<div class="container">
<form method="post" id="myform">
<div class="row mb-3">
<div class="col-sm-6">
<label class="form-label" for="name">Your Full Name:</label>
<input class="form-control" type="text" name="name" id="name"/>
</div>
<div class="col-sm-3">
<label class="form-label" for="event_date">Date of Event</label>
<input class="form-control" type="date" novalidate="novalidate" name="event_date" id="event_date"/>
</div>
<div class="col-sm-3">
<label class="form-label" for="Time">Time:</label>
<input class="form-control" type="text" name="Time" id="Time"/>
</div>
</div>
<div class="row mb-3">
<div class="col-sm-6">
<label class="form-label" for="phone">Phone:</label>
<input class="form-control" type="text" name="phone" id="phone"/>
</div>
<div class="col-sm-6">
<label class="form-check-label">Delivery</label>
<div class="d-flex flex-wrap">
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="pickup_or_delivery" value="Deliver at my address" id="pickup_or_delivery_0"/>
<label class="form-check-label" for="pickup_or_delivery_0">Deliver at my address</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="pickup_or_delivery" value="I will pickup" id="pickup_or_delivery_1"/>
<label class="form-check-label" for="pickup_or_delivery_1">I will pickup</label>
</div>
</div>
</div>
</div>
<div class="row mb-3">
<div class="col-sm-6">
<label class="form-label" for="Email">Email:</label>
<input class="form-control" type="email" name="Email" id="Email"/>
</div>
<div class="col-sm-6">
<label class="form-label" for="delivery_address">Delivery Address:</label>
<textarea class="form-control" name="delivery_address" id="delivery_address" rows="6"></textarea>
</div>
</div>
<div class="row mb-3">
<div class="col-12">
<h2>Cake Design</h2>
<div class="fs-6 fw-light">Customize your cake!</div>
</div>
</div>
<div class="row mb-3">
<div class="col-12">
<label class="form-check-label">Shape of the cake:</label>
<div class="d-flex flex-wrap">
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="cake_shape" value="Round" id="cake_shape_0"/>
<label class="form-check-label" for="cake_shape_0">Round</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="cake_shape" value="Square" id="cake_shape_1"/>
<label class="form-check-label" for="cake_shape_1">Square</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="cake_shape" value="Flower" id="cake_shape_2"/>
<label class="form-check-label" for="cake_shape_2">Flower</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="cake_shape" value="Heart" id="cake_shape_3"/>
<label class="form-check-label" for="cake_shape_3">Heart</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="cake_shape" value="Custom" id="cake_shape_4"/>
<label class="form-check-label" for="cake_shape_4">Custom</label>
</div>
</div>
</div>
</div>
<div class="row mb-3">
<div class="col-12">
<label class="form-check-label">Choose Flavor:</label>
<div class="d-flex flex-wrap">
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="flavor" value="Vanilla" id="flavor_0" r-value="20"/>
<label class="form-check-label" for="flavor_0">Vanilla</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="flavor" value="Chocolate" id="flavor_1" r-value="25"/>
<label class="form-check-label" for="flavor_1">Chocolate</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="flavor" value="Marble" id="flavor_2" r-value="10"/>
<label class="form-check-label" for="flavor_2">Marble</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="flavor" value="Red Velvet" id="flavor_3" r-value="30"/>
<label class="form-check-label" for="flavor_3">Red Velvet</label>
</div>
</div>
</div>
</div>
<div class="row mb-3">
<div class="col-12">
<label class="form-check-label">Size:</label>
<div class="d-flex flex-wrap">
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="size" value="8 inch (serves 12-15)" id="size_0" r-value="1" />
<label class="form-check-label" for="size_0">8 inch (serves 12-15)</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="size" value="10 inch (serves 20-25)" id="size_1" r-value="2"/>
<label class="form-check-label" for="size_1">10 inch (serves 20-25)</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="size" value="12 inch (serves 30-40)" id="size_2" r-value="3" />
<label class="form-check-label" for="size_2">12 inch (serves 30-40)</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="size" value="1/4 sheet (serves 20-25 )" id="size_3" r-value="1" />
<label class="form-check-label" for="size_3">1/4 sheet (serves 20-25 )</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="size" value="1/2 sheet (serves 40-50 )" id="size_4" r-value="3"/>
<label class="form-check-label" for="size_4">1/2 sheet (serves 40-50 )</label>
</div>
<div class="form-check form-check-inline me-3">
<input class="form-check-input" type="radio" name="size" value="Full sheet (serves 80-100)" id="size_5" r-value="5"/>
<label class="form-check-label" for="size_5">Full sheet (serves 80-100)</label>
</div>
</div>
</div>
</div>
<div class="row mb-3"></div>
<div class="row mb-3">
<div class="col-12">
<label class="form-label" for="inscription">Inscription:</label>
<textarea class="form-control" name="inscription" id="inscription" rows="6"></textarea>
</div>
</div>
<div class="row mb-3">
<h3>Estimated Total Price:</h3>
<span r-calc="size * flavor" r-format="currency|usd"></span>
</div>
<div class="row mb-3">
<div class="col-12 d-flex justify-content-start">
<button class="btn btn-lg px-4" size="md" style="background-color:#007bff;border-color:#007bff;color:white;" type="submit">Order</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: