multi-column-contact-form.md

Multi Column Contact Form

Check it out on Codepen

HTML

<!-- 
    =======================================================================

    This is a working contact form. To receive email, 
    Replace YOUR_ACCESS_KEY_HERE with your actual Access Key.

    Create Access Key here 👉 https://web3forms.com/

    =======================================================================
 -->

<div class="flex items-center min-h-screen bg-gray-100 dark:bg-gray-900">
  <div class="container mx-auto">
    <div class="max-w-xl mx-auto my-10 bg-white p-5 rounded-md shadow-sm">
      <div class="text-center">
        <h1
          class="my-3 text-3xl font-semibold text-gray-700 dark:text-gray-200"
        >
          Contact Us
        </h1>
        <p class="text-gray-400 dark:text-gray-400">
          Fill up the form below to send us a message.
        </p>
      </div>
      <div class="m-7">
        <form action="https://api.web3forms.com/submit" method="POST" id="form">
          <input type="hidden" name="access_key" value="YOUR_ACCESS_KEY_HERE" />
          <input
            type="hidden"
            name="subject"
            value="New Submission from Web3Forms"
          />
          <input type="checkbox" name="botcheck" id="" style="display: none;" />

          <div class="flex mb-6 space-x-4">
            <div class="w-full md:w-1/2">
              <label
                for="fname"
                class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
                >First Name</label
              >
              <input
                type="text"
                name="name"
                id="first_name"
                placeholder="John"
                required
                class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
              />
            </div>
            <div class="w-full md:w-1/2">
              <label
                for="lname"
                class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
                >Last Name</label
              >
              <input
                type="text"
                name="last_name"
                id="lname"
                placeholder="Doe"
                required
                class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
              />
            </div>
          </div>

          <div class="flex mb-6 space-x-4">
            <div class="w-full md:w-1/2">
              <label
                for="email"
                class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
                >Email Address</label
              >
              <input
                type="email"
                name="email"
                id="email"
                placeholder="you@company.com"
                required
                class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
              />
            </div>

            <div class="w-full md:w-1/2">
              <label
                for="phone"
                class="block text-sm mb-2 text-gray-600 dark:text-gray-400"
                >Phone Number</label
              >
              <input
                type="text"
                name="phone"
                id="phone"
                placeholder="+1 (555) 1234-567"
                required
                class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
              />
            </div>
          </div>
          <div class="mb-6">
            <label
              for="message"
              class="block mb-2 text-sm text-gray-600 dark:text-gray-400"
              >Your Message</label
            >

            <textarea
              rows="5"
              name="message"
              id="message"
              placeholder="Your Message"
              class="w-full px-3 py-2 placeholder-gray-300 border border-gray-300 rounded-md focus:outline-none focus:ring focus:ring-indigo-100 focus:border-indigo-300 dark:bg-gray-700 dark:text-white dark:placeholder-gray-500 dark:border-gray-600 dark:focus:ring-gray-900 dark:focus:border-gray-500"
              required
            ></textarea>
          </div>
          <div class="mb-6">
            <button
              type="submit"
              class="w-full px-3 py-4 text-white bg-indigo-500 rounded-md focus:bg-indigo-600 focus:outline-none"
            >
              Send Message
            </button>
          </div>
          <p class="text-base text-center text-gray-400" id="result"></p>
        </form>
      </div>
    </div>
  </div>
</div>

Javascript

const form = document.getElementById("form");
const result = document.getElementById("result");

form.addEventListener("submit", function (e) {
  e.preventDefault();
  
  const formData = new FormData(form);
  const object = Object.fromEntries(formData);
  const json = JSON.stringify(object);
  
  result.innerHTML = "Please wait...";

  fetch("https://api.web3forms.com/submit", {
    method: "POST",
    headers: {
      "Content-Type": "application/json",
      Accept: "application/json",
    },
    body: json,
  })
    .then(async (response) => {
      let json = await response.json();
      if (response.status == 200) {
        result.innerHTML = json.message;
        result.classList.remove("text-gray-500");
        result.classList.add("text-green-500");
      } else {
        console.log(response);
        result.innerHTML = json.message;
        result.classList.remove("text-gray-500");
        result.classList.add("text-red-500");
      }
    })
    .catch((error) => {
      console.log(error);
      result.innerHTML = "Something went wrong!";
    })
    .then(function () {
      form.reset();
      setTimeout(() => {
        result.style.display = "none";
      }, 5000);
    });
});