CodeIgniter 3 app for dinbestehjelper.no. Excludes vendor/, local backup folders (new/, archive/, archived/) and DB dumps (*.sql) via .gitignore. Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com> Claude-Session: https://claude.ai/code/session_01P16ttGUge8zj91dm6WrmEb
70 lines
3.5 KiB
PHP
70 lines
3.5 KiB
PHP
<div class="bookingContainer">
|
|
<div class="bookingTitle" style="color:#19AFCA">Forespørsel om tilbud</div>
|
|
<form method="post" action="<?php echo base_url();?>booking-process">
|
|
<div class="formRow">
|
|
<label class="formTitle">Navn</label>
|
|
<div class="inputSelectorContainer">
|
|
<input type="text" class="formInputBox" name="name" value="" required>
|
|
</div>
|
|
</div>
|
|
<div class="formRow">
|
|
<label class="formTitle">Adresse</label>
|
|
<div class="inputSelectorContainer">
|
|
<input type="text" class="formInputBox" name="address" value="" required>
|
|
</div>
|
|
</div>
|
|
<div class="formRow">
|
|
<label class="formTitle">E-postadresse</label>
|
|
<div class="inputSelectorContainer">
|
|
<input type="text" class="formInputBox" name="email" value="" required>
|
|
</div>
|
|
</div>
|
|
<div class="formRow">
|
|
<label class="formTitle">Telefonnummer</label>
|
|
<div class="inputSelectorContainer">
|
|
<input type="text" class="formInputBox" name="phonenumber" value="" required>
|
|
</div>
|
|
</div>
|
|
<div class="formRow">
|
|
<label class="formTitle" style="font-weight:bold;color:#000000">Bygningstype:</label>
|
|
<div class="inputSelectorContainer">
|
|
<input type="radio" class="" name="type_of_building" value="Enebolig" required><label class="formTitle">Enebolig</label>
|
|
</div>
|
|
<div class="inputSelectorContainer">
|
|
<input type="radio" class="" name="type_of_building" value="Rekkehus" required><label class="formTitle">Rekkehus</label>
|
|
</div>
|
|
<div class="inputSelectorContainer">
|
|
<input type="radio" class="" name="type_of_building" value="Borettslag/Sameie" required><label class="formTitle">Borettslag/Sameie</label>
|
|
</div>
|
|
</div>
|
|
|
|
<div class="formTitle" style="font-weight:bold;color:#000000">Hjelp oss med å finne ut hvilke tjenester du ønsker å benytte deg av:</div>
|
|
|
|
<div class="formRow">
|
|
<div class="inputSelectorContainer">
|
|
<input type="hidden" name="blomstervanning_Enebolig" value="0">
|
|
<input type="checkbox" class="" name="blomstervanning_Enebolig" value="1"><label class="formTitle">Blomstervanning</label>
|
|
</div>
|
|
<div class="inputSelectorContainer">
|
|
<input type="hidden" name="Postinntak_Enebolig" value="0">
|
|
<input type="checkbox" class="" name="Postinntak_Enebolig" value="1"><label class="formTitle">Postinntak</label>
|
|
</div>
|
|
</div>
|
|
<div class="formRow">
|
|
<label class="formTitle" style="font-weight:bold;color:#000000">Hvor mange ganger skal vi totalt komme?</label>
|
|
<div class="inputSelectorContainer">
|
|
<input type="number" class="formInputBox" name="number_of_worker" value="1">
|
|
</div>
|
|
</div>
|
|
|
|
<div class="formRow">
|
|
<label class="formTitle" style="font-weight:bold;color:#000000">Utfyllende kommentarer:</label>
|
|
<textarea class="formTextarea" name="user_notes"></textarea>
|
|
</div>
|
|
|
|
<div class="formRow">
|
|
<input type="submit" class="submitButton" name="sendFormCarefreeVacation" value="Utsendelse">
|
|
<a href="<?php echo base_url();?>booking" class="cancelButton" >Ikke ennå</a>
|
|
</div>
|
|
</form>
|
|
</div> |