<div class="container">
<form method="post" id="myform">
<div class="row mb-3">
<div class="col-md-12">
<h2>Appointment booking form</h2>
<div class="fs-6 fw-light">scheduling your appointments with us as straightforward and efficient as possible</div>
</div>
</div>
<div class="row mb-3">
<div class="col-md-12">
<label for="FullName" class="form-label">Name</label>
<input type="text" name="FullName" id="FullName" placeholder="Your Name" required="required" class="form-control"/>
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label for="Email" class="form-label">Email:</label>
<input type="email" class="form-control" name="Email" id="Email"/>
</div>
<div class="col-md-6">
<label for="Phone" class="form-label">Phone:</label>
<input type="tel" class="form-control" name="Phone" id="Phone"/>
</div>
</div>
<div class="row mb-3">
<div class="col-md-12">
<label for="appointment_type" class="form-label">Appointment Type</label>
<select class="form-select" name="appointment_type" id="appointment_type">
<option value="">Select ...</option>
<option>Regular</option>
<option>New</option>
<option>Consultation</option>
</select>
</div>
</div>
<div class="row mb-3">
<div class="col-md-6">
<label for="Date" class="form-label">Date:</label>
<input type="date" class="form-control" name="Date" id="Date"/>
</div>
<div class="col-md-6">
<label for="appointment_time" class="form-label">Time:</label>
<input type="text" name="appointment_time" id="appointment_time" class="form-control"/>
</div>
</div>
<div class="row mb-3">
<div class="col-md-12">
<label for="requests" class="form-label">Special Requests</label>
<textarea name="requests" class="form-control" id="requests" rows="6"></textarea>
</div>
</div>
<div class="row mb-3">
<div class="col-md-6 d-flex align-items-center">
<button class="btn btn-lg px-4" style="background-color:#007bff;border-color:#007bff;color:white;" type="submit">Submit</button>
</div>
</div>
</form>
</div>
To seamlessly integrate the form code from ReusableForms.com into your web page, follow these simple steps:
The form code provided above is for the client side only. To fully benefit from the form's features, you'll need a back-end form processor. Ratufa is one such service, and integrating with it is straightforward. Watch the video demo for a step-by-step example.
To receive email notifications upon form submissions, store submission records, and search through them later, you'll need a back-end processor. Here's how to set one up: