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index.html
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<!DOCTYPE html>
<html lang="es">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>create form</title>
<!-- Favicons -->
<link rel="icon" type="image/ico" sizes="16x16" href="assets/favicons/favicon.ico">
<link rel="apple-touch-icon" sizes="180x180" href="assets/favicons/apple-touch-icon.png">
<link rel="manifest" href="assets/favicons/site.webmanifest">
<!-- STYLE -->
<link rel="stylesheet" href="./src/css/style.css">
<!-- SDN LIBRERÍA SWEET ALERT 2 -->
<script defer src="https://cdn.jsdelivr.net/npm/[email protected]/dist/sweetalert2.all.min.js"></script>
<link href="https://cdn.jsdelivr.net/npm/[email protected]/dist/sweetalert2.min.css" rel="stylesheet">
<!-- JS -->
<script defer type="module" src="./src/js/app.mjs"></script>
</head>
<body class="body">
<main class="main">
<h1 class="title">Contactar un Asesor</h1>
<form id="form" class="form">
<!-- NAME -->
<fieldset class="FormGrup">
<legend>
<label class="labelName" for="name">
<abbr class="required" title="Campo obrigatório">*</abbr>
Nombre
</label>
</legend>
<input type="text" class="inputName" id="name" placeholder="Ej: Francisco" name="nombre" autocomplete="name" required>
</fieldset>
<!-- LAST NAME -->
<fieldset class="FormGrup">
<legend>
<label class="labelLastName" for="lastName">
<abbr class="required" title="Campo obrigatório">*</abbr>
Apellido
</label>
</legend>
<input type="text" class="inputLastName" id="lastName" placeholder="Ej: Carusso" name="apellido" autocomplete="last name" required>
</fieldset>
<!-- DNI -->
<fieldset class="FormGrup">
<legend>
<label class="labelDni" for="dni">
<abbr class="required" title="Campo obrigatório">*</abbr>
DNI
</label>
</legend>
<input type="number" class="inputDni" id="dni" placeholder="Ej: 11223344" name="dni" autocomplete="number" required>
</fieldset>
<!-- MAIL -->
<fieldset class="FormGrup">
<legend>
<label class="labelEmail" for="email">
<abbr class="required" title="Campo obrigatório">*</abbr>
Correo
</label>
</legend>
<input type="email" class="inputEmail" id="email" placeholder="Ej: [email protected]" name="correo" autocomplete="mail" required>
</fieldset>
<!-- TELÉFONO -->
<fieldset class="FormGrup">
<legend>
<label class="labelTel" for="Tel"> Teléfono </label>
</legend>
<input type="tel" class="inputTel" id="Tel" placeholder="Ej: 1111111111" name="telefono" autocomplete="tel">
</fieldset>
<!-- TIPO SEGURO -->
<fieldset class="FormGrup">
<legend>
<label for="tipoSeguro">
<abbr class="required" title="Campo obrigatório">*</abbr>
Tipo de Seguro
</label>
</legend>
<select id="tipoSeguro" class="tipoSeguro" name="tipoSeguro" required>
<option value="" selected disabled>Elegir Seguro</option>
</select>
</fieldset>
<!-- VALOR DEL SEGURO SELECCIONADO -->
<article class="FormGrup valorSeguro">
<P>Tipo de valor seleccionado: $
<span id="imprimerValorSeguro">Elegir Seguro</span>
</P>
</article>
<div class="buttons">
<input type="submit" value="Solicitar asesor">
<input type="reset" value="Limpear datos">
</div>
</form>
</main>
</body>
</html>