<?php
<!DOCTYPE html>
<html>
<head>
<title>Sky Forms Pro</title>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0, minimum-scale=1.0">
<link rel="stylesheet" href="css/demo.css">
<link rel="stylesheet" href="css/font-awesome.css">
<link rel="stylesheet" href="css/sky-forms.css">
<link rel="stylesheet" href="css/sky-forms-purple.css">
<!--[if lt IE 9]>
<link rel="stylesheet" href="css/sky-forms-ie8.css">
<![endif]-->
<script src="js/jquery.min.js"></script>
<script src="js/jquery.validate.min.js"></script>
<script src="js/jquery.maskedinput.min.js"></script>
<!--[if lt IE 10]>
<script src="js/jquery.placeholder.min.js"></script>
<![endif]-->
<!--[if lt IE 9]>
<script src="http://html5shim.googlecode.com/svn/trunk/html5.js"></script>
<script src="js/sky-forms-ie8.js"></script>
<![endif]-->
</head>
<body class="bg-purple">
<div class="body">
<form action="" id="sky-form" class="sky-form">
<header>Checkout form</header>
<fieldset>
<div class="row">
<section class="col col-6">
<label class="input">
<i class="icon-prepend fa fa-user"></i>
<input type="text" name="fname" placeholder="First name">
</label>
</section>
<section class="col col-6">
<label class="input">
<i class="icon-prepend fa fa-user"></i>
<input type="text" name="lname" placeholder="Last name">
</label>
</section>
</div>
<div class="row">
<section class="col col-6">
<label class="input">
<i class="icon-prepend fa fa-envelope"></i>
<input type="email" name="email" placeholder="E-mail">
</label>
</section>
<section class="col col-6">
<label class="input">
<i class="icon-prepend fa fa-phone"></i>
<input type="tel" name="phone" placeholder="Phone">
</label>
</section>
</div>
</fieldset>
<fieldset>
<div class="row">
<section class="col col-5">
<label class="select">
<select name="country">
<option value="0" selected disabled>Country</option>
<option value="244">Aaland Islands</option>
<option value="1">Afghanistan</option>
<option value="2">Albania</option>
<option value="3">Algeria</option>
<option value="4">American Samoa</option>
<option value="5">Andorra</option>
<option value="6">Angola</option>
<option value="7">Anguilla</option>
<option value="8">Antarctica</option>
<option value="9">Antigua and Barbuda</option>
<option value="10">Argentina</option>
<option value="11">Armenia</option>
<option value="12">Aruba</option>
<option value="13">Australia</option>
<option value="14">Austria</option>
<option value="15">Azerbaijan</option>
<option value="16">Bahamas</option>
<option value="17">Bahrain</option>
<option value="18">Bangladesh</option>
<option value="19">Barbados</option>
<option value="20">Belarus</option>
<option value="21">Belgium</option>
<option value="22">Belize</option>
<option value="23">Benin</option>
<option value="24">Bermuda</option>
<option value="25">Bhutan</option>
<option value="26">Bolivia</option>
<option value="245">Bonaire, Sint Eustatius and Saba</option>
<option value="27">Bosnia and Herzegovina</option>
<option value="28">Botswana</option>
<option value="29">Bouvet Island</option>
<option value="30">Brazil</option>
<option value="31">British Indian Ocean Territory</option>
<option value="32">Brunei Darussalam</option>
<option value="33">Bulgaria</option>
<option value="34">Burkina Faso</option>
<option value="35">Burundi</option>
<option value="36">Cambodia</option>
<option value="37">Cameroon</option>
<option value="38">Canada</option>
<option value="251">Canary Islands</option>
<option value="39">Cape Verde</option>
<option value="40">Cayman Islands</option>
<option value="41">Central African Republic</option>
<option value="42">Chad</option>
<option value="43">Chile</option>
<option value="44">China</option>
<option value="45">Christmas Island</option>
<option value="46">Cocos (Keeling) Islands</option>
<option value="47">Colombia</option>
<option value="48">Comoros</option>
<option value="49">Congo</option>
<option value="50">Cook Islands</option>
<option value="51">Costa Rica</option>
<option value="52">Cote D'Ivoire</option>
<option value="53">Croatia</option>
<option value="54">Cuba</option>
<option value="246">Curacao</option>
<option value="55">Cyprus</option>
<option value="56">Czech Republic</option>
<option value="237">Democratic Republic of Congo</option>
<option value="57">Denmark</option>
<option value="58">Djibouti</option>
<option value="59">Dominica</option>
<option value="60">Dominican Republic</option>
<option value="61">East Timor</option>
<option value="62">Ecuador</option>
<option value="63">Egypt</option>
<option value="64">El Salvador</option>
<option value="65">Equatorial Guinea</option>
<option value="66">Eritrea</option>
<option value="67">Estonia</option>
<option value="68">Ethiopia</option>
<option value="69">Falkland Islands (Malvinas)</option>
<option value="70">Faroe Islands</option>
<option value="71">Fiji</option>
<option value="72">Finland</option>
<option value="74">France, skypolitan</option>
<option value="75">French Guiana</option>
<option value="76">French Polynesia</option>
<option value="77">French Southern Territories</option>
<option value="126">FYROM</option>
<option value="78">Gabon</option>
<option value="79">Gambia</option>
<option value="80">Georgia</option>
<option value="81">Germany</option>
<option value="82">Ghana</option>
<option value="83">Gibraltar</option>
<option value="84">Greece</option>
<option value="85">Greenland</option>
<option value="86">Grenada</option>
<option value="87">Guadeloupe</option>
<option value="88">Guam</option>
<option value="89">Guatemala</option>
<option value="241">Guernsey</option>
<option value="90">Guinea</option>
<option value="91">Guinea-Bissau</option>
<option value="92">Guyana</option>
<option value="93">Haiti</option>
<option value="94">Heard and Mc Donald Islands</option>
<option value="95">Honduras</option>
<option value="96">Hong Kong</option>
<option value="97">Hungary</option>
<option value="98">Iceland</option>
<option value="99">India</option>
<option value="100">Indonesia</option>
<option value="101">Iran (Islamic Republic of)</option>
<option value="102">Iraq</option>
<option value="103">Ireland</option>
<option value="104">Israel</option>
<option value="105">Italy</option>
<option value="106">Jamaica</option>
<option value="107">Japan</option>
<option value="240">Jersey</option>
<option value="108">Jordan</option>
<option value="109">Kazakhstan</option>
<option value="110">Kenya</option>
<option value="111">Kiribati</option>
<option value="113">Korea, Republic of</option>
<option value="114">Kuwait</option>
<option value="115">Kyrgyzstan</option>
<option value="116">Lao People's Democratic Republic</option>
<option value="117">Latvia</option>
<option value="118">Lebanon</option>
<option value="119">Lesotho</option>
<option value="120">Liberia</option>
<option value="121">Libyan Arab Jamahiriya</option>
<option value="122">Liechtenstein</option>
<option value="123">Lithuania</option>
<option value="124">Luxembourg</option>
<option value="125">Macau</option>
<option value="127">Madagascar</option>
<option value="128">Malawi</option>
<option value="129">Malaysia</option>
<option value="130">Maldives</option>
<option value="131">Mali</option>
<option value="132">Malta</option>
<option value="133">Marshall Islands</option>
<option value="134">Martinique</option>
<option value="135">Mauritania</option>
<option value="136">Mauritius</option>
<option value="137">Mayotte</option>
<option value="138">Mexico</option>
<option value="139">Micronesia, Federated States of</option>
<option value="140">Moldova, Republic of</option>
<option value="141">Monaco</option>
<option value="142">Mongolia</option>
<option value="242">Montenegro</option>
<option value="143">Montserrat</option>
<option value="144">Morocco</option>
<option value="145">Mozambique</option>
<option value="146">Myanmar</option>
<option value="147">Namibia</option>
<option value="148">Nauru</option>
<option value="149">Nepal</option>
<option value="150">Netherlands</option>
<option value="151">Netherlands Antilles</option>
<option value="152">New Caledonia</option>
<option value="153">New Zealand</option>
<option value="154">Nicaragua</option>
<option value="155">Niger</option>
<option value="156">Nigeria</option>
<option value="157">Niue</option>
<option value="158">Norfolk Island</option>
<option value="112">North Korea</option>
<option value="159">Northern Mariana Islands</option>
<option value="160">Norway</option>
<option value="161">Oman</option>
<option value="162">Pakistan</option>
<option value="163">Palau</option>
<option value="247">Palestinian Territory, Occupied</option>
<option value="164">Panama</option>
<option value="165">Papua New Guinea</option>
<option value="166">Paraguay</option>
<option value="167">Peru</option>
<option value="168">Philippines</option>
<option value="169">Pitcairn</option>
<option value="170">Poland</option>
<option value="171">Portugal</option>
<option value="172">Puerto Rico</option>
<option value="173">Qatar</option>
<option value="174">Reunion</option>
<option value="175">Romania</option>
<option value="176">Russian Federation</option>
<option value="177">Rwanda</option>
<option value="178">Saint Kitts and Nevis</option>
<option value="179">Saint Lucia</option>
<option value="180">Saint Vincent and the Grenadines</option>
<option value="181">Samoa</option>
<option value="182">San Marino</option>
<option value="183">Sao Tome and Principe</option>
<option value="184">Saudi Arabia</option>
<option value="185">Senegal</option>
<option value="243">Serbia</option>
<option value="186">Seychelles</option>
<option value="187">Sierra Leone</option>
<option value="188">Singapore</option>
<option value="189">Slovak Republic</option>
<option value="190">Slovenia</option>
<option value="191">Solomon Islands</option>
<option value="192">Somalia</option>
<option value="193">South Africa</option>
<option value="194">South Georgia & South Sandwich Islands</option>
<option value="248">South Sudan</option>
<option value="195">Spain</option>
<option value="196">Sri Lanka</option>
<option value="249">St. Barthelemy</option>
<option value="197">St. Helena</option>
<option value="250">St. Martin (French part)</option>
<option value="198">St. Pierre and Miquelon</option>
<option value="199">Sudan</option>
<option value="200">Suriname</option>
<option value="201">Svalbard and Jan Mayen Islands</option>
<option value="202">Swaziland</option>
<option value="203">Sweden</option>
<option value="204">Switzerland</option>
<option value="205">Syrian Arab Republic</option>
<option value="206">Taiwan</option>
<option value="207">Tajikistan</option>
<option value="208">Tanzania, United Republic of</option>
<option value="209">Thailand</option>
<option value="210">Togo</option>
<option value="211">Tokelau</option>
<option value="212">Tonga</option>
<option value="213">Trinidad and Tobago</option>
<option value="214">Tunisia</option>
<option value="215">Turkey</option>
<option value="216">Turkmenistan</option>
<option value="217">Turks and Caicos Islands</option>
<option value="218">Tuvalu</option>
<option value="219">Uganda</option>
<option value="220">Ukraine</option>
<option value="221">United Arab Emirates</option>
<option value="222">United Kingdom</option>
<option value="223">United States</option>
<option value="224">United States Minor Outlying Islands</option>
<option value="225">Uruguay</option>
<option value="226">Uzbekistan</option>
<option value="227">Vanuatu</option>
<option value="228">Vatican City State (Holy See)</option>
<option value="229">Venezuela</option>
<option value="230">Viet Nam</option>
<option value="231">Virgin Islands (British)</option>
<option value="232">Virgin Islands (U.S.)</option>
<option value="233">Wallis and Futuna Islands</option>
<option value="234">Western Sahara</option>
<option value="235">Yemen</option>
<option value="238">Zambia</option>
<option value="239">Zimbabwe</option>
<select>
<i></i>
</label>
</section>
<section class="col col-4">
<label class="input">
<input type="text" name="city" placeholder="City">
</label>
</section>
<section class="col col-3">
<label class="input">
<input type="text" name="code" placeholder="Post code">
</label>
</section>
</div>
<section>
<label for="file" class="input">
<input type="text" name="address" placeholder="Address">
</label>
</section>
<section>
<label class="textarea">
<textarea rows="3" name="info" placeholder="Additional info"></textarea>
</label>
</section>
</fieldset>
<fieldset>
<section>
<div class="inline-group">
<label class="radio"><input type="radio" name="radio-inline" checked><i></i>Visa</label>
<label class="radio"><input type="radio" name="radio-inline"><i></i>MasterCard</label>
<label class="radio"><input type="radio" name="radio-inline"><i></i>PayPal</label>
</div>
</section>
<section>
<label class="input">
<input type="text" name="name" placeholder="Name on card">
</label>
</section>
<div class="row">
<section class="col col-10">
<label class="input">
<input type="text" name="card" id="card" placeholder="Card number">
</label>
</section>
<section class="col col-2">
<label class="input">
<input type="text" name="cvv" id="cvv" placeholder="CVV2">
</label>
</section>
</div>
<div class="row">
<label class="label col col-4">Expiration date</label>
<section class="col col-5">
<label class="select">
<select name="month">
<option value="0" selected disabled>Month</option>
<option value="1">January</option>
<option value="1">February</option>
<option value="3">March</option>
<option value="4">April</option>
<option value="5">May</option>
<option value="6">June</option>
<option value="7">July</option>
<option value="8">August</option>
<option value="9">September</option>
<option value="10">October</option>
<option value="11">November</option>
<option value="12">December</option>
</select>
<i></i>
</label>
</section>
<section class="col col-3">
<label class="input">
<input type="text" name="year" id="year" placeholder="Year">
</label>
</section>
</div>
</fieldset>
<footer>
<button type="submit" class="button">Continue</button>
</footer>
</form>
</div>
<script type="text/javascript">
$(function()
{
// Masking
$('#cvv').mask('999', {placeholder:'X'});
$('#card').mask('9999-9999-9999-9999', {placeholder:'X'});
$('#year').mask('2099', {placeholder:'X'});
// Add validation method
$.validator.addMethod("creditcard", function(value, element, param)
{
if( /[^0-9-]+/.test(value) )
{
return false;
}
},
$.validator.format('Please enter a valid credit card number.'));
// Validation
$('#sky-form').validate(
{
// Rules for form validation
rules:
{
fname:
{
required: true
},
lname:
{
required: true
},
email:
{
required: true,
email: true
},
phone:
{
required: true
},
country:
{
required: true
},
city:
{
required: true
},
code:
{
required: true,
digits: true
},
address:
{
required: true
},
name:
{
required: true
},
card:
{
required: true
},
cvv:
{
required: true,
digits: true
},
month:
{
required: true
},
year:
{
required: true,
digits: true
}
},
// Messages for form validation
messages:
{
fname:
{
required: 'Please enter your first name'
},
lname:
{
required: 'Please enter your last name'
},
email:
{
required: 'Please enter your email address',
email: 'Please enter a VALID email address'
},
phone:
{
required: 'Please enter your phone number'
},
country:
{
required: 'Please select your country'
},
city:
{
required: 'Please enter your city'
},
code:
{
required: 'Please enter code',
digits: 'Digits only please'
},
address:
{
required: 'Please enter your full address'
},
name:
{
required: 'Please enter name on your card'
},
card:
{
required: 'Please enter your card number'
},
cvv:
{
required: 'Enter CVV2',
digits: 'Digits only'
},
month:
{
required: 'Select month'
},
year:
{
required: 'Enter year',
digits: 'Digits only please'
}
},
// Do not change code below
errorPlacement: function(error, element)
{
error.insertAfter(element.parent());
}
});
});
</script>
</body>
</html>
?>