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form.html
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form.html
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<!doctype html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no">
<meta name="description" content="">
<meta name="author" content="">
<title>Purchase Form</title>
<!-- Bootstrap core CSS -->
<link href="bootstrap-4.1.3/dist/css/bootstrap.min.css" rel="stylesheet">
<link href="css/animate.css" rel="stylesheet">
<!-- Custom styles for this template -->
<link href="form-validation.css" rel="stylesheet">
<style type="text/css">
body{
font-family: "Comic Sans MS", cursive;
}
</style>
<!-- PAGE LEVEL PLUGIN STYLES -->
<link href="css/animate.css" rel="stylesheet">
<link href="vendor/swiper/css/swiper.min.css" rel="stylesheet" type="text/css"/>
<!-- THEME STYLES -->
<link href="css/layout.min.css" rel="stylesheet" type="text/css"/>
</head>
<body class="bg-light">
<div class="container">
<div class="py-5 text-center">
<div class="wow zoomIn animated" data-wow-duration=".3" data-wow-delay=".1s" style="visibility: visible; animation-delay: 0.6s; animation-name: zoomIn !important;">
<a href="landing-page.html"> <img class="d-block mx-auto mb-4" src="logo.JPG" alt="" width="410" height="219"></a>
</div>
<h2>Make an order</h2>
<p class="lead">Please ensuree you fill in all the required fields so as to help us achieve maximum saticifaction toward your demand. </p>
</div>
<div class="row">
<div class="col-md-4 order-md-2 mb-4">
<h4 class="d-flex justify-content-between align-items-center mb-3">
<span class="text-muted">Your cart</span>
<span class="badge badge-secondary badge-pill">3</span>
</h4>
<ul class="list-group mb-3">
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<h6 class="my-0">SAKHEI</h6>
Chinese wine with a hit of murlohga made in the himalayas</div>
<span class="text-muted">$12</span>
</li>
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<h6 class="my-0">SCOTCH</h6>
<small class="text-muted">Widely enjoyed with a hint of lemon </small>
</div>
<span class="text-muted">$13.99</span>
</li>
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<h6 class="my-0">ELCONTARO</h6>
<small class="text-muted">BMade in the late '50s for the mexican conduets annd now you can have it.</small></div>
<span class="text-muted">$20.45</span></li>
<li class="list-group-item d-flex justify-content-between bg-light">
<div class="text-success">
<h6 class="my-0">Promo code</h6>
xe8r4ru3xxx
</div>
<span class="text-success">-$8.99</span>
</li>
<li class="list-group-item d-flex justify-content-between">Total USD20.99</li>
</ul>
<form class="card p-2">
<div class="input-group">
<input type="text" class="form-control" placeholder="Promo code">
<div class="input-group-append">
<button type="submit" class="btn btn-secondary">submit</button>
</div>
</div>
</form>
</div>
<div class="col-md-8 order-md-1">
<h4 class="mb-3">Billing address</h4>
<form class="needs-validation" novalidate>
<div class="row">
<div class="col-md-6 mb-3">
<label for="firstName">First name</label>
<input type="text" class="form-control" id="firstName" placeholder="" value="" required>
<div class="invalid-feedback">
Valid first name is required.
</div>
</div>
<div class="col-md-6 mb-3">
<label for="lastName">Last name</label>
<input type="text" class="form-control" id="lastName" placeholder="" value="" required>
<div class="invalid-feedback">
Valid last name is required.
</div>
</div>
</div>
<div class="mb-3">
<label for="username">Username</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text">@</span>
</div>
<input type="text" class="form-control" id="username" placeholder="Username" required>
<div class="invalid-feedback" style="width: 100%;">
Your username is required.
</div>
</div>
</div>
<div class="mb-3">
<label for="email">Email <span class="text-muted">(Optional)</span></label>
<input type="email" class="form-control" id="email" placeholder="you@example.com">
<div class="invalid-feedback">
Please enter a valid email address for shipping updates.
</div>
</div>
<div class="mb-3">
<label for="address">Address</label>
<input type="text" class="form-control" id="address" placeholder="1234 Main St" required>
<div class="invalid-feedback">
Please enter your shipping address.
</div>
</div>
<div class="mb-3">
<label for="address2">Address 2 <span class="text-muted">(Optional)</span></label>
<input type="text" class="form-control" id="address2" placeholder="Apartment or suite">
</div>
<div class="row">
<div class="col-md-5 mb-3">
<label for="country">Country</label>
<select class="custom-select d-block w-100" id="country" required>
<option value="">Choose...</option>
<option>United States</option>
<option>United Kingdom</option>
<option>United Arab Emirates</option>
<option>Canada</option>
<option>Ukrain</option>
<option>Uganda</option>
<option>Algeria</option>
<option>Bulgaria</option>
<option>Brazil</option>
<option>Spain</option>
<option>France</option>
<option>Tanzania</option>
</select>
<div class="invalid-feedback">
Please select a valid country.
</div>
</div>
<div class="col-md-4 mb-3">
<label for="state">State</label>
<select class="custom-select d-block w-100" id="state" required>
<option value="">Choose...</option>
<option>California</option>
<option>New york</option>
<option>Arizona</option>
<option>Kampala</option>
<option>Mukono</option>
<option>Jinja</option>
<option>Epping Forests</option>
<option>Serengeti</option>
<option>Kabale</option>
</select>
<div class="invalid-feedback">
Please provide a valid state.
</div>
</div>
<div class="col-md-3 mb-3">
<label for="zip">Zip</label>
<input type="text" class="form-control" id="zip" placeholder="" required>
<div class="invalid-feedback">
Zip code required.
</div>
</div>
</div>
<hr class="mb-4">
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="same-address">
<label class="custom-control-label" for="same-address">Shipping address is the same as my billing address</label>
</div>
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="save-info">
<label class="custom-control-label" for="save-info">Save this information for next time</label>
</div>
<hr class="mb-4">
<h4 class="mb-3">Payment</h4>
<div class="d-block my-3">
<div class="custom-control custom-radio">
<input id="credit" name="paymentMethod" type="radio" class="custom-control-input" checked required>
<label class="custom-control-label" for="credit">Credit card</label>
</div>
<div class="custom-control custom-radio">
<input id="debit" name="paymentMethod" type="radio" class="custom-control-input" required>
<label class="custom-control-label" for="debit">Debit card</label>
</div>
<div class="custom-control custom-radio">
<input id="paypal" name="paymentMethod" type="radio" class="custom-control-input" required>
<label class="custom-control-label" for="paypal">PayPal</label>
</div>
<div class="custom-control custom-radio">
<input id="Cash" name="paymentMethod" type="radio" class="custom-control-input" required>
<label class="custom-control-label" for="Cash">Cash on Delivery</label>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="cc-name">Name on card</label>
<input type="text" class="form-control" id="cc-name" placeholder="" required>
<small class="text-muted">Full name as displayed on card</small>
<div class="invalid-feedback">
Name on card is required
</div>
</div>
<div class="col-md-6 mb-3">
<label for="cc-number">Credit card number</label>
<input type="text" class="form-control" id="cc-number" placeholder="" required>
<div class="invalid-feedback">
Credit card number is required
</div>
</div>
</div>
<div class="row">
<div class="col-md-3 mb-3">
<label for="cc-expiration">Expiration</label>
<input type="text" class="form-control" id="cc-expiration" placeholder="" required>
<div class="invalid-feedback">
Expiration date required
</div>
</div>
<div class="col-md-3 mb-3">
<label for="cc-cvv">CVV</label>
<input type="text" class="form-control" id="cc-cvv" placeholder="" required>
<div class="invalid-feedback">
Security code required
</div>
</div>
</div>
<hr class="mb-4">
<button class="btn btn-primary btn-lg btn-block" type="submit">SUBMIT</button>
</form>
</div>
</div>
<footer class="my-5 pt-5 text-muted text-center text-small">
<p class="mb-1">© 2018-2019 <img src="logo.JPG" width="90" height="60"/></p>
<ul class="list-inline">
<li class="list-inline-item"><a href="index.html">Back-To-Home</a></li>
<li class="list-inline-item"><a href="brands.html">Back-To-Brands</a></li>
<li class="list-inline-item"><a href="contact.html">contact us</a></li>
<li class="list-inline-item"><a href="privacy.doc">Privacy</a></li>
<li class="list-inline-item"><a href="privacy.doc">Terms</a></li>
<li class="list-inline-item"><a href="privacy.doc">Support</a></li>
</ul>
</footer>
</div>
<!-- Bootstrap core JavaScript
================================================== -->
<!-- Placed at the end of the document so the pages load faster -->
<script src="https://code.jquery.com/jquery-3.3.1.slim.min.js" integrity="sha384-q8i/X+965DzO0rT7abK41JStQIAqVgRVzpbzo5smXKp4YfRvH+8abtTE1Pi6jizo" crossorigin="anonymous"></script>
<script>window.jQuery || document.write('<script src="bootstrap-4.1.3/site/docs/4.1/assets/js/vendor/jquery-slim.min.js"><\/script>')</script>
<script src="bootstrap-4.1.3/site/docs/4.1/assets/js/vendor/popper.min.js"></script>
<script src="bootstrap-4.1.3/dist/js/bootstrap.min.js"></script>
<script src="bootstrap-4.1.3/site/docs/4.1/assets/js/vendor/holder.min.js"></script>
<script>
// Example starter JavaScript for disabling form submissions if there are invalid fields
(function() {
'use strict';
window.addEventListener('load', function() {
// Fetch all the forms we want to apply custom Bootstrap validation styles to
var forms = document.getElementsByClassName('needs-validation');
// Loop over them and prevent submission
var validation = Array.prototype.filter.call(forms, function(form) {
form.addEventListener('submit', function(event) {
if (form.checkValidity() === false) {
event.preventDefault();
event.stopPropagation();
}
form.classList.add('was-validated');
}, false);
});
}, false);
})();
</script>
</body>
</html>