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bill.html
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bill.html
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<title>Healthcare Subscription Billing</title>
<link rel="stylesheet" href="styles.css">
<style>
/* Reset some default styles */
* {
margin: 0;
padding: 0;
box-sizing: border-box;
}
/* Set a background color */
body {
background-color: #f5f5f5;
font-family: Arial, sans-serif;
}
/* Style the header */
header {
background-color: #333;
color: #fff;
text-align: center;
padding: 20px 0;
}
/* Style the main content */
main {
max-width: 1200px;
margin: 20px auto;
padding: 20px;
display: flex;
flex-wrap: wrap;
justify-content: space-between;
}
/* Style billing details section */
.billing-details {
flex: 1;
background-color: #fff;
padding: 20px;
border-radius: 5px;
box-shadow: 0 0 10px rgba(0, 0, 0, 0.2);
}
.form-group {
margin-bottom: 20px;
}
label {
font-weight: bold;
}
input[type="text"],
input[type="email"] {
width: 100%;
padding: 10px;
border: 1px solid #ccc;
border-radius: 3px;
font-size: 16px;
}
/* Style subscription plans section */
.subscription-plans {
flex: 1;
background-color: #fff;
padding: 20px;
border-radius: 5px;
box-shadow: 0 0 10px rgba(0, 0, 0, 0.2);
}
.plan {
background-color: #f5f5f5;
padding: 20px;
border-radius: 5px;
margin-bottom: 20px;
text-align: center;
}
.btn-pay {
background-color: #007bff;
color: #fff;
padding: 10px 20px;
border: none;
border-radius: 3px;
cursor: pointer;
font-size: 16px;
}
.btn-subscribe {
background-color: #28a745;
color: #fff;
padding: 10px 20px;
border: none;
border-radius: 3px;
cursor: pointer;
font-size: 16px;
}
/* Footer */
footer {
text-align: center;
padding: 10px 0;
background-color: #333;
color: #fff;
}
</style>
</head>
<body>
<header>
<h1>Healthcare Subscription</h1>
</header>
<main>
<section class="billing-details">
<h2>Billing Details</h2>
<form>
<div class="form-group">
<label for="name">Full Name</label>
<input type="text" id="name" name="name" required>
</div>
<div class="form-group">
<label for="email">Email Address</label>
<input type="email" id="email" name="email" required>
</div>
<div class="form-group">
<label for="card">Credit Card Number</label>
<input type="text" id="card" name="card" required>
</div>
<div class="form-group">
<label for="expiry">Expiration Date</label>
<input type="text" id="expiry" name="expiry" placeholder="MM/YY" required>
</div>
<div class="form-group">
<label for="cvv">CVV</label>
<input type="text" id="cvv" name="cvv" required>
</div>
<button type="submit" class="btn-pay">Pay Now</button>
</form>
</section>
<section class="subscription-plans">
<h2>Choose a Subscription Plan</h2>
<div class="plan">
<h3>Basic Plan</h3>
<p>$20/month</p>
<button class="btn-subscribe">Subscribe</button>
</div>
<div class="plan">
<h3>Premium Plan</h3>
<p>$40/month</p>
<button class="btn-subscribe">Subscribe</button>
</div>
<div class="plan">
<h3>Platinum Plan</h3>
<p>$60/month</p>
<button class="btn-subscribe">Subscribe</button>
</div>
</section>
</main>
<footer class="footer">
<p>Questions? Call 1-866-579-7172</p>
<div class="footer-cols">
<ul>
<li><a href="#">FAQ</a></li>
<li><a href="#">Investor Relations</a></li>
<li><a href="#">Ways To Watch</a></li>
<li><a href="#">Corporate Information</a></li>
<li><a href="#">Netflix Originals</a></li>
</ul>
<ul class="ul-2">
<li><a href="#">Help Center</a></li>
<li><a href="#">Jobs</a></li>
<li><a href="#">Terms Of Use</a></li>
<li><a href="#">Contact Us</a></li>
</ul>
<ul class="ul-2">
<li><a href="#">Account</a></li>
<li><a href="#">Redeem Gift Cards</a></li>
<li><a href="#">Privacy</a></li>
<li><a href="#">Speed Test</a></li>
</ul>
<ul class="ul-2">
<li><a href="#">Media Center</a></li>
<li><a href="#">Buy Gift Cards</a></li>
<li><a href="#">Cookie Preferences</a></li>
<li><a href="#">Legal Notices</a></li>
</ul>
</div>
<p style="text-align: center; color: #e8491d;">TeleHealthCare.com,Copyright ©2023 </p>
</footer>
</body>
</html>