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LuizFellype/index.html

Created March 14, 2018 19:16
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index.html
<!DOCTYPE html>
<html>
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width">
<link rel="stylesheet" href="https://maxcdn.bootstrapcdn.com/bootstrap/4.0.0/css/bootstrap.min.css" integrity="sha384-Gn5384xqQ1aoWXA+058RXPxPg6fy4IWvTNh0E263XmFcJlSAwiGgFAW/dAiS6JXm" crossorigin="anonymous">
<style id="jsbin-css">
p {
font-size: 13px;
}
input {
border-radius: 5px;
font-size: 15px;
}
.bb {
border-top: dashed 1px;
border-bottom: dashed 1px;
padding-bottom: 10px;
}
.btb {
border-top: solid 3px;
border-bottom: solid 3px;
border-left: solid 1px;
border-right:solid 1px;
padding-bottom: 25px;
padding-left: 10px;
background: url("https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQr_vLpAqGqp6Mybx6EymPJryTE50FqeWMYGMnusjRlmECTq15f5g");
margin-top: 20px;
}
.bl {
border-left: solid 1px;
}
.esp {
margin-top: 13px;
}
.cent {
width: 70%
}
.b{
background-image: url("https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSo5Q7-vtq2v2ewPRqdF6wl46cJB6FG2qBSghzvSSrEuSMM04gp");
}
</style>
</head>
<body class="container-fluid cent b">
<div class="row col justify-content-center btb ">
<h2>FORMULÁRIO</h2>
<div class="esp container-fluid ">
<div class="row">
<div class="col-sm">
Nome:
<input type="text">
</div>
<div class="col-sm">
Sobrenome:
<input type="text">
</div>
</div>
<span class="container row esp">
<select class="form-control col-4">
<option value="0">Dia</option>
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>
<select class="form-control col-4">
<option value="0">Mês</option>
<option value="1">Jan</option>
<option value="2">Fev</option>
<option value="3">Mar</option>
<option value="4">Abr</option>
<option value="5">Maio</option>
<option value="6">Jun</option>
<option value="7">Jul</option>
<option value="8">Ago</option>
<option value="9">Set</option>
<option value="10">Out</option>
<option value="11">Nov</option>
<option value="12">Dez</option>
</select>
<select class="form-control col-4">
<option value="0">Ano</option>
<option value="2018">2018</option>
<option value="2017">2017</option>
<option value="2016">2016</option>
<option value="2015">2015</option>
<option value="2014">2014</option>
<option value="2013">2013</option>
<option value="2012">2012</option>
<option value="2011">2011</option>
<option value="2010">2010</option>
<option value="2009">2009</option>
<option value="2008">2008</option>
<option value="2007">2007</option>
<option value="2006">2006</option>
<option value="2005">2005</option>
<option value="2004">2004</option>
<option value="2003">2003</option>
<option value="2002">2002</option>
<option value="2001">2001</option>
<option value="2000">2000</option>
<option value="1999">1999</option>
<option value="1998">1998</option>
<option value="1997">1997</option>
<option value="1996">1996</option>
<option value="1995">1995</option>
<option value="1994">1994</option>
<option value="1993">1993</option>
<option value="1992">1992</option>
<option value="1991">1991</option>
<option value="1990">1990</option>
<option value="1989">1989</option>
<option value="1988">1988</option>
<option value="1987">1987</option>
<option value="1986">1986</option>
<option value="1985">1985</option>
<option value="1984">1984</option>
<option value="1983">1983</option>
<option value="1982">1982</option>
<option value="1981">1981</option>
<option value="1980">1980</option>
<option value="1979">1979</option>
<option value="1978">1978</option>
<option value="1977">1977</option>
<option value="1976">1976</option>
<option value="1975">1975</option>
<option value="1974">1974</option>
<option value="1973">1973</option>
<option value="1972">1972</option>
<option value="1971">1971</option>
<option value="1970">1970</option>
<option value="1969">1969</option>
<option value="1968">1968</option>
<option value="1967">1967</option>
<option value="1966">1966</option>
<option value="1965">1965</option>
<option value="1964">1964</option>
<option value="1963">1963</option>
<option value="1962">1962</option>
<option value="1961">1961</option>
<option value="1960">1960</option>
<option value="1959">1959</option>
<option value="1958">1958</option>
<option value="1957">1957</option>
<option value="1956">1956</option>
<option value="1955">1955</option>
<option value="1954">1954</option>
<option value="1953">1953</option>
<option value="1952">1952</option>
<option value="1951">1951</option>
<option value="1950">1950</option>
</select>
</span>
<div class="esp">
<label><input name="indoor-outdoor" type="radio">Masculino</label>
<label><input name="indoor-outdoor" type="radio">Feminino</label>
</div>
<div class="esp bb">
<h2>Endereço:</h2>
<form>
<div class="form-row">
<div class="col-7">
<input type="text" class="form-control" placeholder="CEP">
</div>
<div class="col-5">
<div class="regiao">
<select class="form-control">
<option selected>SUDESTE</option>
<option>SUL</option>
<option>CENTRO-OESTE</option>
<option>NORTE</option>
<option>NORDESTE</option>
</select>
</div>
</div>
</div>
</form>
<form>
<div class="form-row">
<div class="col">
<input type="text" class="form-control" placeholder="Estado">
</div>
<div class="col">
<input type="text" class="form-control" placeholder="Cidade">
</div>
<div class="col">
<input type="text" class="form-control" placeholder="Bairro">
</div>
<div class="col">
<input type="text" class="form-control" placeholder="Rua, N°">
</div>
</div>
</form>
<form>
<div class="row">
<div class="col">
<input type="text" class="form-control" placeholder="Referências">
</div>
</div>
</form>
</div>
<div class="esp ">
<h2>Contato:</h2>
<div class="container-fluid ">
<div class="form-row">
<div class="col-5 al">
Seu Email:
<input class="col " type="text" placeholder="[email protected]">
</div>
<form class="container col-7 bl">
<div>
Número:
</div>
<input class="col-3 " type="text" placeholder="DDD">
<input class="col-8 " type="text" placeholder="(00)00000-0000">
</form>
</div>
</div>
</div>
<script id="jsbin-source-css" type="text/css">
p {
font-size: 13px;
}
input {
border-radius: 5px;
font-size: 15px;
}
.bb {
border-top: dashed 1px;
border-bottom: dashed 1px;
padding-bottom: 10px;
}
.btb {
border-top: solid 3px;
border-bottom: solid 3px;
border-left: solid 1px;
border-right:solid 1px;
padding-bottom: 25px;
padding-left: 10px;
background: url("https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQr_vLpAqGqp6Mybx6EymPJryTE50FqeWMYGMnusjRlmECTq15f5g");
margin-top: 20px;
}
.bl {
border-left: solid 1px;
}
.esp {
margin-top: 13px;
}
.cent {
width: 70%
}
.b{
background-image: url("https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSo5Q7-vtq2v2ewPRqdF6wl46cJB6FG2qBSghzvSSrEuSMM04gp");
}</script>
</body>
</html>
Raw
jsbin.jepexer.css
p {
font-size: 13px;
}
input {
border-radius: 5px;
font-size: 15px;
}
.bb {
border-top: dashed 1px;
border-bottom: dashed 1px;
padding-bottom: 10px;
}
.btb {
border-top: solid 3px;
border-bottom: solid 3px;
border-left: solid 1px;
border-right:solid 1px;
padding-bottom: 25px;
padding-left: 10px;
background: url("https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQr_vLpAqGqp6Mybx6EymPJryTE50FqeWMYGMnusjRlmECTq15f5g");
margin-top: 20px;
}
.bl {
border-left: solid 1px;
}
.esp {
margin-top: 13px;
}
.cent {
width: 70%
}
.b{
background-image: url("https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSo5Q7-vtq2v2ewPRqdF6wl46cJB6FG2qBSghzvSSrEuSMM04gp");
}
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