-
Notifications
You must be signed in to change notification settings - Fork 2
Expand file tree
/
Copy pathcontactt.html
More file actions
386 lines (329 loc) · 13.2 KB
/
contactt.html
File metadata and controls
386 lines (329 loc) · 13.2 KB
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="preconnect" href="https://fonts.gstatic.com">
<link rel="icon" href="images/favicon1.png">
<link rel="stylesheet" href="nicepage.css">
<link rel="stylesheet" href="Home.css" media="screen">
<script class="u-script" type="text/javascript" src="jquery.js" defer=""></script>
<script class="u-script" type="text/javascript" src="nicepage.js" defer=""></script>
<meta name="generator" content="Nicepage 3.11.0, nicepage.com">
<link rel="icon" href="images/favicon1.png">
<link id="u-theme-google-font" rel="stylesheet" href="fonts.css">
<link id="u-page-google-font" rel="stylesheet" href="Home-fonts.css">
<link rel="preconnect" href="https://fonts.gstatic.com">
<link href="https://fonts.googleapis.com/css2?family=Ubuntu+Condensed&display=swap" rel="stylesheet">
<link href="https://fonts.googleapis.com/css2?family=Roboto+Condensed&display=swap" rel="stylesheet">
<title>VACCINE PORTAL</title>
<style>
*, *:before, *:after {
box-sizing: border-box;
-webkit-font-smoothing: antialiased;
-moz-osx-font-smoothing: grayscale;
}
body {
/* background: linear-gradient(to right, #5d9491 0%, #326b79 100%); */
/* background-image: url("pexels-nataliya-vaitkevich-5863400.jpg"); */
background-image: url("./images/BG1.PNG");
font-size: 12px;
}
*{
font-family: 'Roboto Condensed', sans-serif;
}
body, button, input {
font-family: 'Montserrat', sans-serif;
font-weight: 700;
letter-spacing: 1.4px;
}
.background {
display: flex;
min-height: 100vh;
}
.container {
flex: 0 1 700px;
margin: auto;
padding: 10px;
margin-top: 14px;
}
.screen {
position: relative;
background: #3e3e3e;
border-radius: 15px;
}
.screen:after {
content: '';
display: block;
position: absolute;
top: 0;
left: 20px;
right: 20px;
bottom: 0;
border-radius: 15px;
box-shadow: 0 20px 40px rgba(0, 0, 0, .4);
z-index: -1;
}
.screen-header {
display: flex;
align-items: center;
padding: 10px 20px;
background: #4d4d4f;
border-top-left-radius: 15px;
border-top-right-radius: 15px;
}
.screen-header-left {
margin-right: auto;
}
.screen-header-button {
display: inline-block;
width: 8px;
height: 8px;
margin-right: 3px;
border-radius: 8px;
background: white;
}
.screen-header-button.close {
background: #ed1c6f;
}
.screen-header-button.maximize {
background: #e8e925;
}
.screen-header-button.minimize {
background: #74c54f;
}
.screen-header-right {
display: flex;
}
.screen-header-ellipsis {
width: 3px;
height: 3px;
margin-left: 2px;
border-radius: 8px;
background: #999;
}
.screen-body {
display: flex;
}
.screen-body-item {
flex: 1;
padding: 50px;
}
.screen-body-item.left {
display: flex;
flex-direction: column;
}
/* .app-title {
display: flex;
flex-direction: column;
position: relative;
color: #ea1d6f;
font-size: 26px;
} */
.app-title:after {
content: '';
display: block;
position: absolute;
left: 0;
bottom: -10px;
width: 25px;
height: 4px;
background: #ea1d6f;
}
.app-contact {
margin-top: auto;
font-size: 8px;
color: #888;
}
.app-form-group {
margin-bottom: 15px;
}
.app-form-group.message {
margin-top: 40px;
}
.app-form-group.buttons {
margin-bottom: 0;
text-align: right;
}
.app-form-control {
width: 100%;
padding: 10px 0;
background: none;
border: none;
border-bottom: 1px solid #666;
color: #ddd;
font-size: 14px;
outline: none;
transition: border-color .2s;
}
.app-form-control::placeholder {
color: #666;
}
.app-form-control:focus {
border-bottom-color: #ddd;
}
.app-form-button {
background: none;
border: none;
color: #ea1d6f;
font-size: 14px;
cursor: pointer;
outline: none;
}
.app-form-button:hover {
color: #b9134f;
}
.credits {
display: flex;
justify-content: center;
align-items: center;
margin-top: 20px;
color: #ffa4bd;
font-family: 'Roboto Condensed', sans-serif;
font-size: 16px;
font-weight: normal;
}
.credits-link {
display: flex;
align-items: center;
color: #fff;
font-weight: bold;
text-decoration: none;
}
.dribbble {
width: 20px;
height: 20px;
margin: 0 5px;
}
@media screen and (max-width: 520px) {
.screen-body {
flex-direction: column;
}
.screen-body-item.left {
margin-bottom: 30px;
}
.app-title {
flex-direction: row;
}
.app-title span {
margin-right: 12px;
}
.app-title:after {
display: none;
}
}
@media screen and (max-width: 600px) {
.screen-body {
padding: 40px;
}
.screen-body-item {
padding: 0;
}
}
</style>
</head>
<body>
<form action="https://formsubmit.co/covicarehelp2804@gmail.com" method="POST">
<input type="hidden" name="_template" value="table">
<!-- <input type="hidden" name="_captcha" value="false"> -->
<input type="hidden" name="_autoresponse" value="Thanks for doing registration on our site. Our team Covicarehelp has got your request and will notify about slot as soon as possible.
Till then we request you to be at home and stay safe before vaccination.
Please share our site(www.covicarehelp.in)so that every needy hand can get access to vaccination as soon as possible.">
<header class="u-clearfix u-header u-palette-4-dark-3 u-sticky u-header" id="sec-fe27" style="margin-top: -15px;"><div class="u-clearfix u-sheet u-sheet-1">
<a href="./index.html" class="u-image u-logo u-image-1" data-image-width="274" data-image-height="276">
<img src="images/Untitleddesign101.png" class="u-logo-image u-logo-image-1" data-image-width="56.4">
</a>
<nav class="u-menu u-menu-dropdown u-offcanvas u-offcanvas-shift u-menu-1" data-responsive-from="MD">
<div class="menu-collapse u-custom-font u-font-oswald" style="font-size: 1.5rem; letter-spacing: 0px; text-transform: uppercase;">
<a class="u-button-style u-custom-active-border-color u-custom-border u-custom-border-color u-custom-borders u-custom-hover-border-color u-custom-left-right-menu-spacing u-custom-padding-bottom u-custom-text-active-color u-custom-text-color u-custom-text-hover-color u-custom-top-bottom-menu-spacing u-nav-link u-text-active-palette-1-base u-text-hover-palette-2-base" href="#" style="font-size: calc(1em + 2px); height: 26px; color: rgb(255, 255, 255) !important;">
<svg class="u-svg-link" preserveAspectRatio="xMidYMin slice" viewBox="0 0 248.862 248.863" style=""><use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="#svg-1e10"></use></svg>
<svg class="u-svg-content" viewBox="0 0 248.862 248.863" x="0px" y="0px" id="svg-1e10" style="enable-background:new 0 0 248.862 248.863;"><g><g><path d="M31.87,63.729h185.125c17.576,0,31.861-14.292,31.861-31.864C248.856,14.31,234.571,0,216.995,0H31.87 C14.297,0,0.006,14.303,0.006,31.865C0.012,49.438,14.297,63.729,31.87,63.729z M27.006,15.606h32.522v32.522H27.006V15.606z"></path><path d="M216.995,185.127H31.87c-17.573,0-31.864,14.292-31.864,31.868c0,17.552,14.292,31.867,31.864,31.867h185.125 c17.576,0,31.861-14.304,31.861-31.867C248.856,199.431,234.565,185.127,216.995,185.127z M59.528,229.329H27.006v-32.521h32.522 V229.329z"></path><path d="M216.995,92.573H31.87c-17.573,0-31.864,14.295-31.864,31.858c0,17.57,14.292,31.868,31.864,31.868h185.125 c17.576,0,31.861-14.298,31.861-31.868C248.856,106.868,234.565,92.573,216.995,92.573z M59.528,140.686H27.006v-32.51h32.522 V140.686z"></path>
</g>
</g></svg>
</a>
</div>
<div class="u-custom-menu u-nav-container">
<ul class="u-custom-font u-font-oswald u-nav u-spacing-30 u-unstyled u-nav-1"><li class="u-nav-item"><a class="u-border-2 u-border-active-white u-border-hover-black u-border-no-left u-border-no-right u-border-no-top u-button-style u-nav-link u-text-active-white u-text-hover-black u-text-white" href="./index.html" target="_blank" style="padding: 10px 28px;">Home</a>
</li><li class="u-nav-item"><a class="u-border-2 u-border-active-white u-border-hover-black u-border-no-left u-border-no-right u-border-no-top u-button-style u-nav-link u-text-active-white u-text-hover-black u-text-white" href="Beds.html" style="padding: 10px 28px;">Beds</a>
</li><li class="u-nav-item"><a class="u-border-2 u-border-active-white u-border-hover-black u-border-no-left u-border-no-right u-border-no-top u-button-style u-nav-link u-text-active-white u-text-hover-black u-text-white" href="Oxygen.html" style="padding: 10px 28px;">Oxygen</a>
</li></ul>
</div>
<div class="u-custom-menu u-nav-container-collapse">
<div class="u-black u-container-style u-inner-container-layout u-opacity u-opacity-95 u-sidenav">
<div class="u-sidenav-overflow">
<div class="u-menu-close"></div>
<ul class="u-align-center u-nav u-popupmenu-items u-unstyled u-nav-2"><li class="u-nav-item"><a class="u-button-style u-nav-link" href="./index.html" target="_blank" style="padding: 10px 28px;">Home</a>
</li><li class="u-nav-item"><a class="u-button-style u-nav-link" href="./Beds.html" style="padding: 10px 28px;">Beds</a>
</li><li class="u-nav-item"><a class="u-button-style u-nav-link" href="./Oxygen.html" style="padding: 10px 28px;">Oxygen</a>
</li></ul>
</div>
</div>
<div class="u-black u-menu-overlay u-opacity u-opacity-65"></div>
</div>
</nav>
</div></header>
<!-- <input type="text" name="name" required>
<input type="email" name="email" required>
<button type="submit">Send</button> -->
<div class="background">
<div class="container">
<div class="screen">
<div class="screen-header">
<div class="screen-header-left">
<div class="screen-header-button close"></div>
<div class="screen-header-button maximize"></div>
<div class="screen-header-button minimize"></div>
</div>
<div class="screen-header-right">
<!-- <div class="screen-header-ellipsis"></div>
<div class="screen-header-ellipsis"></div>
<div class="screen-header-ellipsis"></div> -->
</div>
</div>
<div class="screen-body">
<div class="screen-body-item left">
<div class="app-title">
<span style="color: #ddd; font-size: 26px;">CONTACT US</span>
<!-- </div>
<div class="app-contact" style="font-size: ;">CONTACT INFO : +91 8603878422 </div>
</div> -->
<div class="screen-body-item">
<div class="app-form">
<div class="app-form-group">
<input type="text"name="Name" class="app-form-control" placeholder="NAME" >
</div>
<div class="app-form-group">
<input type="email" name="email" class="app-form-control" placeholder="EMAIL">
</div>
<div class="app-form-group">
<input type="number" name="Contact Number" class="app-form-control" placeholder="CONTACT NUMBER">
</div>
<div class="app-form-group">
<input type="message" name="Pin Code" class="app-form-control" placeholder="PIN CODE">
</div>
<div class="app-form-group">
<input type="message" name="District" class="app-form-control" placeholder="DISTRICT">
</div>
<div class="app-form-group">
<input type="message" name="Year Of Birth" class="app-form-control" placeholder="YEAR OF BIRTH">
</div>
<div class="app-form-group">
<input type="message" name="Dose" class="app-form-control" placeholder="NUMBER OF DOSE : FIRST OR SECOND ?">
</div>
<div class="app-form-group message">
<input type="message" name="Message" class="app-form-control" placeholder="MESSAGE">
</div>
<div class="app-form-group buttons">
<button class="app-form-button" style="color: #ddd;">CANCEL</button>
<button class="app-form-button" style="color: #ddd;">SEND</button>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</form>
</body>
</html>