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warranty_form.php
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warranty_form.php
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<!DOCTYPE html>
<html>
<head>
<title>Warranty form - OG Tech</title>
<?php include "header.php";?>
<style>
.text {
font-size:18px;
color:white;
}
.textbox {
margin-left:200px;
margin-right:200px;
}
textarea {
resize:none;
outline:none;
background-color:transparent;
width:100%;
height:120px;
overflow:auto;
}
textarea:focus {
outline:solid #44a69b;
}
.button {
font-size:18px;
border:3px solid white;
cursor:pointer;
width:140px;
height:40px;
background-color:transparent;
color:white;
box-shadow:5px 5px 3px 0px;
}
.button:hover {
box-shadow:5px 5px 3px 0px green;
}
</style>
</head>
<body>
<div class="page-title background-overlay" style="text-align:center;padding-top: 140px;padding-bottom: 140px">
<h1 style="font-weight:bold">Warranty Form</h1>
<p class="text">OG Tech / Warranty Form</p>
</div>
<div class="textbox">
<p class="text">What a disaster! Your computer has failed, and you’re too busy to take it to the shop to get it fix. Lucky for you,
you’re covered with the OG TECH Pick-up & Return Service! We’ll pick-up your computer or hardware or replace it, and bring it back to you at your convenience, saving you time and money.</p>
<br><br>
<form method="post">
<table class="text">
<tr>
<td>Email:</td>
</tr>
<tr>
<td><input class="text" type="email" name="email" required="required" placeholder="Example : [email protected]"></input></td>
</tr>
<tr>
<td>Full name:</td>
</tr>
<tr>
<td><input class="text" name="name" required="required" placeholder="Example : Kristof John"></input></td>
</tr>
<tr>
<td>Address:</td>
</tr>
<tr>
<td><textarea class="text" name="address" required="required" placeholder="Example : 13, Jalan Kuching 5, Taman Suhana Emas, 53100, Cheras, Kuala Lumpur"></textarea></td>
</tr>
<tr>
<td>Contact Number</td>
</tr>
<tr>
<td><input class="text" type="tel" name="contact" required="required" placeholder="Example : 019 876 5432"></input></td>
</tr>
<tr>
<td>Product name:</td>
</tr>
<tr>
<td><input class="text" type="text" name="product_name" required="required" placeholder="Example : Asus B85M-G"></input></td>
</tr>
<tr>
<td>Problems that you are facing:</td>
</tr>
<tr>
<td><textarea class="text" name="problem_statement" required="required" placeholder="Example : Monitor display is frame drop / not working"></textarea></td>
</tr>
<tr>
<td><input class="button" type="submit" name="submit" value="Submit form"></input></td>
</tr>
</table>
</form>
</div>
<?php include "footer.php";?>
</body>
</html>