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form.html
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65 lines (65 loc) · 1.17 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8" />
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta name="viewport" content="width=device-width, initial-scale=1.0" />
<title>Lead form</title>
<style>
form {
display: flex;
flex-direction: column;
gap: 20px;
max-width: 15rem;
margin: auto;
}
form input,
textarea,
button {
font-size: 1.5rem;
padding: 0.5rem;
}
</style>
</head>
<body>
<form action="https://lawtask.pro/API/api.php" method="post">
<input
name="name"
type="text"
maxlength="250"
placeholder="name"
/>
<input
name="phone"
type="tel"
maxlength="30"
placeholder="phone"
required="required"
/>
<input
name="city"
type="text"
maxlength="70"
placeholder="city"
required="required"
/>
<textarea
name="situation"
maxlength="3500"
placeholder="situation"
required="required"
></textarea>
<input
name="integration_id"
type="hidden"
value="12345"
/>
<input
name="test"
type="hidden"
value="true"
/>
<button type="submit">submit</button>
</form>
</body>
</html>