html-contact-form-2.html

<div class="formbold-main-wrapper">
  <!-- Author: FormBold Team -->
  <!-- Learn More: https://formbold.com -->
  <div class="formbold-form-wrapper">
    <form action="https://formbold.com/s/FORM_ID" method="POST">
        <div class="formbold-input-flex">
          <div>
              <label for="firstname" class="formbold-form-label"> First name </label>
              <input
              type="text"
              name="firstname"
              id="firstname"
              placeholder="Jane"
              class="formbold-form-input"
              />
          </div>
          <div>
              <label for="lastname" class="formbold-form-label"> Last name </label>
              <input
              type="text"
              name="lastname"
              id="lastname"
              placeholder="Cooper"
              class="formbold-form-input"
              />
          </div>
        </div>

        <div class="formbold-input-flex">
          <div>
              <label for="email" class="formbold-form-label"> Mail </label>
              <input
              type="email"
              name="email"
              id="email"
              placeholder="jhon@mail.com"
              class="formbold-form-input"
              />
          </div>
          <div>
              <label for="phone" class="formbold-form-label"> Phone </label>
              <input
              type="text"
              name="phone"
              id="phone"
              placeholder="(319) 555-0115"
              class="formbold-form-input"
              />
          </div>
        </div>

        <div class="formbold-input-radio-wrapper">
            <label for="jobtitle" class="formbold-form-label"> What are you looking for? </label>

            <div class="formbold-radio-flex">
              <div class="formbold-radio-group">
                <label class="formbold-radio-label">
                  <input class="formbold-input-radio" type="radio" name="jobtitle" id="jobtitle">
                  Web Design
                  <span class="formbold-radio-checkmark"></span>
                </label>
              </div>

              <div class="formbold-radio-group">
                <label class="formbold-radio-label">
                  <input class="formbold-input-radio" type="radio" name="jobtitle" id="jobtitle">
                  Graphics Design
                  <span class="formbold-radio-checkmark"></span>
                </label>
              </div>

              <div class="formbold-radio-group">
                <label class="formbold-radio-label">
                  <input class="formbold-input-radio" type="radio" name="jobtitle" id="jobtitle">
                  Logo Design
                  <span class="formbold-radio-checkmark"></span>
                </label>
              </div>

              <div class="formbold-radio-group">
                <label class="formbold-radio-label">
                  <input class="formbold-input-radio" type="radio" name="jobtitle" id="jobtitle">
                  Others
                  <span class="formbold-radio-checkmark"></span>
                </label>
              </div>
            </div>
        </div>

        <div>
            <label for="message" class="formbold-form-label"> Message </label>
            <textarea
                rows="6"
                name="message"
                id="message"
                placeholder="Type your message"
                class="formbold-form-input"
            ></textarea>
        </div>

        <button class="formbold-btn">
            Send Message
        </button>
    </form>
  </div>
</div>
<style>
  @import url('https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap');
  * {
    margin: 0;
    padding: 0;
    box-sizing: border-box;
  }
  body {
    font-family: "Inter", sans-serif;
  }
  .formbold-main-wrapper {
    display: flex;
    align-items: center;
    justify-content: center;
    padding: 48px;
  }

  .formbold-form-wrapper {
    margin: 0 auto;
    max-width: 550px;
    width: 100%;
    background: white;
  }

  .formbold-input-flex {
    display: flex;
    gap: 20px;
    margin-bottom: 15px;
  }
  .formbold-input-flex > div {
    width: 50%;
  }

  .formbold-input-radio-wrapper {
    margin-bottom: 28px;
  }
  .formbold-radio-flex {
    display: flex;
    align-items: center;
    gap: 15px;
  }
  .formbold-radio-label {
    font-size: 14px;
    line-height: 24px;
    color: #07074D;
    position: relative;
    padding-left: 25px;
    cursor: pointer;
    -webkit-user-select: none;
    -moz-user-select: none;
    -ms-user-select: none;
    user-select: none;
  }
  .formbold-input-radio {
    position: absolute;
    opacity: 0;
    cursor: pointer;
  }
  .formbold-radio-checkmark {
    position: absolute;
    top: -1px;
    left: 0;
    height: 18px;
    width: 18px;
    background-color: #FFFFFF;
    border: 1px solid #DDE3EC;
    border-radius: 50%;
  }
  .formbold-radio-label .formbold-input-radio:checked ~ .formbold-radio-checkmark {
    background-color: #6A64F1;
  }
  .formbold-radio-checkmark:after {
    content: "";
    position: absolute;
    display: none;
  }

  .formbold-radio-label .formbold-input-radio:checked ~ .formbold-radio-checkmark:after {
    display: block;
  }

  .formbold-radio-label .formbold-radio-checkmark:after {
    top: 50%;
    left: 50%;
    width: 10px;
    height: 10px;
    border-radius: 50%;
    background: #FFFFFF;
    transform: translate(-50%, -50%);
  }

  .formbold-form-input {
    width: 100%;
    padding: 13px 22px;
    border-radius: 5px;
    border: 1px solid #DDE3EC;
    background: #FFFFFF;
    font-weight: 500;
    font-size: 16px;
    color: #07074D;
    outline: none;
    resize: none;
  }
  .formbold-form-input::placeholder {
    color: #536387;
  }
  .formbold-form-input:focus {
    border-color: #6a64f1;
    box-shadow: 0px 3px 8px rgba(0, 0, 0, 0.05);
  }
  .formbold-form-label {
    color: #07074D;
    font-size: 14px;
    line-height: 24px;
    display: block;
    margin-bottom: 10px;
  }

  .formbold-btn {
    text-align: center;
    width: 100%;
    font-size: 16px;
    border-radius: 5px;
    padding: 14px 25px;
    border: none;
    font-weight: 500;
    background-color: #6A64F1;
    color: white;
    cursor: pointer;
    margin-top: 25px;
  }
  .formbold-btn:hover {
    box-shadow: 0px 3px 8px rgba(0, 0, 0, 0.05);
  }

</style>