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index.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">
<title>Payment Form</title>
<link href="https://cdn.jsdelivr.net/npm/[email protected]/dist/css/bootstrap.min.css" rel="stylesheet">
<link rel="stylesheet" href="styles.css">
</head>
<body>
<div class="container mt-5">
<div class="card shadow">
<div class="card-header bg-light text-dark fw-bold fs-4">
Payment form example
</div>
<div class="card-body">
<div class="alert alert-danger" role="alert">
Some fields are missing
</div>
<form>
<div class="row mb-3">
<div class="col-md-6">
<label class="form-label" for="card">Card #</label>
<input type="number" class="form-control" placeholder="Card Number" id="card">
</div>
<div class="col-md-3">
<label class="form-label" for="cvc">CVC #</label>
<input type="number" class="form-control" placeholder="CVC Code in the back of the card" id="cvc">
</div>
<div class="col-md-3">
<label class="form-label" for="amount">Amount</label>
<div class="input-group">
<span class="input-group-text">$</span>
<input type="number" class="form-control" placeholder="Amount" id="amount">
</div>
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label class="form-label" for="first-name">First Name</label>
<input type="text" class="form-control" id="first-name" placeholder="First Name">
</div>
<div class="col-md-6">
<label class="form-label" for="last-name">Last Name</label>
<input type="text" class="form-control" id="last-name" placeholder="Last Name">
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label class="form-label" for="city">City</label>
<input type="text" class="form-control" id="city" placeholder="City">
</div>
<div class="col-md-3">
<label class="form-label" for="state">State</label>
<select class="form-select" id="state">
<option selected>Pick a state</option>
<option value="California">California</option>
<option value="New York">New York</option>
<option value="Texas">Texas</option>
</select>
</div>
<div class="col-md-3">
<label class="form-label" for="postal-code">Postal Code</label>
<input type="number" class="form-control" id="postal-code" placeholder="Postal Code">
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label class="form-label" for="Mastercard">We accept:</label>
<div class="border m-3 p-2 rounded bg-custom text-white fs-5" >
<div>
<input class="form-check-input me-0" type="radio" name="paymentMethod" id="Mastercard">
<label for="Mastercard"><i class="fa-brands fa-cc-mastercard me-3"></i></label>
<input class="form-check-input me-0" type="radio" name="paymentMethod" id="Visa">
<label for="Visa"><i class="fa-brands fa-cc-visa me-3"></i></label>
<input class="form-check-input me-0" type="radio" name="paymentMethod" id="Diners">
<label for="Diners"><i class="fa-brands fa-cc-diners-club me-3"></i></label>
<input class="form-check-input me-0" type="radio" name="paymentMethod" id="Amex">
<label for="Amex"><i class="fa-brands fa-cc-amex me-3"></i></label>
</div>
</div>
</div>
<div class="col-md-6">
<div class="mb-3">
<label class="form-label" for="message">Message</label>
<textarea class="form-control" rows="3" placeholder="Add any notes here." id="message"></textarea>
</div>
</div>
</div>
</form>
</div>
<div class="card-footer bg-light d-flex justify-content-end">
<button type="button" class="btn btn-secondary me-2">Cancel</button>
<button type="submit" class="btn btn-primary">Send</button>
</div>
</div>
</div>
<script src="https://kit.fontawesome.com/0d52037676.js" crossorigin="anonymous"></script>
</body>
</html>