142 lines
6.6 KiB
HTML
142 lines
6.6 KiB
HTML
<!DOCTYPE html>
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<html lang="en">
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<head>
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<meta charset="UTF-8">
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<meta name="viewport" content="width=device-width, initial-scale=1.0">
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<link rel="preconnect" href="https://fonts.googleapis.com">
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<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
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<link href="https://fonts.googleapis.com/css2?family=Roboto:wght@600&display=swap" rel="stylesheet">
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<link rel="stylesheet" href="./css/style.css">
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<title>Practica 4</title>
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</head>
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<body>
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<form method="get" action="../gracias.html" class="form_flex">
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<div class="form_title">
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<h1>Pide Cita</h1>
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</div>
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<fieldset class="fieldset_std">
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<fieldset class="form_fieldset">
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<legend>Datos del Cliente</legend>
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<div class="responsive_flex">
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<label class="label_std" for="nombre">* Nombre</label>
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<input type="text" class="input_std" id="nombre" name="nombre" required>
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</div>
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<div class="responsive_flex">
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<label class="label_std" for="apellidos">* Apellidos</label>
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<input type="text" class="input_std" id="apellidos" name="apellidos" required>
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</div>
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<div class="responsive_flex">
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<label class="label_std" for="telefono">* Telefono</label>
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<input type="text" class="input_std" id="telefono" name="telefono" required>
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</div>
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<div class="responsive_flex">
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<label class="label_std" for="email">* Email</label>
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<input type="email" class="input_std" id="email" name="email" autocomplete="off" required>
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</div>
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</fieldset>
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<fieldset class="form_fieldset">
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<legend>Datos de reserva</legend>
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<div>
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<p>* Tarjeta de descuento</p>
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<div class="responsive_flex">
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<div>
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<input type="radio" name="tarjeta" id="tarjeta" value="0" checked>
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<label class="label_std" for="tarjeta">Ninguna</label>
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</div>
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<div>
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<input type="radio" name="tarjeta" id="tarjeta10" value="10">
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<label class="label_std" for="tarjeta10">10%</label>
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</div>
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<div>
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<input type="radio" name="tarjeta" id="tarjeta25" value="25">
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<label class="label_std" for="tarjeta25">25%</label>
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</div>
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</div>
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</div>
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<div>
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<p>* Marca del vehiculo</p>
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<input class="input_std" list="marcas" required>
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<datalist id="marcas">
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<option value="Ford">
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<option value="Audi">
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<option value="Seat">
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<option value="Mazda">
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<option value="Toyota">
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</datalist>
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</div>
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<div>
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<p>* Reparacion</p>
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<div class="responsive_flex">
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<div>
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<input type="radio" name="reparacion" id="mecanica" value="mecanica" checked>
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<label class="label_std" for="mecanica">Mecanica</label>
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</div>
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<div>
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<input type="radio" name="reparacion" id="chapa" value="chapa">
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<label class="label_std" for="chapa">Chapa</label>
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</div>
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<div>
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<input type="radio" name="reparacion" id="mecanicachapa" value="mecanicachapa">
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<label class="label_std" style="width: max-content;" for="mecanicachapa">Mecanica &
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Chapa</label>
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</div>
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</div>
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</div>
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<div>
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<p>* Vehiculo de sustitucion</p>
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<div class="responsive_flex">
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<div>
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<input type="radio" name="vehiculosus" id="vehiculosusno" checked>
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<label class="label_std" style="width: max-content;" for="vehiculosusno">No necesita</label>
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</div>
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<div>
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<input type="radio" name="vehiculosus" id="vehiculosusturismo">
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<label class="label_std" for="vehiculosusturismo">Turismo</label>
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</div>
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<div>
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<input type="radio" name="vehiculosus" id="vehiculosusfurgoneta">
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<label class="label_std" for="vehiculosusfurgoneta">Furgoneta</label>
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</div>
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</div>
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</div>
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<div>
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<p>* Preferencia de horario de entrega</p>
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<div class="responsive_flex">
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<div>
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<input type="radio" name="horario" id="horarioma" checked>
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<label class="label_std" for="horarioma">Mañanas</label>
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</div>
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<div>
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<input type="radio" name="horario" id="horariota">
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<label class="label_std" for="horariota">Tardes</label>
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</div>
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</div>
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</div>
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<div>
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<p>* Fecha de entrega</p>
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<label class="label_std" style="width:100%;" for="fechaentrega">Las entregas de
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vehiculos se realizaran los lunes, Seleccione una fecha</label>
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<input type="date" min="2024-01-01" max="2024-12-31" step="7" id="fechaentrega" name="fechaentrega"
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required>
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</div>
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<div>
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<input type="checkbox" id="registro" name="registro" required>
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<label for="registro">Acepto la politica de cesion de datos</label>
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</div>
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</fieldset>
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<p style="color: white;">* Los campos marcados con asterisco son obligatorios</p>
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<div style="text-align: right;">
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<input type="submit" class="btn" value="Reservar">
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</div>
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</fieldset>
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</body>
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</html> |