-
Notifications
You must be signed in to change notification settings - Fork 0
/
communication.html
87 lines (72 loc) · 2.46 KB
/
communication.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
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
<!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="https://cdn.simplecss.org/simple.min.css">
<title>Communication</title>
</head>
<body>
<header>
<!-- nav>ul>li*4>a[href="#"]>lorem1 -->
<nav>
<ul>
<li><a href="./index.html">Main Page</a></li>
<li><a href="./about-me.html">About Me</a></li>
<li><a href="./rehabilition-center.html">Rehabilition Center</a></li>
<li><a href="./communication.html">Communication</a></li>
</ul>
</nav>
</header>
<section>
<h1>Contact</h1>
<p>To reach us:</p>
<address>
<p>Email: info@ourcompany.com</p>
<p>Phone: +90 123 456 78 90</p>
</address>
</section>
<form>
<p><strong>Please fill out the information below. Required fields are marked with *.</strong></p>
<p><select>
<option selected="selected" value="1">Gender</option>
<option value="2">Male</option>
<option value="3">Female</option>
<option value="4">Prefer not to say</option>
</select></p>
<p>
<label>First Name*</label>
<input type="text" name="name" required="">
</p>
<p>
<label>Last Name*</label>
<input type="text" name="surname" required="">
</p>
<p>
<label>Email*</label>
<input type="email" name="email" required="">
</p>
<p>
<label>Request Type:*</label>
<label><input checked="checked" name="type" type="radio" value="complaint" />Complaint </label>
<label><input name="type" type="radio" value="support" /> Support</label>
<label><input name="type" type="radio" value="other" /> Other</label>
</p>
<p>
<label>Message*</label>
<textarea rows="6" required=""></textarea>
</p>
<p>
<label>
<input type="checkbox" id="checkbox" value="terms">
I have read and agree to the <a href="./terms-of-service.html" target="_blank">Terms of Service</a>
</label>
</p>
<button>Submit</button>
<button type="reset">Reset</button>
</form>
<footer>
<p>© 2024 - All rights reserved.</p>
</footer>
</body>
</html>