Warranty registration

Fields

Full nametextrequiredEmailemailrequiredProduct nametextrequiredSerial numbertextrequiredPurchase datedaterequiredRetailertext

Code

<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">Full 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="product" class="block text-sm font-medium mb-1">Product name</label>
  <input type="text" name="product" id="product" required class="block w-full rounded border border-gray-300 p-2" />
  <label for="serial" class="block text-sm font-medium mb-1">Serial number</label>
  <input type="text" name="serial" id="serial" required class="block w-full rounded border border-gray-300 p-2" />
  <label for="purchase_date" class="block text-sm font-medium mb-1">Purchase date</label>
  <input type="date" name="purchase_date" id="purchase_date" required class="block w-full rounded border border-gray-300 p-2" />
  <label for="retailer" class="block text-sm font-medium mb-1">Retailer</label>
  <input type="text" name="retailer" id="retailer" class="block w-full rounded border border-gray-300 p-2" />
  <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>

Use this with Formward

Create a form, copy your endpoint, and replace https://formward.eu/f/your-form-id in the code above.

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