Refund request

<form action="https://formward.eu/f/your-form-id" method="POST" class="space-y-4 max-w-lg">
  <label for="name" class="block text-sm font-medium mb-1">Name</label>
  <input type="text" name="name" id="name" required class="block w-full rounded border border-gray-300 p-2" />
  <label for="email" class="block text-sm font-medium mb-1">Email</label>
  <input type="email" name="email" id="email" required class="block w-full rounded border border-gray-300 p-2" />
  <label for="order_number" class="block text-sm font-medium mb-1">Order number</label>
  <input type="text" name="order_number" id="order_number" required class="block w-full rounded border border-gray-300 p-2" />
  <label for="amount" class="block text-sm font-medium mb-1">Refund amount</label>
  <input type="number" name="amount" id="amount" class="block w-full rounded border border-gray-300 p-2" />
  <label for="reason" class="block text-sm font-medium mb-1">Reason for refund</label>
  <textarea name="reason" id="reason" required class="block w-full rounded border border-gray-300 p-2"></textarea>
  <input type="text" name="_gotcha" tabindex="-1" autocomplete="off" class="hidden" aria-hidden="true" />
  <button type="submit" class="rounded bg-black text-white px-4 py-2">Send</button>
</form>