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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>Book a Service Appointment</title>
    
    <script src="https://cdn.tailwindcss.com"></script>
    
    <link rel="preconnect" href="https://fonts.googleapis.com">
    <link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
    <link href="https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap" rel="stylesheet">
    <style>
        body {
            font-family: 'Inter', sans-serif;
        }
        /* Protective container to isolate styles from Durable.co */
        .durable-fix-container {
            display: block !important;
            width: 100% !important;
            max-width: 100% !important;
            box-sizing: border-box !important;
            float: none !important;
            margin: 0 !important;
            padding: 0 !important;
        }
        /* Custom styles for the new theme */
        .theme-bg {
            background-color: #5f868b;
        }
        /* Better styling for date input placeholder */
        input[type="date"]::-webkit-calendar-picker-indicator {
            cursor: pointer;
            filter: invert(1);
            opacity: 0.7;
        }
    </style>
</head>
<body class="theme-bg text-white">

<div class="durable-fix-container">
    
    <header class="bg-black bg-opacity-10">
        <div style="max-width: 1280px; margin-left: auto; margin-right: auto; padding-left: 1.5rem; padding-right: 1.5rem;">
            <nav class="py-4 flex justify-between items-center">
                <a href="#" class="text-2xl font-bold text-white">Hometown Appliance Service</a>
            </nav>
        </div>
    </header>

    
    <main>
        
        <section id="booking" class="py-12 md:py-20">
            <div style="max-width: 896px; margin-left: auto; margin-right: auto; padding-left: 1.5rem; padding-right: 1.5rem;">
                <div class="text-center mb-12">
                    <h1 class="text-4xl md:text-5xl font-bold">Schedule a Repair</h1>
                    <p class="text-gray-300 mt-4">Fill out the form below and we'll contact you.</p>
                </div>

                <div class="p-8 rounded-lg">
                    <form action="https://formspree.io/f/xwpnjkvj" method="POST">
                        
                        <div class="grid grid-cols-1 md:grid-cols-2 gap-6 mb-6">
                            <div>
                                <label for="name" class="block font-medium mb-2">Name</label>
                                <input type="text" id="name" name="name" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" required>
                            </div>
                             <div>
                                <label for="email" class="block font-medium mb-2">Email</label>
                                <input type="email" id="email" name="email" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" required>
                            </div>
                             <div>
                                <label for="phone" class="block font-medium mb-2">Phone</label>
                                <input type="tel" id="phone" name="phone" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" required>
                            </div>
                            <div>
                                <label for="address" class="block font-medium mb-2">Address</label>
                                <input type="text" id="address" name="address" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" required>
                            </div>
                        </div>

                        <div class="grid grid-cols-1 md:grid-cols-2 gap-6 mb-6">
                             <div>
                                <label for="service-type" class="block font-medium mb-2">Service</label>
                                <select id="service-type" name="service_type" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" required>
                                    <option value="" disabled selected>Choose an appliance...</option>
                                    <option value="Refrigerator Repair">Refrigerator Repair</option>
                                    <option value="Washing Machine Repair">Washing Machine Repair</option>
                                    <option value="Dryer Repair">Dryer Repair</option>
                                    <option value="Oven, Stove & Cooktop Repair">Oven, Stove & Cooktop Repair</option>
                                    <option value="Dishwasher Repair">Dishwasher Repair</option>
                                    <option value="Microwave Repair">Microwave Repair</option>
                                    <option value="Garbage Disposal Repair & Installation">Garbage Disposal Repair & Installation</option>
                                    <option value="Preventative Maintenance">Preventative Maintenance Services</option>
                                </select>
                            </div>
                            <div>
                                <label for="preferred-date" class="block font-medium mb-2">Preferred Date</label>
                                <input type="date" id="preferred-date" name="preferred_date" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" required>
                            </div>
                        </div>
                        
                        <div class="mb-6">
                            <label for="problem" class="block font-medium mb-2">Describe the Issue or Service Needed</label>
                            <textarea id="problem" name="problem_description" rows="5" class="w-full px-4 py-2 bg-black bg-opacity-20 border border-white/30 rounded-lg focus:outline-none focus:ring-2 focus:ring-orange-400" placeholder="Please provide details about the appliance brand, model, and the problem you are experiencing..." required></textarea>
                        </div>

                        <div class="text-center">
                            <button type="submit" class="bg-orange-500 text-white font-bold py-3 px-12 rounded-lg hover:bg-orange-600 transition duration-300 text-lg">Send</button>
                        </div>
                    </form>
                </div>
            </div>
        </section>
    </main>

    
    <footer class="py-8">
        <div style="max-width: 1280px; margin-left: auto; margin-right: auto; padding-left: 1.5rem; padding-right: 1.5rem;">
            <div class="text-center">
                <p class="text-gray-300">&copy; 2025 Hometown Appliance Service. All rights reserved.</p>
            </div>
        </div>
    </footer>
</div>

</body>
</html>

Hometown Appliance Service 

Reliable appliance repairs by skilled technicians in Port St. Lucie,  Vero Beach, Stuart, FL.   "Licensed & Insured". All work guaranteed".  "Family-owned business since 2017".  Senior & Military Discounts