{% extends "public/public_base.html" %}
{% block content %}
<div class="container py-5" style="max-width: 700px;">
  <div class="card shadow-sm">
    <div class="card-header bg-white">
      <h4 class="mb-0">
        <i class="bi bi-clipboard-check me-2"></i> Request a Live Demo
      </h4>
      <small class="text-muted">Fill this form and we’ll create a trial HRMS account for you.</small>
    </div>
    <form method="POST" class="card-body">
      <div class="row g-3">
        <div class="col-md-6">
          <label class="form-label mb-1">Company Name <span class="text-danger">*</span></label>
          <input type="text" name="company_name" class="form-control" required>
        </div>
        <div class="col-md-6">
          <label class="form-label mb-1">Your Name <span class="text-danger">*</span></label>
          <input type="text" name="contact_name" class="form-control" required>
        </div>

        <div class="col-md-6">
          <label class="form-label mb-1">Work Email <span class="text-danger">*</span></label>
          <input type="email" name="work_email" class="form-control" required>
        </div>
        <div class="col-md-6">
          <label class="form-label mb-1">Phone</label>
          <input type="text" name="phone" class="form-control">
        </div>

        <div class="col-md-6">
          <label class="form-label mb-1">Website</label>
          <input type="text" name="website" class="form-control" placeholder="https://">
        </div>
        <div class="col-md-6">
          <label class="form-label mb-1">No. of Employees</label>
          <select name="employee_count" class="form-select">
            <option value="">-- Select --</option>
            <option value="1-25">1–25</option>
            <option value="26-100">26–100</option>
            <option value="101-250">101–250</option>
            <option value="251-500">251–500</option>
            <option value="500+">500+</option>
          </select>
        </div>

        <div class="col-12">
          <label class="form-label mb-1">Anything specific you’d like to see?</label>
          <textarea name="message" rows="3" class="form-control"
                    placeholder="Eg. Attendance, Payroll, Leave, etc."></textarea>
        </div>
      </div>

      <div class="d-flex justify-content-end mt-4">
        <button type="submit" class="btn btn-primary">
          <i class="bi bi-send me-1"></i> Submit Request
        </button>
      </div>
    </form>
  </div>
</div>
{% endblock %}