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Mereani Waqa
Contact us form

Contact us form

suitable for collecting user input for various purposes such as feature requests, suggestions, or feedback.

This tailwind example is contributed by Mereani Waqa, on 15-Nov-2023. Component is made with Tailwind CSS v3. It is responsive. similar terms for this example are Get in touch, Contact form

Author Mereani Waqa

5.7k

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<div class="bg-white px-6 py-12 sm:py-24 lg:px-8">
  <div class="mx-auto max-w-xl flex flex-col items-center justify-center text-center">
    <h1 class="text-4xl md:text-5xl font-bold tracking-tight text-gray-900">Let's Talk</h1>
    <p class="mt-3 text-lg text-gray-600">Feature request? Suggestion? or maybe you'd like to be our critic! Here's a form just for that.</p>
  </div>
  <form class="mx-auto mt-16 max-w-xl sm:mt-20">
    <div class="grid grid-cols-1 gap-x-8 gap-y-6 sm:grid-cols-2">
      <div>
        <label for="first-name" class="block text-sm font-semibold leading-6 text-gray-900">First name</label>
        <div class="mt-2.5">
          <input required="" type="text" name="first-name" id="first-name" autocomplete="given-name" placeholder="Your First Name" class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-blue-600 sm:text-sm sm:leading-6">
        </div>
      </div>
      <div>
        <label for="last-name" class="block text-sm font-semibold leading-6 text-gray-900">Last name</label>
        <div class="mt-2.5">
          <input required="" type="text" name="last-name" id="last-name" autocomplete="family-name" placeholder="Your Last Name" class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-blue-600 sm:text-sm sm:leading-6">
        </div>
      </div>
      <div class="sm:col-span-2">
        <label for="company" class="block text-sm font-semibold leading-6 text-gray-900">Company</label>
        <div class="mt-2.5">
          <input required="" type="text" name="company" id="company" autocomplete="organization" placeholder="Your Company Name" class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-blue-600 sm:text-sm sm:leading-6">
        </div>
      </div>
      <div class="sm:col-span-2">
        <label for="email" class="block text-sm font-semibold leading-6 text-gray-900">Email</label>
        <div class="mt-2.5">
          <input required="" type="email" name="email" id="email" autocomplete="email" placeholder="Your Email Address" class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-blue-600 sm:text-sm sm:leading-6">
        </div>
      </div>
      <div class="sm:col-span-2">
        <label for="phone" class="block text-sm font-semibold leading-6 text-gray-900">Phone number</label>
        <div class="mt-2.5">
          <input required="" type="tel" name="phone" id="phone" autocomplete="tel" placeholder="Your Phone Number" class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-blue-600 sm:text-sm sm:leading-6">
        </div>
      </div>
      <div class="sm:col-span-2">
        <label for="message" class="block text-sm font-semibold leading-6 text-gray-900">Message</label>
        <div class="mt-2.5">
          <textarea name="message" id="message" rows="4" placeholder="Share your thoughts..." class="block w-full rounded-md border-0 px-3.5 py-2 text-gray-900 shadow-sm ring-1 ring-inset ring-gray-300 placeholder:text-gray-400 focus:ring-2 focus:ring-inset focus:ring-blue-600 sm:text-sm sm:leading-6"></textarea>
        </div>
      </div>
    </div>
    <div class="mt-10">
      <button type="submit" class="bg-blue-600 text-white rounded-sm py-2 w-full block">Submit →</button>
    </div>
  </form>
</div>

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