Action Form
HTML web component for forms
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*
Required
Your Name
First Name:
Last Name:
Nick Name:
Test:
Full Name:
Phone Numbers
At least one phone number is required
Home Number:
phone number must have 7 digits
Work Number:
phone number must have 7 digits
Mobile Number:
phone number must have 7 digits
Email:
Email address is required
Subject:
General
Sales
Support
Not sure what you want? Neither do we.
Thanks for contacting sales!!!
Ok fine we will support you
Message:
Characters remaining:
message is required
Favorite Animals
Required (min 1, max 3)
Animals selected:
Dog
Cat
Bunny
Possum
Bird
Fish
Snake
Other
Snake? Why not bunny?!?
1-3 Animals is required
Other Animal
Other Animal:
other is required
Optional Comments:
Characters written:
Add required field to this step?
Yes
Add another comment step?
Yes
This is required
Check Me!
Must write the word bunny:
You checked it!
Optional Comments2:
I agree to the terms and conditions
Reset Form