Files
dinbestehjelper.no/application/views/pages/includes/polishing.php
T
Astral04andClaude Opus 4.8 4e1a69c8d4 Initial import of Din Beste Hjelper site
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
2026-08-04 12:52:43 +00:00

66 lines
2.8 KiB
PHP

<div class="bookingContainer">
<div class="bookingTitle" style="color:#19AFCA">Grunnleggende opplysninger <br />
Krever strømtilkobling og overbygd område (ikke værutsatt)
</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">Merke</label>
<div class="inputSelectorContainer">
<input type="text" class="formInputBox" name="merke" value="" required>
</div>
</div>
<div class="formRow">
<label class="formTitle">Type</label>
<div class="inputSelectorContainer">
<input type="text" class="formInputBox" name="type_of_car" value="" required>
</div>
</div>
<div class="formRow">
<label class="formTitle">Farge</label>
<div class="inputSelectorContainer">
<input type="text" class="formInputBox" name="farge" value="" required>
</div>
</div>
<div class="formRow">
<label class="formTitle">Årsmodell</label>
<div class="inputSelectorContainer">
<input type="text" class="formInputBox" name="Arsmodell" value="" required>
</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="sendFormPolishing" value="Utsendelse">
<a href="<?php echo base_url();?>booking" class="cancelButton" >Ikke ennå</a>
</div>
</form>
</div>