form basic example

<!DOCTYPE html>
<title>My Example</title>

<p>
    <label>Phone 
      <input type="tel" name="phone_number">
    </label>
  </p>

<p>
    <label>Email 
      <input type="email" name="email_address">
    </label>
  </p>

<fieldset>
    <legend>Which taxi do you require?</legend>
    <p><label> <input type="radio" name="taxi" required value="car"> Car </label></p>
    <p><label> <input type="radio" name="taxi" required value="van"> Van </label></p>
    <p><label> <input type="radio" name="taxi" required value="tuktuk"> Tuk Tuk </label></p>
  </fieldset>

<fieldset>
    <legend>Extras</legend>
    <p><label> <input type="checkbox" name="extras" value="baby"> Baby Seat </label></p>
    <p><label> <input type="checkbox" name="extras" value="wheelchair"> Wheelchair Access </label></p>
    <p><label> <input type="checkbox" name="extras" value="tip"> Stock Tip </label></p>
  </fieldset>

<p>
    <label>Pickup Date/Time
      <input type="datetime-local" name="pickup_time" required>
    </label>
  </p>

<p>
    <label>Pickup Place
      <select id="pickup_place" name="pickup_place">
        <option value="" selected="selected">Select One</option>
        <option value="office" >Taxi Office</option>
        <option value="town_hall" >Town Hall</option>
        <option value="telepathy" >We'll Guess!</option>
      </select>
    </label> 
  </p>

<p>
    <label>Dropoff Place
      <input type="text" name="dropoff_place" required list="destinations">
    </label>

<p>
    <label>Special Instructions
      <textarea name="comments" maxlength="500"></textarea>
    </label>
  </p>

<p><button>Submit Booking</button></p>

</form>

<hr>
<p>More info: <a href="/html/tags/html_form_tag.cfm"><code>form</code></a>, <a href="/html/tutorial/html_forms.cfm">HTML Form Tutorial</a>, <a href="/html/codes/html_form_code.cfm">HTML Form Code</a>, <a href="/html/codes/html_form_to_email.cfm">Form to Email</a>.</p>