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<title>Scorpio Car Interest Form</title>
<style>
body {
background: #2166d6;
font-family: 'Segoe UI', Arial, sans-serif;
margin: 0;
padding: 20px;
display: flex;
justify-content: center;
align-items: flex-start;
min-height: 100vh;
}
.container {
width: 100%;
max-width: 900px;
}
.form-box {
background: #fff;
padding: 24px;
border-radius: 14px;
box-shadow: 0 0 20px #3334a4;
width: 100%;
box-sizing: border-box;
}
.form-box img {
display: block;
margin: 0 auto 12px auto;
width: 120px;
height: auto;
}
.form-box h2 {
color: #184d47;
text-align: center;
margin-bottom: 14px;
}
.form-box label {
display: block;
font-size: 1.02em;
margin-bottom: 6px;
}
.form-box input[type="text"],
.form-box input[type="email"],
.form-box input[type="date"],
.form-box select {
width: 98%;
padding: 10px;
margin-bottom: 12px;
border: 1px solid #bcc5d3;
border-radius: 6px;
font-size: 1em;
outline: none;
}
.checkbox-group {
margin-bottom: 12px;
background: #f2f6fc;
padding: 10px;
border-radius: 7px;
}
.form-box input[type="checkbox"] { margin-right: 8px; }
.form-box input[type="submit"] {
width: 100%;
padding: 14px;
background: #0b3061;
color: #fff;
border: none;
border-radius: 6px;
font-size: 1.06em;
cursor: pointer;
margin-top: 8px;
}
.form-box input[type="submit"]:hover { background: #184d47; }
/* SUCCESS BOX (hidden by default) */
.success-box {
margin-top: 18px;
background: linear-gradient(135deg,#e6fff0,#d9fef0);
border-left: 6px solid #0b3061;
padding: 22px;
border-radius: 12px;
box-shadow: 0 8px 25px rgba(0,0,0,0.12);
display: none; /* initially hidden */
text-align: center;
}
.success-box h1 {
margin: 0 0 6px 0;
font-size: 28px;
color: #0b612f;
}
.success-box p { margin: 4px 0 0 0; color: #08423a; font-size:16px; }
/* smooth appear */
.show {
display: block !important;
animation: popIn 450ms ease;
}
@keyframes popIn {
0% { opacity: 0; transform: translateY(10px) scale(0.98); }
100% { opacity: 1; transform: translateY(0) scale(1); }
}
@media (max-width:700px){
body{padding:12px;}
.form-box{padding:18px;}
}
</style>
Scorpio Car Interest Form
<label>Name:</label>
<input type="text" name="name" id="name" placeholder="Enter your name" required />
<label>Mobile Number:</label>
<input type="text" name="mobile" id="mobile" maxlength="12" placeholder="Enter mobile number" required />
<label>Email:</label>
<input type="email" name="email" id="email" placeholder="Enter email address" />
<label>City:</label>
<input type="text" name="city" id="city" placeholder="Your city" />
<label>Date of Birth:</label>
<input type="date" name="dob" id="dob" />
<label>Music Preference:</label>
<select name="music" id="music">
<option value="" disabled selected>Select Music</option>
<option>Bollywood</option>
<option>Classical</option>
<option>Pop</option>
<option>EDM</option>
<option>Rock</option>
<option>Other</option>
</select>
<label>Favorite Scorpio Feature:</label>
<input type="text" name="favoriteFeature" id="favoriteFeature" placeholder="Feature (e.g. Sunroof)" />
<div class="checkbox-group" aria-label="Your Interests">
<label><input type="checkbox" name="interest" value="Test Drive">Test Drive</label>
<label><input type="checkbox" name="interest" value="Finance">Finance Options</label>
<label><input type="checkbox" name="interest" value="Insurance">Insurance</label>
<label><input type="checkbox" name="interest" value="Book Now">Book Now</label>
<label><input type="checkbox" name="interest" value="Exchange Offer">Car Exchange Offer</label>
<label><input type="checkbox" name="interest" value="Accessories">Accessories</label>
<label><input type="checkbox" name="interest" value="Service Booking">Service Booking</label>
<label><input type="checkbox" name="interest" value="Extended Warranty">Extended Warranty</label>
</div>
<input type="submit" value="Submit Details" />
</form>
<!-- SUCCESS BOX (will appear UNDER the form when user clicks submit) -->
<div id="successBox" class="success-box" role="status" aria-live="polite">
<h1>✔Your work is success fully work !</h1>
<p>Your enteres complete Thank You ।</p>
</div>
</div>
<script>
(function(){
const form = document.getElementById('scorpioForm');
const success = document.getElementById('successBox');
form.addEventListener('submit', function(e){
e.preventDefault(); // page reload/redirect stop
const name = document.getElementById('name').value.trim();
const mobile = document.getElementById('mobile').value.trim();
if(!name || !mobile){
alert('please Name & Mobile input।');
return;
}
success.classList.add('show');
success.scrollIntoView({behavior: 'smooth', block: 'center'});
form.querySelector('input[type="submit"]').disabled = true;
form.querySelector('input[type="submit"]').value = 'Submitted';
setTimeout(() => {
form.reset();
}, 700);
});
})();
</script>
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