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HTML

              
                
  <body>
    <!-- START FORM BODY -->
    <div id="container">
      <header>
        <img src="https://auctionking.com/assets/charity/logo/YourLogoHere.png">
        <h1>CONTACT FORM</h1>
      </header>
      
      <form>
        <fieldset>
          <legend>Fields marked with * are required</legend>
          <br/>

          <!-- START DIV part-1 PERSONAL INFORMATION -->
          <div id="part-1">
            <h2>Personal Information (required)</h2>
            <label for="first-name">First Name</label>
            <input type="text" name="first-name" id="first-name" required>
            <br/>
            <label for="last-name">Last Name</label>
            <input type="text" name="last-name" id="last-name" required> 
            <br/>
            <label for="birthdate">Birth Date</label>
            <input type="date" name="birthdate" min="1917-01-01" id="birthdate" required>
            <br/>
            <label for="age">Age</label>
            <input type="number" name="age" min="0" max="100" id="age" required>
            <br/>
            <label for="gender">Gender</label>
            <br/>
            <input type="radio" name="gender" value="female" id="gender" required>Female
            <br/>
            <input type="radio" name="gender" value="male" required>Male
            <br/>
            <input type="radio" name="gender" value="other" required>Other
            <br/><br/>
            <label for="country">Select your country</label>
            <br/>
            <select name="country" id="country" required>
              <!-- https://www.freeformatter.com/iso-country-list-html-select.html -->
              <option value="" label="Select a country" selected="selected">Select a country …       </option>
              <option value="AF">Afghanistan</option>
              <option value="AX">Åland Islands</option>
              <option value="AL">Albania</option>
              <option value="DZ">Algeria</option>
              <option value="AS">American Samoa</option>
              <option value="AD">Andorra</option>
              <option value="AO">Angola</option>
              <option value="AI">Anguilla</option>
              <option value="AQ">Antarctica</option>
              <option value="AG">Antigua and Barbuda</option>
              <option value="AR">Argentina</option>
              <option value="AM">Armenia</option>
              <option value="AW">Aruba</option>
              <option value="AU">Australia</option>
              <option value="AT">Austria</option>
              <option value="AZ">Azerbaijan</option>
              <option value="BS">Bahamas</option>
              <option value="BH">Bahrain</option>
              <option value="BD">Bangladesh</option>
              <option value="BB">Barbados</option>
              <option value="BY">Belarus</option>
              <option value="BE">Belgium</option>
              <option value="BZ">Belize</option>
              <option value="BJ">Benin</option>
              <option value="BM">Bermuda</option>
              <option value="BT">Bhutan</option>
              <option value="BO">Bolivia, Plurinational State of</option>
              <option value="BQ">Bonaire, Sint Eustatius and Saba</option>
              <option value="BA">Bosnia and Herzegovina</option>
              <option value="BW">Botswana</option>
              <option value="BV">Bouvet Island</option>
              <option value="BR">Brazil</option>
              <option value="IO">British Indian Ocean Territory</option>
              <option value="BN">Brunei Darussalam</option>
              <option value="BG">Bulgaria</option>
              <option value="BF">Burkina Faso</option>
              <option value="BI">Burundi</option>
              <option value="KH">Cambodia</option>
              <option value="CM">Cameroon</option>
              <option value="CA">Canada</option>
              <option value="CV">Cape Verde</option>
              <option value="KY">Cayman Islands</option>
              <option value="CF">Central African Republic</option>
              <option value="TD">Chad</option>
              <option value="CL">Chile</option>
              <option value="CN">China</option>
              <option value="CX">Christmas Island</option>
              <option value="CC">Cocos (Keeling) Islands</option>
              <option value="CO">Colombia</option>
              <option value="KM">Comoros</option>
              <option value="CG">Congo</option>
              <option value="CD">Congo, the Democratic Republic of the</option>
              <option value="CK">Cook Islands</option>
              <option value="CR">Costa Rica</option>
              <option value="CI">Côte d'Ivoire</option>
              <option value="HR">Croatia</option>
              <option value="CU">Cuba</option>
              <option value="CW">Curaçao</option>
              <option value="CY">Cyprus</option>
              <option value="CZ">Czech Republic</option>
              <option value="DK">Denmark</option>
              <option value="DJ">Djibouti</option>
              <option value="DM">Dominica</option>
              <option value="DO">Dominican Republic</option>
              <option value="EC">Ecuador</option>
              <option value="EG">Egypt</option>
              <option value="SV">El Salvador</option>
              <option value="GQ">Equatorial Guinea</option>
              <option value="ER">Eritrea</option>
              <option value="EE">Estonia</option>
              <option value="ET">Ethiopia</option>
              <option value="FK">Falkland Islands (Malvinas)</option>
              <option value="FO">Faroe Islands</option>
              <option value="FJ">Fiji</option>
              <option value="FI">Finland</option>
              <option value="FR">France</option>
              <option value="GF">French Guiana</option>
              <option value="PF">French Polynesia</option>
              <option value="TF">French Southern Territories</option>
              <option value="GA">Gabon</option>
              <option value="GM">Gambia</option>
              <option value="GE">Georgia</option>
              <option value="DE">Germany</option>
              <option value="GH">Ghana</option>
              <option value="GI">Gibraltar</option>
              <option value="GR">Greece</option>
              <option value="GL">Greenland</option>
              <option value="GD">Grenada</option>
              <option value="GP">Guadeloupe</option>
              <option value="GU">Guam</option>
              <option value="GT">Guatemala</option>
              <option value="GG">Guernsey</option>
              <option value="GN">Guinea</option>
              <option value="GW">Guinea-Bissau</option>
              <option value="GY">Guyana</option>
              <option value="HT">Haiti</option>
              <option value="HM">Heard Island and McDonald Islands</option>
              <option value="VA">Holy See (Vatican City State)</option>
              <option value="HN">Honduras</option>
              <option value="HK">Hong Kong</option>
              <option value="HU">Hungary</option>
              <option value="IS">Iceland</option>
              <option value="IN">India</option>
              <option value="ID">Indonesia</option>
              <option value="IR">Iran, Islamic Republic of</option>
              <option value="IQ">Iraq</option>
              <option value="IE">Ireland</option>
              <option value="IM">Isle of Man</option>
              <option value="IL">Israel</option>
              <option value="IT">Italy</option>
              <option value="JM">Jamaica</option>
              <option value="JP">Japan</option>
              <option value="JE">Jersey</option>
              <option value="JO">Jordan</option>
              <option value="KZ">Kazakhstan</option>
              <option value="KE">Kenya</option>
              <option value="KI">Kiribati</option>
              <option value="KP">Korea, Democratic People's Republic of</option>
              <option value="KR">Korea, Republic of</option>
              <option value="KW">Kuwait</option>
              <option value="KG">Kyrgyzstan</option>
              <option value="LA">Lao People's Democratic Republic</option>
              <option value="LV">Latvia</option>
              <option value="LB">Lebanon</option>
              <option value="LS">Lesotho</option>
              <option value="LR">Liberia</option>
              <option value="LY">Libya</option>
              <option value="LI">Liechtenstein</option>
              <option value="LT">Lithuania</option>
              <option value="LU">Luxembourg</option>
              <option value="MO">Macao</option>
              <option value="MK">Macedonia, the former Yugoslav Republic of</option>
              <option value="MG">Madagascar</option>
              <option value="MW">Malawi</option>
              <option value="MY">Malaysia</option>
              <option value="MV">Maldives</option>
              <option value="ML">Mali</option>
              <option value="MT">Malta</option>
              <option value="MH">Marshall Islands</option>
              <option value="MQ">Martinique</option>
              <option value="MR">Mauritania</option>
              <option value="MU">Mauritius</option>
              <option value="YT">Mayotte</option>
              <option value="MX">Mexico</option>
              <option value="FM">Micronesia, Federated States of</option>
              <option value="MD">Moldova, Republic of</option>
              <option value="MC">Monaco</option>
              <option value="MN">Mongolia</option>
              <option value="ME">Montenegro</option>
              <option value="MS">Montserrat</option>
              <option value="MA">Morocco</option>
              <option value="MZ">Mozambique</option>
              <option value="MM">Myanmar</option>
              <option value="NA">Namibia</option>
              <option value="NR">Nauru</option>
              <option value="NP">Nepal</option>
              <option value="NL">Netherlands</option>
              <option value="NC">New Caledonia</option>
              <option value="NZ">New Zealand</option>
              <option value="NI">Nicaragua</option>
              <option value="NE">Niger</option>
              <option value="NG">Nigeria</option>
              <option value="NU">Niue</option>
              <option value="NF">Norfolk Island</option>
              <option value="MP">Northern Mariana Islands</option>
              <option value="NO">Norway</option>
              <option value="OM">Oman</option>
              <option value="PK">Pakistan</option>
              <option value="PW">Palau</option>
              <option value="PS">Palestinian Territory, Occupied</option>
              <option value="PA">Panama</option>
              <option value="PG">Papua New Guinea</option>
              <option value="PY">Paraguay</option>
              <option value="PE">Peru</option>
              <option value="PH">Philippines</option>
              <option value="PN">Pitcairn</option>
              <option value="PL">Poland</option>
              <option value="PT">Portugal</option>
              <option value="PR">Puerto Rico</option>
              <option value="QA">Qatar</option>
              <option value="RE">Réunion</option>
              <option value="RO">Romania</option>
              <option value="RU">Russian Federation</option>
              <option value="RW">Rwanda</option>
              <option value="BL">Saint Barthélemy</option>
              <option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
              <option value="KN">Saint Kitts and Nevis</option>
              <option value="LC">Saint Lucia</option>
              <option value="MF">Saint Martin (French part)</option>
              <option value="PM">Saint Pierre and Miquelon</option>
              <option value="VC">Saint Vincent and the Grenadines</option>
              <option value="WS">Samoa</option>
              <option value="SM">San Marino</option>
              <option value="ST">Sao Tome and Principe</option>
              <option value="SA">Saudi Arabia</option>
              <option value="SN">Senegal</option>
              <option value="RS">Serbia</option>
              <option value="SC">Seychelles</option>
              <option value="SL">Sierra Leone</option>
              <option value="SG">Singapore</option>
              <option value="SX">Sint Maarten (Dutch part)</option>
              <option value="SK">Slovakia</option>
              <option value="SI">Slovenia</option>
              <option value="SB">Solomon Islands</option>
              <option value="SO">Somalia</option>
              <option value="ZA">South Africa</option>
              <option value="GS">South Georgia and the South Sandwich Islands</option>
              <option value="SS">South Sudan</option>
              <option value="ES">Spain</option>
              <option value="LK">Sri Lanka</option>
              <option value="SD">Sudan</option>
              <option value="SR">Suriname</option>
              <option value="SJ">Svalbard and Jan Mayen</option>
              <option value="SZ">Swaziland</option>
              <option value="SE">Sweden</option>
              <option value="CH">Switzerland</option>
              <option value="SY">Syrian Arab Republic</option>
              <option value="TW">Taiwan, Province of China</option>
              <option value="TJ">Tajikistan</option>
              <option value="TZ">Tanzania, United Republic of</option>
              <option value="TH">Thailand</option>
              <option value="TL">Timor-Leste</option>
              <option value="TG">Togo</option>
              <option value="TK">Tokelau</option>
              <option value="TO">Tonga</option>
              <option value="TT">Trinidad and Tobago</option>
              <option value="TN">Tunisia</option>
              <option value="TR">Turkey</option>
              <option value="TM">Turkmenistan</option>
              <option value="TC">Turks and Caicos Islands</option>
              <option value="TV">Tuvalu</option>
              <option value="UG">Uganda</option>
              <option value="UA">Ukraine</option>
              <option value="AE">United Arab Emirates</option>
              <option value="GB">United Kingdom</option>
              <option value="US">United States</option>
              <option value="UM">United States Minor Outlying Islands</option>
              <option value="UY">Uruguay</option>
              <option value="UZ">Uzbekistan</option>
              <option value="VU">Vanuatu</option>
              <option value="VE">Venezuela, Bolivarian Republic of</option>
              <option value="VN">Viet Nam</option>
              <option value="VG">Virgin Islands, British</option>
              <option value="VI">Virgin Islands, U.S.</option>
              <option value="WF">Wallis and Futuna</option>
              <option value="EH">Western Sahara</option>
              <option value="YE">Yemen</option>
              <option value="ZM">Zambia</option>
              <option value="ZW">Zimbabwe</option>
            </select>
          </div>
          <!-- END DIV part-1 PERSONAL INFORMATION -->
          <br/>

       	  <!-- START DIV part-2 ACCOUNT INFORMATION -->
          <div id="part-2">
            <h2>Account Information (required)</h2>
            <label for="email">Your e-mail</label>
            <input type="email" name="email" placeholder="account@email.com" id="email" required>
            <label for="password">Password</label>
            <input type="password" name="password" id="password" required>
          </div>
          <!-- END DIV part-2 ACCOUNT INFORMATION -->
          
          <!-- START DIV part-3 OTHER INFORMATION -->
          <div id="part-3">
            <h2>Other Information (optional)</h2>
            <label for="rating">How satisfied are you with our website?</label>
            <br/>
            <input type="radio" name="rating" id="rating" value="Very satisfied" tabindex="-1">Very satisfied
            <br/>
            <input type="radio" name="rating" value="Satisfied" tabindex="-1">Satisfied
            <br/>
            <input type="radio" name="rating" value="Dissatisfied" tabindex="-1">Dissatisfied
            <br/><br/>
            <label for="message">What can we do to improve our website?</label>
            <br/>
            <textarea rows="5" cols="50" id="message" tabindex="-1"></textarea>
          </div>
          <!-- END DIV part-3 ACCOUNT INFORMATION -->
          <br/><br/>
          <input type="submit" id="submitButton" name="submitButton" value="Send-message">
          <input type="reset" id="resetButton" value="Reset all info" tabindex="-1">
        </fieldset>
      </form>
    </div>
    <!-- END FORM BODY -->
  </body>
</html>
    

              
            
!

CSS

              
                * {
    -webkit-box-sizing: border-box;
    -moz-box-sizing: border-box;
    box-sizing: border-box;
}

body {
    margin: 0;
    padding: 0;
    background: url("https://healthcorp.com.au/public/wp-content/uploads/2015/10/bg-grey-shapes.png");
    background-size: cover;
    font-family: 'Roboto Slab', serif;
}

#tema {
    background: orange;
    text-align: left;
    padding: 10px 5px;
    text-align: center;
    position: fixed;
    top: 25px;
    left: 5px;
    font-size: 15px;
    border-radius: .5%;
}

audio {
    background: orange;
    height: 50px;
    width: 100%;
}

header img {
    margin-top: 20px;
    height: 100px;
    width: 100px;
}

#container {
    background: #FFF;
    width: 70%;
    margin: 25px auto;
    border: 1px solid;
    border-radius: .5%;
}

header {
    background: #9645c1;
    text-align: center;
    padding: 1%;
    color: white;
}

form {
    margin: 5%;
    width: 70%;
}

fieldset {
    border: 0px;
}

input[type="text"],
input[type="date"],
input[type="number"],
#country,
input[type="email"],
input[type="password"],
textarea {
    border: 1px solid #9645c1;
    display: block;
    margin: 10px auto;
    padding: 2%;
    width: 100%;
}

input[type="radio"] {
    margin-top: 1.5%;
}

#submitButton {
    background: #c1beba;
    padding: 15px 10px;
    float: left;
    cursor: pointer;
    margin-right: 15px;
}

#submitButton:hover {
    filter: brightness(115%);
}

#resetButton {
    background: #e24f2b;
    padding: 15px 10px;
    color: white;
    float: right;
    cursor: pointer;
}

#resetButton:hover {
    filter: brightness(115%);
}

#part-1 label:after {
    content: " *";
    color: red;
}

#part-2 label:after {
    content: " *";
    color: red;
}

textarea {
    resize: none;
}

/*Media Query */

@media all and (min-width: 0px) and (max-width: 320px) {
    h1 {
        font-size: 22px;
    }
    h2 {
        font-size: 20px;
    }
    #container {
        width: 90%;
        margin-top: 20%;
    }
    #tema {
        width: 100%;
        left: .5px;
        top: 0;
    }
    #resetButton {
        float: left;
    }
}

@media all and (min-width: 321px) and (max-width: 480px) {
    h1 {
        font-size: 22px;
    }
    h2 {
        font-size: 20px;
    }
    #container {
        width: 90%;
        margin-top: 13%;
    }
    #tema {
        width: 100%;
        left: .5px;
        top: 0;
    }
    #resetButton {
        float: left;
    }
}

@media all and (min-width: 481px) and (max-width: 568px) {
    h1 {
        font-size: 22px;
    }
    h2 {
        font-size: 20px;
    }
    #container {
        width: 90%;
        margin-top: 10%;
    }
    #tema {
        width: 100%;
        left: .5px;
        top: 0;
    }
}

@media all and (min-width: 569px) and (max-width: 768px) {
    h1 {
        font-size: 22px;
    }
    h2 {
        font-size: 20px;
    }
    #container {
        width: 90%;
        margin-top: 7%;
    }
    #tema {
        width: 100%;
        left: .5px;
        top: 0;
    }
}
              
            
!

JS

              
                
              
            
!
999px

Console