Untitled

<!DOCTYPE html>
<html>
<head>
<body>
<meta charset="UTF-8"/>
<title>Формуляр</title>
<hr/>
<form>
Name&nbsp;<input type="text" required="1" name="firstname"></p>
Phone&nbsp;<input type="tel" name="phone"></p>
Email&nbsp;<input type="email" name="email"></p>
<fieldset>
<legend>Which taxi do you require?</legend>
</p>
<input type="radio" required="1" name="vehicle" value="Car"> Car</p>
<input type="radio" required="1" name="vehicle" value="Van"> Van</p>
<input type="radio" required="1" name="vehicle" value="Tuk Tuk"> Tuk Tuk
</fieldset>
<fieldset>
<legend>Extras</legend>
<input type="checkbox" name="extras" value="seat"> Baby Seat</p>
<input type="checkbox" name="extras" value="acces"> Wheelchair Access</p>
<input type="checkbox" name="extras" value="stock"> Stock Tip
</fieldset></p>
Pickup Date/Time
<input type="datetime-local" required="1" name="pickuptime"></p>
Pickup Place
<select name="Select one">
</p><option value="volvo">Select one</option>
<option value="taxi office">Taxi Office</option>
<option value="town hall">Town Hall</option>
<option value="guess">We'll Guess!</option>
</select></p>
</br>Dropoff Place
<input type="text" required="1" name="firstname"></p>
</br>Special Instructions
<textarea name="message" rows="3" cols="20">
</textarea>
</br><input type="submit" value="Submit Booking">
<input type="reset">
</form>
</body>
</head>
</html>