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HTML 

              
                <html>
   <head>
      <title>Order Form To WhatsApp</title>
      <link rel="stylesheet" type="text/css" href="https://stackpath.bootstrapcdn.com/bootstrap/3.4.1/css/bootstrap.min.css">
      <script type="text/javascript" src="https://code.jquery.com/jquery-1.12.4.min.js"></script>
      <script type="text/javascript" src="https://stackpath.bootstrapcdn.com/bootstrap/3.4.1/js/bootstrap.min.js"></script>
   </head>
<body>
      <video autoplay muted loop>
        <source src="https://creativedesign24.netlify.app/creative-studio/video/concrete-fanmade.mp4" type="video/mp4">
        Your browser does not support the video tag.
    </video>
  <div class="content">
    <div class="container">
        <div class="col-lg-6">
            <h4>Make Order Form To WhatsApp</h4>
            <div class="panel panel-success">
                <div class="panel-heading">
                    Send To WhatsApp
                </div>
                <div class="panel-body">
                    <div class="form-group">
                        <label>Name</label>
                        <input type="text" name="name" class="form-control" placeholder="Name" id="name">
                    </div>
                    <div class="form-group">
                        <label>E-mail</label>
                        <input type="email" name="email" class="form-control" placeholder="E-mail" id="email">
                    </div>
                    <div class="form-group">
                        <label>No. WhatsApp</label>
                        <input type="text" name="phone" class="form-control" placeholder="No. WhatsApp" id="phone">
                    </div>
                    <div class="form-group">
                        <label>Choose Product</label>
                        <select name="product" class="form-control" id="product">
                            <option value="">-- Choose Package --</option>
                            <option value="produk_1">Package 1</option>
                            <option value="produk_2">Package 2</option>
                            <option value="produk_3">Package 3</option>
                          <option value="produk_4">Package 4</option>
                        </select>
                    </div>
                    <div class="form-group">
                        <label>Additional Note </label>
                        <textarea name="description" class="form-control" rows="9" id="description"></textarea>
                    </div>
                    <div class="form-group">
                        <button class="btn btn-success send">Send Form Via WhatsApp</button>
                    </div>
 
                    <div id="text-info"></div>
                </div>
            </div>
        </div>
    </div>
    <div class="slider-social d-md-block d-none">
		<img src="https://concrete.istanamuara.com/innovative1/img/b9-trans.png" id="slider-inner-img">
        </div>  
    
    </div>
</body>
</html>
!

CSS 

              
                body {
 background-image: url("https://clouds.kliendk.my.id/images/parallax-video.jpg");
 background-color: #f2f2f2;
 background-size:cover; 
}

.panel-heading {
background-color: #f2f2f2;
}

video {
            position: fixed;
            top: 0;
            left: 0;
            width: 100%;
            height: 100%;
            object-fit: cover; 
            z-index: -1; 
        }

 .content {
            position: relative;
            z-index: 1;
            color: white;
            text-align: center;
        }

body, html {
            margin: 0;
            padding: 0;
        }
.slider-social {
    display: inline-block;
    position: absolute;
    top: 60%;
    transform: translateY(-50%);
    right: 0px;
    z-index: 13;
}
!

JS 

              
                $(document).on('click','.send', function(){
    /* Form Input */
    var input_name          = $("#name").val(),
        input_email         = $("#email").val(),
        input_phone         = $("#phone").val(),
        input_product       = $("#product").val(),
        input_description   = $("#description").val();
 
    /* Whatsapp Setting */
    var walink      = 'https://web.whatsapp.com/send',
        phone       = '6289605552515',
        text        = 'Hello I want to make website',
        text_yes    = 'Your order was successfully sent.',
        text_no     = 'Fill this form to order.';
 
    /* Smartphone Support */
    if (/Android|webOS|iPhone|iPad|iPod|BlackBerry|IEMobile|Opera Mini/i.test(navigator.userAgent)) {
        var walink = 'whatsapp://send';
    }
 
    if(input_name != "" && input_phone != "" && input_product != ""){
        /* Whatsapp URL */
        var checkout_whatsapp = walink + '?phone=' + phone + '&text=' + text + '%0A%0A' +
            '*Nama* : ' + input_name + '%0A' +
            '*Email* : ' + input_email + '%0A' +
            '*No. Whatsapp* : ' + input_phone + '%0A' +
            '*Product* : ' + input_product + '%0A' +
            '*Additional Note* : ' + input_description + '%0A';
 
        /* Whatsapp Window Open */
        window.open(checkout_whatsapp,'_blank');
        document.getElementById("text-info").innerHTML = '<div class="alert alert-success">'+text_yes+'</div>';
    } else {
        document.getElementById("text-info").innerHTML = '<div class="alert alert-danger">'+text_no+'</div>';
    }
});
!
999px

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