diff --git a/Module 1 - HTML and CSS/Topic 16 - Forms/Forms - I/Unique form b/Module 1 - HTML and CSS/Topic 16 - Forms/Forms - I/Unique form
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+++ b/Module 1 - HTML and CSS/Topic 16 - Forms/Forms - I/Unique form	
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+<html>
+  <head><title>Form</title>
+    </head>
+    
+      <body>
+
+
+<form method="get" enctype="application/x-www-form-urlencoded" action="/html/codes/html_form_handler.cfm">
+
+<p>
+<label>Name
+<input type="text" name="customer_name" required>
+</label> 
+</p>
+
+<p>
+<label>Phone 
+<input type="tel" name="phone_number">
+</label>
+</p>
+
+<p>
+<label>Email 
+<input type="email" name="email_address">
+</label>
+</p>
+
+<fieldset>
+<legend>Which taxi do you require?</legend>
+<p><label> <input type="radio" name="taxi" required value="car"> Car </label></p>
+<p><label> <input type="radio" name="taxi" required value="van"> Van </label></p>
+<p><label> <input type="radio" name="taxi" required value="tuktuk"> Tuk Tuk </label></p>
+</fieldset>
+
+<fieldset>
+<legend>Extras</legend>
+<p><label> <input type="checkbox" name="extras" value="baby"> Baby Seat </label></p>
+<p><label> <input type="checkbox" name="extras" value="wheelchair"> Wheelchair Access </label></p>
+<p><label> <input type="checkbox" name="extras" value="tip"> Stock Tip </label></p>
+</fieldset>
+
+<p>
+<label>Pickup Date/Time
+<input type="datetime-local" name="pickup_time" required>
+</label>
+</p>
+	
+<p>
+<label>Pickup Place
+<select id="pickup_place" name="pickup_place">
+<option value="" selected="selected">Select One</option>
+<option value="office" >Taxi Office</option>
+<option value="town_hall" >Town Hall</option>
+<option value="telepathy" >We'll Guess!</option>
+</select>
+</label> 
+</p>
+
+<p>
+<label>Dropoff Place
+<input type="text" name="dropoff_place" required list="destinations">
+</label>
+
+<datalist id="destinations">
+<option value="Airport">
+<option value="Beach">
+<option value="Fred Flinstone's House">
+</datalist>
+</p>
+
+<p>
+<label>Special Instructions
+<textarea name="comments" maxlength="500"></textarea>
+</label>
+</p>
+
+<p><button>Submit Booking</button></p>
+
+</form>
+
+</body>
+</html>
