Assignment 3 – Forms (HTML5 + JavaScript)

Create → Validate → Confirm → Send via mailto:

step 1 · enter your details

First name *

Last name *

Street address *

City *

State *

ZIP * 5 digits or ZIP+4

Phone * Format: (000) 000-0000

Email *

Birth date * Must be a real past date (not in the future).

Human check * Simple confirmation so bots fail.

Message *

Reset All fields are required.

step 2 · confirm details

Please confirm your information

Submission uses action="mailto:" to open your email app with the form data.