dylanburkey
6/22/2012 - 8:21 PM

A web page created at CodePen.io

A web page created at CodePen.io

form { background:#e6e7e8; padding:15px; margin:20px 0px 20px 0px; width:500px; border-radius:5px/5px; font-family:sans-serif; color:#818A8F; margin:auto; box-shadow:5px 2px 20px #999; font-weight:bolder; }

form fieldset label { width:150px; float:left;  }
form fieldset input { color:#818A8F;  }
form fieldset { border:0; }

<form action="rest.php" method="post">
  <fieldset>
    <label for="phoneNumber">Phone Number</label>
    <input type="phone" id="phoneNumber" placeholder="Enter Phone Number">
   </fieldset>
  <fieldset>
    <label for="emailAddress">Email Address</label>
    <input type="email" id="emailAddress" placeholder="Enter Email Address">
  </fieldset>
  <fieldset>
    <label for="zip">Zip Code:</label>
    <input type="number" id="zip" placeholder="Enter Zip Code">
  </fieldset>
  <fieldset>
    <label for="gender">Gender:</label>
    <select id="gender">
      <option name="female">Female</option>
      <option name="male">Male</option>
    </select>
  </fieldset>
  <fieldset>
    <label for="Retail">Retail</label>
    <input type="radio" name="Retail">
  </fieldset>
  
  
</form>


<!DOCTYPE html>
<html>
<head>
  <meta charset="UTF-8">

  <title>CodePen &middot; A Pen by dylanburkey</title>

  <link rel="stylesheet" href="http://codepen.io/stylesheets/css/normalize.css">

  <style>
form { background:#e6e7e8; padding:15px; margin:20px 0px 20px 0px; width:500px; border-radius:5px/5px; font-family:sans-serif; color:#818A8F; margin:auto; box-shadow:5px 2px 20px #999; font-weight:bolder; }

form fieldset label { width:150px; float:left;  }
form fieldset input { color:#818A8F;  }
form fieldset { border:0; }
  </style>

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      height: 30px !important;
      line-height: 30px !important;
      font-size: 12px !important;
      color: #eeeeee !important;
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      text-align: left !important;
      background: -webkit-linear-gradient(top, #505050, #383838) !important;
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      background: -o-linear-gradient(top, #505050, #383838) !important;
      border-top: 1px solid black !important;
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      font-family: "Lucida Grande", "Lucida Sans Unicode", Tahoma, sans-serif !important;
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    #codepen-footer a {
      color: #a7a7a7 !important; 
      text-decoration: none !important;
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    #codepen-footer a:hover {
      color: white !important; 
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    window.print   = function(){};
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  <script src="http://codepen.io/javascripts/libs/prefixfree.min.js"></script>
</head>
<body>

  <form action="rest.php" method="post">
  <fieldset>
    <label for="phoneNumber">Phone Number</label>
    <input type="phone" id="phoneNumber" placeholder="Enter Phone Number">
   </fieldset>
  <fieldset>
    <label for="emailAddress">Email Address</label>
    <input type="email" id="emailAddress" placeholder="Enter Email Address">
  </fieldset>
  <fieldset>
    <label for="zip">Zip Code:</label>
    <input type="number" id="zip" placeholder="Enter Zip Code">
  </fieldset>
  <fieldset>
    <label for="gender">Gender:</label>
    <select id="gender">
      <option name="female">Female</option>
      <option name="male">Male</option>
    </select>
  </fieldset>
  <fieldset>
    <label for="Retail">Retail</label>
    <input type="radio" name="Retail">
  </fieldset>

</form>

  <script src="http://code.jquery.com/jquery-latest.js"></script>
  <script src="http://codepen.io/javascripts/libs/modernizr.js"></script>

  <div id="codepen-footer">
    <a style="color: #f73535 !important;" href="https://codepen.wufoo.com/forms/m7x3r3/def/field14=" onclick="window.open(this.href,  null, 'height=517, width=680, toolbar=0, location=0, status=1, scrollbars=1, resizable=1'); return false">Report Abuse</a>

    &nbsp;

    <a href="/dylanburkey/pen/86/2">Edit this Pen</a>
  </div>

</body>

</html>