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Service Quote Request Form (HTML)

A service estimate request for testing lead intake, scope extraction, site classification, schedule normalization, budget bands, and contact-field mapping. This standalone HTML reference works offline, uses explicit labels and native validation, and submits nowhere.

Preview — first 37 lineshtml
<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8">
<meta name="viewport" content="width=device-width, initial-scale=1">
<title>Service Quote Request (SAMPLE)</title>
<meta name="description" content="A service estimate request for testing lead intake, scope extraction, site classification, schedule normalization, budget bands, and contact-field mapping. SAMPLE data only.">
<style>:root{--bg:#f6f7f9;--card:#fff;--fg:#1a1d23;--muted:#5b6472;--border:#d9dee6;--accent:#0f9d6b;--accent-d:#0c7f56;--err:#d33;--radius:10px}*{box-sizing:border-box}body{margin:0;font:16px/1.5 system-ui,-apple-system,'Segoe UI',Roboto,sans-serif;background:var(--bg);color:var(--fg);padding:2rem 1rem}.wrap{max-width:640px;margin:0 auto}.card{background:var(--card);border:1px solid var(--border);border-radius:16px;padding:1.75rem;box-shadow:0 1px 3px rgba(0,0,0,.05)}h1{margin:0 0 .25rem;font-size:1.55rem}.lead{margin:0 0 1.5rem;color:var(--muted)}form{display:grid;gap:1.1rem}.field{display:grid;gap:.35rem}label{font-weight:600;font-size:.92rem}.req{color:var(--err)}.hint{font-size:.8rem;color:var(--muted)}input,select,textarea{font:inherit;color:inherit;background:#fff;border:1px solid var(--border);border-radius:var(--radius);padding:.6rem .7rem;width:100%}input:focus,select:focus,textarea:focus{outline:2px solid var(--accent);outline-offset:1px;border-color:var(--accent)}textarea{resize:vertical;min-height:110px}input[type=range]{padding:0}input[type=color]{height:44px;padding:.25rem}input[type=file]{padding:.45rem}.group{display:grid;gap:.45rem}.opt{display:flex;align-items:center;gap:.55rem;font-weight:400}.opt input{width:auto}.inline{display:flex;flex-wrap:wrap;gap:1rem}fieldset{border:1px solid var(--border);border-radius:12px;padding:1rem;margin:0}legend{font-weight:600;padding:0 .4rem}.hp{position:absolute!important;left:-9999px;width:1px;height:1px;overflow:hidden}button{font:inherit;font-weight:700;cursor:pointer;border:0;border-radius:var(--radius);padding:.7rem 1.3rem}.btn{background:var(--accent);color:#fff}.btn:hover{background:var(--accent-d)}.btn-ghost{background:transparent;color:var(--muted);border:1px solid var(--border)}.actions{display:flex;gap:.6rem;flex-wrap:wrap;margin-top:.3rem}.ok{display:none;background:#e7f7ef;border:1px solid #b6e6cf;color:#0c7f56;border-radius:var(--radius);padding:.7rem .9rem;font-size:.9rem}.foot{margin-top:1.25rem;font-size:.78rem;color:var(--muted);text-align:center}@media(max-width:480px){body{padding:1rem .5rem}.card{padding:1.25rem}}</style>
</head>
<body>
<main class="wrap"><div class="card">
<h1>Service Quote Request (SAMPLE)</h1>
<p class="lead">A service estimate request for testing lead intake, scope extraction, site classification, schedule normalization, budget bands, and contact-field mapping. SAMPLE data only.</p>
<form method="post" action="#" novalidate>
<div class="hp" aria-hidden="true"><label>Leave this field empty<input type="text" name="website" tabindex="-1" autocomplete="off"></label></div>
<fieldset><legend>Requester</legend>
<div class="field"><label for="p6-requester">Requester name <span class="req">*</span></label><input id="p6-requester" name="requester" type="text" autocomplete="name" value="Riley Morgan" required></div>
<div class="field"><label for="p6-business_email">Business email <span class="req">*</span></label><input id="p6-business_email" name="business_email" type="email" autocomplete="email" value="riley.morgan@example.com" required></div>
<div class="field"><label for="p6-contact_phone">Contact phone</label><input id="p6-contact_phone" name="contact_phone" type="tel" autocomplete="tel" inputmode="tel" value="+1 555 010 7744"></div>
</fieldset>
<fieldset><legend>Project</legend>
<div class="field"><label for="p6-service_type">Service type <span class="req">*</span></label><select id="p6-service_type" name="service_type" required><option value="Accessibility review" selected>Accessibility review</option><option value="Data migration">Data migration</option><option value="Document conversion">Document conversion</option><option value="Template design">Template design</option><option value="Quality assurance">Quality assurance</option></select></div>
<div class="field"><label for="p6-scope">Project scope <span class="req">*</span></label><textarea id="p6-scope" name="scope" rows="4" required>Review twelve sample forms and provide prioritized remediation notes.</textarea></div>
<div class="field"><label for="p6-site_type">Delivery context <span class="req">*</span></label><select id="p6-site_type" name="site_type" required><option value="Web application" selected>Web application</option><option value="Mobile application">Mobile application</option><option value="Document library">Document library</option><option value="On-site service">On-site service</option><option value="Other">Other</option></select></div>
<div class="field"><label for="p6-preferred_date">Preferred start date</label><input id="p6-preferred_date" name="preferred_date" type="date" value="2026-08-24"></div>
<div class="field"><label for="p6-budget_band">Budget band <span class="req">*</span></label><select id="p6-budget_band" name="budget_band" required><option value="Under $2,500">Under $2,500</option><option value="$2,500-$4,999">$2,500-$4,999</option><option value="$5,000-$9,999" selected>$5,000-$9,999</option><option value="$10,000 or more">$10,000 or more</option></select></div>
</fieldset>
<p class="hint" data-locked="notice">SAMPLE test data only. Nothing is submitted, uploaded, or stored.</p>
<div class="ok" role="status">Sample validated locally - nothing was sent.</div>
<div class="actions"><button type="submit" class="btn">Submit sample</button></div>
</form>
<p class="foot">Free example form from Novus Examples · works offline, no data leaves your browser.</p>
</div></main>
<script>document.querySelectorAll('form').forEach(function(f){f.addEventListener('submit',function(e){e.preventDefault();var hp=f.querySelector('.hp input');if(hp&&hp.value){return;}if(!f.checkValidity()){f.reportValidity();return;}var ok=f.querySelector('.ok');if(ok){ok.style.display='block';ok.scrollIntoView({block:'nearest'});}f.reset();});});</script>
</body>
</html>

Specifications

Use Case
service-sales
Fields
8
Family
service-quote-request
Artifacts
5
Validation
HTML5 native
Honeypot
website
Offline
true
Live Demo
false

Testing contract

Reference control
Scenario
Service Quote Request: html interoperability
Expected result
A parser discovers 8 named fields, preserves section order and required flags, and submits only the documented field names.

What is a .html file?

HTML (HyperText Markup Language) is the structural markup language of the web, using nested tags to define document content, semantics, and links. It is typically paired with CSS for presentation and JavaScript for behavior. It is the foundational format rendered by browsers.

How to use this file

Use an example HTML file to test parsers, DOM construction, sanitization of untrusted markup, and rendering or scraping pipelines.

How to use this file for testing

“Service Quote Request Form (HTML)” is a deterministic Novus Examples fixture for Form testing, Form parsing, Autofill testing. HTML and PDF form files for testing scrapers, autofill, validators, and PDF form fillers across real-life use cases.

Documented properties for this file: 8 fields. Compare results against paired or grouped companions on this page when present (clean↔damaged, searchable↔scanned, or format twins) so scores stay reproducible across runs.

Download the file once, keep the path stable in CI or local scripts, and treat the spec table as the contract: dimensions, seeds, field lists, and roles are intentional. Corrupt or invalid samples are labelled as such — expect parsers to fail loudly rather than silently accept them.

This form is fictional SAMPLE content for tooling tests (autofill, scrapers, PDF fillers). It is not an official government, bank, or clinic form. Open the HTML offline or fill the PDF in any viewer; the demo submit path never stores data.

Embed this form

It's a single self-contained HTML file (inlined CSS, native validation, no external requests). Download it, host it on your own site, and drop it into any page with an iframe.

iframe embed
<!-- Download service-quote-request.html, host it on your site, then embed the form anywhere: -->
<iframe
  src="/path/to/service-quote-request.html"
  title="Service Quote Request Form (HTML)"
  width="100%"
  height="640"
  loading="lazy"
  style="border:0">
</iframe>

Generated by generation/forms_p6.py. Free for any use, no attribution required — license.