Multi Column Contact Form
<!--
=======================================================================
This is a working contact form. To receive email,
Replace YOUR_ACCESS_KEY_HERE with your actual Access Key.
Create Access Key here 👉 https://web3forms.com/
=======================================================================
-->
<div class="flex items-center min-h-screen bg-gray-100 dark:bg-gray-900">
<div class="container mx-auto">
<div class="max-w-xl mx-auto my-10 bg-white p-5 rounded-md shadow-sm">
<div class="text-center">
<h1
class="my-3 text-3xl font-semibold text-gray-700 dark:text-gray-200"
>
Contact Us
</h1>
<p class="text-gray-400 dark:text-gray-400">
Fill up the form below to send us a message.
</p>
</div>
<div class="m-7">
<form action="https://api.web3forms.com/submit" method="POST" id="form">
<input type="hidden" name="access_key" value="YOUR_ACCESS_KEY_HERE" />
<input
type="hidden"
name="subject"
value="New Submission from Web3Forms"
/>
<input type="checkbox" name="botcheck" id="" style="display: none;" />
<div class="flex mb-6 space-x-4">
<div class="w-full md:w-1/2">
<label
for="fname"
class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
>First Name</label
>
<input
type="text"
name="name"
id="first_name"
placeholder="John"
required
class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
/>
</div>
<div class="w-full md:w-1/2">
<label
for="lname"
class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
>Last Name</label
>
<input
type="text"
name="last_name"
id="lname"
placeholder="Doe"
required
class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
/>
</div>
</div>
<div class="flex mb-6 space-x-4">
<div class="w-full md:w-1/2">
<label
for="email"
class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
>Email Address</label
>
<input
type="email"
name="email"
id="email"
placeholder="[email protected]"
required
class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
/>
</div>
<div class="w-full md:w-1/2">
<label
for="phone"
class="block text-sm mb-2 text-gray-600 dark:text-gray-400"
>Phone Number</label
>
<input
type="text"
name="phone"
id="phone"
placeholder="+1 (555) 1234-567"
required
class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
/>
</div>
</div>
<div class="mb-6">
<label
for="message"
class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
>Your Message</label
>
<textarea
rows="5"
name="message"
id="message"
placeholder="Your Message"
class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
required
></textarea>
</div>
<div class="mb-6">
<button
type="submit"
class="w-full px-3 py-4 text-white bg-indigo-500 rounded-md focus:bg-indigo-600 focus:outline-none"
>
Send Message
</button>
</div>
<p class="text-base text-center text-gray-400" id="result"></p>
</form>
</div>
</div>
</div>
</div>
const form = document.getElementById("form");
const result = document.getElementById("result");
form.addEventListener("submit", function (e) {
e.preventDefault();
const formData = new FormData(form);
const object = Object.fromEntries(formData);
const json = JSON.stringify(object);
result.innerHTML = "Please wait...";
fetch("https://api.web3forms.com/submit", {
method: "POST",
headers: {
"Content-Type": "application/json",
Accept: "application/json",
},
body: json,
})
.then(async (response) => {
let json = await response.json();
if (response.status == 200) {
result.innerHTML = json.message;
result.classList.remove("text-gray-500");
result.classList.add("text-green-500");
} else {
console.log(response);
result.innerHTML = json.message;
result.classList.remove("text-gray-500");
result.classList.add("text-red-500");
}
})
.catch((error) => {
console.log(error);
result.innerHTML = "Something went wrong!";
})
.then(function () {
form.reset();
setTimeout(() => {
result.style.display = "none";
}, 5000);
});
});
Last modified 3mo ago