-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathplaceOrder.php
28 lines (27 loc) · 1.21 KB
/
placeOrder.php
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
<!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>RxRunners - Order Medicine</title>
<link rel="icon" type="image/x-icon" href="/assets/favicon.png">
<link rel="stylesheet" href="styles/placeOrder.css">
<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.4.0/css/all.min.css"/>
</head>
<body>
<div class="form">
<h2>PLACE YOUR ORDER</h2>
<button id="back-btn"><i class="fa-sharp fa-solid fa-arrow-left"></i><a href="orders.php"> View Orders</a></button>
<form action="submitOrder.php" method="POST">
<label for="fname">First name:</label><br>
<input type="text" id="fname" name="fname" required><br><br>
<label for="lname">Last name:</label><br>
<input type="text" id="lname" name="lname" required><br><br>
<label for="text">Medicine You Require:</label><br>
<input type="text" id="medicine" name="medicine" required><br><br>
<input type="submit" id="submitBtn" value="Submit">
</form>
</div>
</body>
</html>