Londinium - premium responsive admin template by Eugene Kopyov

### Form snippets Different useful ready-to-use snippets

9

##### Form spinnets

A couple of ready-to-use form snippets - reports, contact forms, CV, shipping, payment, job listings etc.

###### Bug report

Username:
Email:
Operating system:
Browser:
Upload screenshot: Accepted formats: gif, png, jpg. Max file size 2Mb
Issue type:
Additional information:

###### Job application

###### General information General information about applicant

Select position:
Applicant name:
Email address:
Phone #:
Date of birth:

###### Education: Where and when did you get your degree

Latest degree
University:
Country:
Degree level:
From:
To:
Previous degree
University:
Country:
Degree level:
From:
To:

###### Work experience: Let us know about your work experience

Latest experience
Company:
Country:
Position:
From:
To:
Previous experience
Company:
Country:
Position:
From:
To:

###### Additions: Fields below are not required

Availability:
Immediately
1 - 2 weeks
3 - 4 weeks
More than 1 month
Additional information:
Applicant resume: Accepted formats: pdf, doc. Max file size 2Mb
Where did you find us?

###### Simple contact form

Your name:
Email address:
Your name:

###### Advanced contact form

Your name: *
Email address: *
Country: *
City:
ZIP code:
Address line 1: *
Address line 2:
Company: *
Phone #:
Department: *
Your message: * Field limited to 100 characters.

###### Simple registration form

Username:
Password:
Repeat password:
Are you a human?
7 + 5 - 12 = ?
Country:
Gender:
Male Female
About yourself:

###### Separate form

Username:
Password:
Country:
Gender:
Male Female
About yourself:

###### Separate form

Username:
Password:
Country:
Gender:
Male Female
About yourself:

###### Survey

###### Would you recommend our services?

Definitely yes!
Yes, but with some notes
Not decided yet
Probably yes
I wouldn't recommend you to anyone

###### Survey results

###### Would you recommend our services?

Definitely yes!
56% Complete
Yes, but with some notes
88% Complete
Not decided yet
84% Complete
Probably yes
32% Complete
I wouldn't recommend you
18% Complete

###### Feedback form

First name
Last name
Email
How satisfied are you with:

Service description | Satisfied | Neutral | Unsatisfied
--- | --- | --- | ---
Services quality |  |  |
Products quality |  |  |
Support quality |  |  |

Your feedback

###### Subscribe form

###### Subscribe to our newsletter To receive your updates, please fill the form below

Your email:
Subscribtion:
How often you want to receive updates?
Daily Weekly Monthly

###### Shipping information

###### Step 1: Your shipping information Please enter your shipping info

Country:
First name
Last name
Address line 1
Address line 2
City
State/Province
ZIP code
Email name@domain.com
Phone # +99-99-9999-9999

###### Shipping method

###### Step 2: Shipping method Please choose prefered shipping method

$50.30 - Fedex Express Expedited Delivery $24.40 - UPS Ground Shipping
$36.99 - USPS Priority International $120.90 - DHL Express International Delivery

###### Billing address

###### Step 3: Billing address Uncheck if your billing info is different

The same as shipping address
Country:
First name
Last name
Address line 1
Address line 2
City
State/Province
ZIP code
Email name@domain.com
Phone # +99-99-9999-9999

###### Payment information

###### Step 4: Payment information Enter your payment info

Card Holder's Name
Card Number
Card Expiry Date
Card CVV