<form class="form-horizontal">
<fieldset>

<!-- Form Name -->
<legend>Andesite Request Form</legend>

<!-- Text input-->
<div class="control-group">
  <label class="control-label" for="Full Name">Full Name</label>
  <div class="controls">
    <input id="Full Name" name="name" type="text" placeholder="First &amp; Lastname" class="input-xlarge" required="">

  </div>
</div>

<!-- Text input-->
<div class="control-group">
  <label class="control-label" for="contact">Skype or E-mail Address</label>
  <div class="controls">
    <input id="contact" name="contact" type="text" placeholder="Best way to contact you" class="input-xlarge" required="">

  </div>
</div>

<!-- Button Drop Down -->
<div class="control-group">
  <label class="control-label" for="lookingfor">What are you looking for?</label>
  <div class="controls">
    <select id="lookingfor" name="lookingfor" class="input-xlarge">
      <option>Server Build</option>
      <option>Custom Plugin</option>
      <option>Plugin Setup</option>
      <option>Server Setup</option>
      <option>Network Setup</option>
      <option>Enjin Website</option>
      <option>Graphics</option>
    </select>
  </div>
</div>

<!-- Multiple Radios -->
<div class="control-group">
  <label class="control-label" for="budget">Spending Budget</label>
  <div class="controls">
    <label class="radio" for="budget-0">
      <input type="radio" name="budget" id="budget-0" value="$5>" checked="checked">
      $5&gt;
    </label>
    <label class="radio" for="budget-1">
      <input type="radio" name="budget" id="budget-1" value="$10>">
      $10&gt;
    </label>
    <label class="radio" for="budget-2">
      <input type="radio" name="budget" id="budget-2" value="$20>">
      $20&gt;
    </label>
    <label class="radio" for="budget-3">
      <input type="radio" name="budget" id="budget-3" value="$30>">
      $30&gt;
    </label>
    <label class="radio" for="budget-4">
      <input type="radio" name="budget" id="budget-4" value="$50>">
      $50&gt;
    </label>
  </div>
</div>

<!-- Text input-->
<div class="control-group">
  <label class="control-label" for="time">When will you need this done?</label>
  <div class="controls">
    <input id="time" name="time" type="text" placeholder="" class="input-xlarge" required="">

  </div>
</div>

<!-- Button -->
<div class="control-group">
  <label class="control-label" for="submit"></label>
  <div class="controls">
    <button id="submit" name="submit" class="btn btn-success">Send Request</button>
  </div>
</div>

</fieldset>
</form>

<?php
if(!empty($_POST['name'])){
	$data = [
			'name' => $_POST['name'],
			'contact' => $_POST['contact'],
			'lookingfor' => $_POST['lookingfor'],
			'budget' => $_POST['budget'],
			'time' => $_POST['time']
		];
	$file = 'people.txt';
	file_put_contents($file, json_encode($data), FILE_APPEND | LOCK_EX);
}