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表单代码.rar(免费下载)[2 次下载]<!DOCTYPE html> |
<html lang="en"> |
<head> |
<meta charset="utf-8"> |
<title>Order Form</title> |
<link rel="stylesheet" href="style.css"> |
<script src="modernizr.js"></script> |
<script src="app.js"></script> |
</head> |
<body> |
<form name="order" method="post" action="/submit"> |
<h1>Order Form</h1> |
<fieldset> |
<legend>Contact Details</legend> |
<ul> |
<li> |
<label class="required"> |
<div>Full Name</div> |
<input name="name" required autofocus> |
</label> |
</li> |
<li> |
<label class="required"> |
<div>Email Address</div> |
<input type="email" name="email" required> |
</label> |
</li> |
<li> |
<label> |
<div>Postal Address</div> |
<input name="address1" placeholder="Address Line 1"> |
</label> |
<div> </div> |
<input name="address2" placeholder="Address Line 2"> |
<div> </div> |
<input name="city" class="city" placeholder="Town/City"> |
<input name="state" class="state" placeholder="State"> |
<input name="zip" class="zip" placeholder="Zip Code"> |
<div> </div> |
<select name="country"> |
<option value="0">Country</option> |
<option value="US">United States</option> |
<option value="CA">Canada</option> |
</select> |
</li> |
<li> |
<label> |
<div>Home Phone No.</div> |
<input type="tel" name="homephone"> |
</label> |
</li> |
<li> |
<label> |
<div>Cell Phone No.</div> |
<input type="tel" name="cellphone"> |
</label> |
</li> |
<li> |
<label> |
<div>Skype Name</div> |
<input name="skype"> |
</label> |
</li> |
<li> |
<label> |
<div>Twitter</div> |
<span class="twitter_prefix">@</span> |
<input name="twitter" class="twitter"> |
</label> |
</li> |
</ul> |
</fieldset> |
<fieldset> |
<legend>Login Details</legend> |
<ul> |
<li> |
<label class="required"> |
<div>Password</div> |
<input type="password" name="password" required> |
</label> |
</li> |
<li> |
<label class="required"> |
<div>Confirm Password</div> |
<input type="password" name="confirm_password" required> |
</label> |
</li> |
</ul> |
</fieldset> |
<fieldset> |
<legend>Order Details</legend> |
<table> |
<thead> |
<tr> |
<th>Product Code</th><th>Description</th><th>Qty</th> |
<th>Price</th><th>Total</th> |
</tr> |
</thead> |
<tbody> |
<tr> |
<td> |
COMP001 |
<input type="hidden" name="product_code" value="COMP001"> |
</td> |
<td>The Ultimate Smartphone</td> |
<td> |
<input type="number" data-price="399.99" name="quantity" |
value="0" min="0" max="99" maxlength="2"> |
</td> |
<td>$399.99</td> |
<td> |
<output name="item_total" class="item_total">$0.00</output> |
</td> |
</tr> |
<tr> |
<td> |
COMP002 |
<input type="hidden" name="product_code" value="COMP002"> |
</td> |
<td>The Ultimate Tablet</td> |
<td> |
<input type="number" data-price="499.99" name="quantity" |
value="0" min="0" max="99" maxlength="2"> |
</td> |
<td>$499.99</td> |
<td> |
<output name="item_total" class="item_total">$0.00</output> |
</td> |
</tr> |
<tr> |
<td> |
COMP003 |
<input type="hidden" name="product_code" value="COMP003"> |
</td> |
<td>The Ultimate Netbook</td> |
<td> |
<input type="number" data-price="299.99" name="quantity" |
value="0" min="0" max="99" maxlength="2"> |
</td> |
<td>$299.99</td> |
<td> |
<output name="item_total" class="item_total">$0.00</output> |
</td> |
</tr> |
</tbody> |
<tfoot> |
<tr> |
<td colspan="4">Order Total</td> |
<td> |
<output name="order_total" id="order_total">$0.00</output> |
</td> |
</tr> |
</tfoot> |
</table> |
</fieldset> |
<fieldset> |
<legend>Payment Details</legend> |
<ul> |
<li> |
<label class="required"> |
<div>Name on Card</div> |
<input name="card_name" required> |
</label> |
</li> |
<li> |
<label class="required"> |
<div>Credit Card No.</div> |
<input name="card_number" pattern="[0-9]{13,16}" |
maxlength="16" required title="13-16 digits, no spaces"> |
</label> |
</li> |
<li> |
<label class="required"> |
<div>Expiry Date</div> |
<input type="month" name="card_expiry" maxlength="7" |
placeholder="YYYY-MM" required value="2015-06"> |
</label> |
</li> |
<li> |
<label class="required"> |
<div>CVV2 No.</div> |
<input name="card_cvv2" class="cvv" maxlength="3" |
pattern="[0-9]{3}" required title="exactly 3 digits"> |
<span>(Three digit code at back of card)</span> |
</label> |
</li> |
</ul> |
</fieldset> |
<div class="buttons"> |
<input type="submit" value="Submit Order"> |
<input type="submit" id="saveOrder" value="Save Order" formnovalidate formaction="/save"> |
</div> |
</form> |
</body> |
</html> |
表单代码.rar(免费下载)[2 次下载]
