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repair_request.php
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38 lines (28 loc) · 1.39 KB
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<?php include 'include/connect.php'; ?>
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Repair Request Application</title>
<script src="https://cdn.tailwindcss.com"></script>
</head>
<body class="bg-gray-100 h-screen flex items-center justify-center">
<?php include 'include/header.php' ?>
<div class="container mx-auto mt-12 p-8 bg-white max-w-md rounded-md shadow-md">
<h2 class="text-2xl font-bold mb-6">Repair Request Application</h2>
<form action="include/process_application.php" method="post">
<input type="hidden" name="type" value="repair_request" class="hidden">
<div class="mb-4">
<label for="description" class="block text-sm font-semibold text-gray-600">Description</label>
<textarea name="description" id="description" placeholder="Description" required class="w-full mt-1 p-2 border rounded-md resize-none focus:outline-none focus:ring focus:border-blue-300"></textarea>
</div>
<div class="mb-4">
<button type="submit" class="bg-blue-500 text-white px-4 py-2 rounded-md hover:bg-blue-600 focus:outline-none focus:ring focus:border-blue-300">
Submit Application
</button>
</div>
</form>
</div>
</body>
</html>