-
Notifications
You must be signed in to change notification settings - Fork 0
/
reservation.php
145 lines (138 loc) · 5.68 KB
/
reservation.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
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
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
<!DOCTYPE html>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<meta name="description" content="Sparkle and Shine car wash.">
<meta name="keywords" content="Sparkle and Shine, golden grove, car wash">
<meta
name='viewport'
content='width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0'
/>
<title>Reservation</title>
<link rel="stylesheet" type="text/css" href="placement.css">
<script type="text/javascript" src="jquery-1.7.2.min.js"></script>
<script type="text/javascript" src="animations.js"></script>
</head>
<body id="reservation">
<?php include ("header.php");?>
<div id="content">
<?php include ("slideshow.php");?>
<h1 style="color: #006EB5"; align="center">Reservation</h1>
<h3 style="color: #006EB5">Please fill in the form to submit your request</h3>
<h3 style="color: #006EB5">and we will contact you.</h3>
<form method="post" name="emailform" action="form-to-email.php">
<table style="width:100%">
<tr>
<td align="center" style="color: #006EB5">Name</td>
</tr>
<tr>
<td align="center">
<input type="text" name="name" id="name" required>
</td>
</tr>
<td> </td>
</tr>
<tr>
<td align="center" style="color: #006EB5">Telephone</td>
</tr>
<tr>
<td align="center">
<input type="text" name="telephone" id="telephone" autocomplete required>
</td>
</tr>
<tr><td> </td></tr>
<tr>
<td align="center" style="color: #006EB5">Date</td>
</tr>
<tr>
<td align="center">
<input type="date" name="date" id="date" value="<?php echo date('Y-m-d'); ?>" required/>
</td>
</tr>
</tr>
<td> </td>
</tr>
<tr>
<td align="center" style="color: #006EB5">Time</td>
</tr>
<tr>
<td align="center">
<input type="time" name="time" id="time" min="08:30" max="17:30" placeholder="08:30 AM" step="900">
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td align="center" style="color: #006EB5">Email</td>
</tr>
<tr>
<td align="center">
<input type="email" name="email" id="email" autocomplete>
</td>
</tr>
<tr>
<td> </td>
</tr>
</table>
<table style="width:100%">
<tr>
<td><h2 style="color: #006EB5">Vehicle</h2></td>
</tr>
<tr>
<td><input type="radio" name="vehicle" value="1">SEDAN</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="vehicle" value="2">WAGON SUV 4WD</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="vehicle" value="=3">VAN 7 SEATER</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><h2 style="color: #006EB5">Service</h2></td>
</tr>
<tr>
<td><input type="radio" name="service" value="1">BASIC</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="service" value="2">SUPERIOR</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="service" value="3">DELUXE</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="service" value="4">ULTIMATE </td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="service" value="5">PREMIUM</td>
</tr>
<tr><td> </td></tr>
<tr>
<td><input type="radio" name="service" value="6">FULL DETAIL</td>
</tr>
<tr><td> </td></tr>
<tr>
<td style="color: #006EB5">Question</td>
</tr>
<tr>
<td>
<textarea name="question" id="question"></textarea>
</td>
</tr>
<tr>
<td> </td>
</tr>
<tr>
<td colspan="2"><button type="submit">Submit Now</button></td>
</tr>
</table>
</form>
</div>
<?php include ("footer.php");?>