrap: wrap;
justify-content: space-between;
}
.name-item input, {
width: calc(50% - 20px);
}
}
</style>
</head>
<body>
<div class="testbox">
<form action="/">
<div class="banner">
<h1>Tour Booking Form</h1>
</div>
<div class="item">
<p>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>When are you planning to visit?</p>
<input type="date" name="bdate" required/>
<i class="fas fa-calendar-alt"></i>
</div>
<div class="item">
<p>How many people are in your group?</p>
<input type="text" name="language"/>
</div>
<div class="item">
<p>Which tours or events are you most interested in?</p>
<input type="text" name="language"/>
</div>
<div class="question">
<p>What is the best way to contact you?</p>
<div class="question-answer">
<div>
<input type="checkbox" value="none" id="checkbox_1" name="contact1"/>
<label for="checkbox_1" class="checkbox"><span>Phone</span></label>
</div>
<div>
<input type="checkbox" value="none" id="checkbox_2" name="contact2"/>
<label for="checkbox_2" class="checkbox"><span>Email</span></label>
</div>
<div>
<input type="checkbox" value="none" id="checkbox_3" name="contact3"/>
<label for="checkbox_3" class="checkbox"><span>Either</span></label>
</div>
</div>
</div>
<div class="question">
<p>If phone, when is the best time of day for a call-back?</p>
<div class="question-answer">
<div>
<input type="radio" value="none" id="radio_4" name="time"/>
<label for="radio_4" class="radio"><span>8-11 AM</span></label>
</div>
<div>
<input type="radio" value="none" id="radio_5" name="time"/>
<label for="radio_5" class="radio"><span>12-4 PM</span></label>
</div>
<div>
<input type="radio" value="none" id="radio_6" name="time"/>
<label for="radio_6" class="radio"><span>6-10 PM</span></label>
</div>
</div>
</div>
<div class="item">
<p>Anything else we should know?</p>
<textarea rows="3"></textarea>
</div>
<div class="item">
<p>And last, how did you hear about us?</p>
<textarea rows="3"></textarea>
</div>
<div class="btn-block">
<button type="submit" href="/">Send</button>
</div>
</form>
</div>
</body>
</html>