@@ -15,38 +15,43 @@ const Contact = () => {
1515 < small > Let us know what kind of support you want</ small >
1616 </ div >
1717 < div className = "col-6 mx-auto" id = "form" >
18- < Form >
19- < Form . Row >
20- < Col >
21- < Form . Label > Full Name</ Form . Label >
22- < Form . Control type = "text" placeholder = "Enter name" required />
23- < Form . Text className = "text-muted" >
24- Please Enter your full name
25- </ Form . Text >
26- </ Col >
27- </ Form . Row >
28- < Form . Row >
29- < Col >
30- < Form . Label > Email address</ Form . Label >
31- < Form . Control type = "email" placeholder = "Enter email" required />
32- < Form . Text className = "text-muted" >
33- We'll never share your email with anyone else.
34- </ Form . Text >
35- </ Col >
36- </ Form . Row >
37- < Form . Row >
38- < Col >
39- < Form . Label > Your Business</ Form . Label >
40- < Form . Control type = "text" placeholder = "Describe your business" required />
41- < Form . Text className = "text-muted" >
42- We will provide our service based on type of business you have
43- </ Form . Text >
44- </ Col >
45- </ Form . Row >
46- < Button variant = "primary" type = "submit" onClick = { formSubmit } >
47- Send Feedback
48- </ Button >
49- </ Form >
18+ < form className = "row g-3" >
19+ < div className = "col-md-6" >
20+ < label htmlFor = "firstName" class = "form-label" > First Name</ label >
21+ < input type = "text" class = "form-control" placeholder = "Joe" id = "firstName" name = "fname" />
22+ </ div >
23+ < div className = "col-md-6" >
24+ < label htmlFor = "lastName" className = "form-label" > Last Name</ label >
25+ < input type = "text" className = "form-control" placeholder = "Lee" id = "lastName" name = "lname" />
26+ </ div >
27+ < div class = "col-12" >
28+ < label htmlFor = "email" class = "form-label" > Email</ label >
29+ < input type = "email" class = "form-control" placeholder = "j.lee@email.com" id = "email" name = "email" />
30+ </ div >
31+ < div class = "col-12" >
32+ < label htmlFor = "phonenumber" class = "form-label" > Contact Number</ label >
33+ < input type = "text" class = "form-control" placeholder = "Contact Number (optional)" id = "phonenumber" name = "contact" />
34+ </ div >
35+ < div class = "col-12" >
36+ < label htmlFor = "businesstype" class = "form-label" > Business</ label >
37+ < input type = "text" class = "form-control" placeholder = "Drugs & Chemist" id = "businesstype" name = "business" />
38+ </ div >
39+ < div class = "col-12" >
40+ < label htmlFor = "message" class = "form-label" > Service</ label >
41+ < textarea type = "text" class = "form-control" placeholder = "What's service you want from us" id = "message" name = "message" > </ textarea >
42+ </ div >
43+ < div class = "col-md-6" >
44+ < label htmlFor = "inputCity" class = "form-label" > City</ label >
45+ < input type = "text" class = "form-control" id = "inputCity" />
46+ </ div >
47+ < div class = "col-md-6" >
48+ < label for = "inputZip" class = "form-label" > Zip</ label >
49+ < input type = "text" class = "form-control" id = "inputZip" />
50+ </ div >
51+ < div class = "col-12" >
52+ < button type = "submit" class = "btn btn-primary" > Your Feddback</ button >
53+ </ div >
54+ </ form >
5055 </ div >
5156 </ div >
5257 </ div >
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