Note: This code is for practice and educational purposes only.
HTML CODE:
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Checkout Form</title>
<!-- Bootstrap CSS -->
<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.3.0/dist/css/bootstrap.min.css" rel="stylesheet">
</head>
<body>
<div class="container py-4">
<div class="py-5 text-center">
<h2>Checkout form</h2>
<p class="lead">Below is an example form built entirely with Bootstrap’s form controls. Each required form
group has a validation state that can be triggered by attempting to submit the form without completing
it.</p>
</div>
<div class="row">
<div class="col-md-4 order-md-2 mb-4">
<h4 class="d-flex justify-content-between align-items-center mb-3">
<span class="text-muted">Your cart</span>
<span class="badge rounded-pill bg-primary">3</span>
</h4>
<ul class="list-group mb-3">
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<h6 class="my-0">Product name</h6>
<small class="text-muted">Brief description</small>
</div>
<span class="text-muted">$12</span>
</li>
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<h6 class="my-0">Second product</h6>
<small class="text-muted">Brief description</small>
</div>
<span class="text-muted">$8</span>
</li>
<li class="list-group-item d-flex justify-content-between lh-condensed">
<div>
<h6 class="my-0">Third item</h6>
<small class="text-muted">Brief description</small>
</div>
<span class="text-muted">$5</span>
</li>
<li class="list-group-item d-flex justify-content-between bg-light">
<div class="text-success">
<h6 class="my-0">Promo code</h6>
<small>EXAMPLECODE</small>
</div>
<span class="text-success">-$5</span>
</li>
<li class="list-group-item d-flex justify-content-between">
<span>Total (USD)</span>
<strong>$20</strong>
</li>
</ul>
<form class="card p-2">
<div class="input-group">
<input type="text" class="form-control" placeholder="Promo code">
<div class="input-group-append">
<button type="submit" class="btn btn-secondary">Redeem</button>
</div>
</div>
</form>
</div>
<div class="col-md-8 order-md-1">
<h4 class="mb-3">Billing address</h4>
<form class="needs-validation" novalidate="">
<div class="row">
<div class="col-md-6 mb-3">
<label for="firstName">First name</label>
<input type="text" minlength="5" class="form-control" id="firstName" placeholder="" value=""
required="">
<div class="invalid-feedback"> Valid first name is required. </div>
</div>
<div class="col-md-6 mb-3">
<label for="lastName">Last name</label>
<input type="text" class="form-control" id="lastName" placeholder="" value="" required="">
<div class="invalid-feedback"> Valid last name is required. </div>
</div>
</div>
<div class="mb-3">
<label for="username">Username</label>
<div class="input-group">
<div class="input-group-prepend">
<span class="input-group-text">@</span>
</div>
<input type="text" class="form-control" id="username" placeholder="Username" required="">
<div class="invalid-feedback" style="width: 100%;"> Your username is required. </div>
</div>
</div>
<div class="mb-3">
<label for="email">Email <span class="text-muted">(Optional)</span></label>
<input type="email" class="form-control" id="email" placeholder="you@example.com">
<div class="invalid-feedback"> Please enter a valid email address for shipping updates. </div>
</div>
<div class="mb-3">
<label for="address">Address</label>
<input type="text" class="form-control" id="address" placeholder="1234 Main St" required="">
<div class="invalid-feedback"> Please enter your shipping address. </div>
</div>
<div class="mb-3">
<label for="address2">Address 2 <span class="text-muted">(Optional)</span></label>
<input type="text" class="form-control" id="address2" placeholder="Apartment or suite">
</div>
<div class="row">
<div class="col-md-5 mb-3">
<label for="country">Country</label>
<select class="custom-select form-control d-block w-100" id="country" required="">
<option value="">Choose...</option>
<option>United States</option>
<option>United Kingdom</option>
<option>India</option>
<option>Nepal</option>
</select>
<div class="invalid-feedback"> Please select a valid country. </div>
</div>
<div class="col-md-4 mb-3">
<label for="state">State</label>
<select class="custom-select form-control d-block w-100" id="state" required="">
<option value="">Choose...</option>
<option>California</option>
<option>Dhaka</option>
<option>Khatmandu</option>
<option>Thimpu</option>
</select>
<div class="invalid-feedback"> Please provide a valid state. </div>
</div>
<div class="col-md-3 mb-3">
<label for="zip">Zip</label>
<input type="text" class="form-control" id="zip" placeholder="" required="">
<div class="invalid-feedback"> Zip code required. </div>
</div>
</div>
<hr class="mb-4">
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="same-address">
<label class="custom-control-label" for="same-address">Shipping address is the same as my
billing address</label>
</div>
<div class="custom-control custom-checkbox">
<input type="checkbox" class="custom-control-input" id="save-info">
<label class="custom-control-label" for="save-info">Save this information for next time</label>
</div>
<hr class="mb-4">
<h4 class="mb-3">Payment</h4>
<div class="d-block my-3">
<div class="custom-control custom-radio">
<input id="credit" name="paymentMethod" type="radio" class="custom-control-input" checked=""
required="">
<label class="custom-control-label" for="credit">Credit card</label>
</div>
<div class="custom-control custom-radio">
<input id="debit" name="paymentMethod" type="radio" class="custom-control-input"
required="">
<label class="custom-control-label" for="debit">Debit card</label>
</div>
<div class="custom-control custom-radio">
<input id="paypal" name="paymentMethod" type="radio" class="custom-control-input"
required="">
<label class="custom-control-label" for="paypal">PayPal</label>
</div>
</div>
<div class="row">
<div class="col-md-6 mb-3">
<label for="cc-name">Name on card</label>
<input type="text" class="form-control" id="cc-name" placeholder="" required="">
<small class="text-muted">Full name as displayed on card</small>
<div class="invalid-feedback"> Name on card is required </div>
</div>
<div class="col-md-6 mb-3">
<label for="cc-number">Credit card number</label>
<input type="text" class="form-control" id="cc-number" placeholder="" required=""
inputmode="numeric" pattern="[0-9]{16,0}" minlength="16">
<div class="invalid-feedback"> Credit card number is required </div>
</div>
</div>
<div class="row">
<div class="col-md-3 mb-3">
<label for="cc-expiration">Expiration</label>
<input type="date" class="form-control" id="cc-expiration" placeholder="" required="">
<div class="invalid-feedback"> Expiration date required </div>
</div>
<div class="col-md-3 mb-3">
<label for="cc-cvv">CVV</label>
<input type="text" class="form-control" id="cc-cvv" placeholder="" required="">
<div class="invalid-feedback"> Security code required </div>
</div>
</div>
<hr class="mb-4">
<button class="btn btn-primary btn-lg btn-block w-100" type="submit">Continue to checkout</button>
</form>
</div>
</div>
</div>
<!-- Bootstrap JS and dependencies -->
<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.3.0/dist/js/bootstrap.bundle.min.js"></script>
<script src="js/script.js"></script>
</body>
</html>
JavaScript CODE:
(function () {
'use strict'
window.addEventListener('load', function () {
// Fetch all the forms we want to apply custom Bootstrap validation styles to
var forms = document.getElementsByClassName('needs-validation')
// Loop over them and prevent submission
Array.prototype.filter.call(forms, function (form) {
form.addEventListener('submit', function (event) {
if (form.checkValidity() === false) {
event.preventDefault()
event.stopPropagation()
}
form.classList.add('was-validated')
}, false)
})
}, false)
}())
