<!DOCTYPE html>
<html>
<head>
<meta http-equiv="Content-Type" content="text/html">
<title>{{title}}</title>
</head>
<body>
<form>
<input type="text" name="firstname" placeholder="First Name" autofocus>
<input type="text" name="lastname" placeholder="Last Name">
<input type="tel" name="phone" placeholder="Phone #">
<input type="email" name="email" placeholder="Email">
<button type="submit" formenctype="application/x-www-form-urlencoded" formaction="/confirmation" formmethod="post">SEND</button>
</form>
</body>
</html>