travel reservation form in html code example

Example: travel reservation form in html

1 <html>
    2     <head></head>
    3     <body>
    4         <center><h1>TRAVEL RESERVATION FORM</h1><br>
    5         <h3>* denotes mandatory</h3>
    6         <hr></center>
    7         <input type = "text" name="passengername" placeholder="Name">
    8         <input type = "tel" placeholder="*Mobile Number" name="mobile" required=""><br>
    9         <input type = "email" placeholder="*Email ID" name="mailId" required="">
   10         <select name="travelmonth">
   11         <option type="text" value="Month of Travel" >Month of Travel</option>
   12         <option value="aug2018">Aug2018</option>
   13         <option value="sep2018">Sep2018</option>
   14         <option value="oct2018">Oct2018</option>
   15         <option value="nov2018">Nov2018</option>
   16         <option value="dec2018">Dec2018</option>
   17         <option value="jan2019">Jan2019</option>
   18         <option value="feb2019">Feb2019</option>
   19         <option value="mar2019">Mar2019</option>
   20         <option value="apr2019">Apr2019</option>
   21         </select><br>
   22         <select>
   23             <option type="text" name="package" placeholder="*origin" required></option>
   24             <option name = "GOA">GOA</option>
   25             <option name ="MUMBAI">MUMBAI</option>
   26             <option name ="KERALA">KERALA</option>
   27             <option name = "TAMILNADU">TAMILNADU</option>
   28             <option name = "KOLKATA">KOLKATA</option>
   29         </select>
   30         
   31         <input type = "text" placeholder="Destination" name="destination"><br>
   32         <input type="submit" value ="Get A Call" name="submit">
   33         <input type ="reset" value="Clear" name="clear">
   34        
   35     </body>
   36 </html>

Tags:

Misc Example

Recent Posts