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appointment.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Book an Appointment</title>
<style>
/* General Styles */
body {
font-family: Arial, sans-serif;
margin: 0;
padding: 0;
background-color: #0a0909;
}
/* Container Styles */
.container {
max-width: 600px;
margin: 50px auto;
padding: 20px;
background-color: #fff;
box-shadow: 0 0 10px rgba(0, 0, 0, 0.1);
}
/* Heading Styles */
h1 {
text-align: center;
}
/* Form Styles */
form {
display: grid;
gap: 15px;
}
/* Label Styles */
label {
font-weight: bold;
}
/* Input Styles */
input {
width: 100%;
padding: 10px;
box-sizing: border-box;
border: 1px solid #ccc;
}
/* Submit Button Styles */
input[type="submit"] {
background-color: #0873a0;
color: white;
cursor: pointer;
}
/* Hover Effect for Submit Button */
input[type="submit"]:hover {
background-color: #1b128e;
}
</style>
</head>
<body>
<!-- Main Container -->
<div class="container">
<h1 style="color: #0873a0;">Book an Appointment</h1>
<!-- Appointment Form -->
<form id="appointmentForm" action="https://formsubmit.co/[email protected]" method="POST">
<!-- Name Input -->
<label for="name">Your Name:</label>
<input type="text" id="name" name="name" required>
<!-- Email Input -->
<label for="email">Email:</label>
<input type="email" id="email" name="email" required>
<!-- Phone Input -->
<label for="phone">Phone Number:</label>
<input type="tel" id="phone" name="phone" required>
<!-- Date Input -->
<label for="date">Preferred Date:</label>
<input type="date" id="date" name="date" required>
<!-- Time Input -->
<label for="time">Preferred Time:</label>
<input type="time" id="time" name="time" required>
<label for="comments">Comments (optional):</label>
<textarea id="comments" name="comments" rows="4"></textarea>
<!-- Submit Button -->
<input type="submit" value="Book Appointment">
</form>
</div>
<!-- You can add JavaScript here for form validation and submission -->
</body>
</html>