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<html lang="en">
<head>
<meta charset="UTF-8">
<title>Almost there - Form</title>
<style>
body { margin: 0; padding: 0; background: transparent; font-family: Arial, Helvetica, sans-serif; }
#render-target {
width: 1080px;
height: 2400px;
position: relative;
overflow: hidden;
background: #0b0b0b;
color: #fff;
}
/* Status bar */
.status-bar {
position: absolute;
top: 0;
left: 0;
width: 1080px;
height: 110px;
padding: 0 34px;
box-sizing: border-box;
display: flex;
align-items: center;
justify-content: space-between;
color: #d7d7d7;
font-size: 38px;
letter-spacing: 1px;
}
.status-right {
display: flex;
align-items: center;
gap: 22px;
}
.icon-dot {
width: 10px; height: 10px; background: #d7d7d7; border-radius: 50%;
}
/* Header */
.header {
position: absolute;
top: 110px;
left: 0;
width: 1080px;
height: 140px;
display: flex;
align-items: center;
gap: 24px;
padding: 0 34px;
box-sizing: border-box;
}
.close-btn {
width: 92px; height: 92px; border-radius: 46px;
border: 1px solid #3a3a3a; display: flex; align-items: center; justify-content: center;
}
.close-btn svg { width: 40px; height: 40px; }
.header-title {
font-size: 64px;
font-weight: 800;
letter-spacing: .2px;
}
/* Card container */
.card {
position: absolute;
top: 280px;
left: 20px;
width: 1040px;
height: 980px;
border: 1px solid #23262b;
border-radius: 18px;
box-sizing: border-box;
padding: 36px;
background: #0f1115;
}
.card h2 {
margin: 8px 0 30px;
font-size: 48px;
font-weight: 700;
color: #dcdcdc;
}
.field {
width: 100%;
height: 128px;
border: 1px solid #2b2f36;
border-radius: 16px;
background: #111318;
display: flex;
align-items: center;
padding: 0 28px;
box-sizing: border-box;
color: #eaeaea;
font-size: 40px;
}
.field + .field { margin-top: 28px; }
.field.placeholder { color: #8c929c; }
.field .right-arrow {
margin-left: auto;
opacity: .8;
}
.flag-box {
width: 76px; height: 52px; border: 1px solid #3a3f47; border-radius: 6px; margin-right: 20px;
position: relative; overflow: hidden; background: #e0e0e0;
display: flex; align-items: center; justify-content: center; color: #555; font-size: 26px;
}
.cc {
margin-right: 16px;
color: #dcdcdc;
}
.link-row {
display: flex;
justify-content: flex-end;
margin-top: 22px;
}
.link-row a {
color: #7aa3ff;
text-decoration: none;
font-size: 38px;
}
.btn {
width: 100%;
height: 128px;
border-radius: 16px;
border: none;
margin-top: 32px;
background: linear-gradient(#2977cf, #1853a8);
color: #fff;
font-size: 48px;
font-weight: 700;
letter-spacing: .3px;
}
/* Gesture bar */
.gesture {
position: absolute;
bottom: 34px;
left: 50%;
transform: translateX(-50%);
width: 300px;
height: 10px;
background: #e6e6e6;
border-radius: 6px;
opacity: .85;
}
</style>
</head>
<body>
<div id="render-target">
<!-- Status Bar -->
<div class="status-bar">
<div>5:43</div>
<div class="status-right">
<div class="icon-dot"></div>
<span>42°</span>
<div class="icon-dot"></div>
<div class="icon-dot"></div>
<div class="icon-dot"></div>
</div>
</div>
<!-- Header -->
<div class="header">
<div class="close-btn">
<svg viewBox="0 0 24 24" fill="#ffffff">
<path d="M18.3 5.7L12 12l6.3 6.3-1.4 1.4L10.6 13.4 4.3 19.7 2.9 18.3 9.2 12 2.9 5.7 4.3 4.3l6.3 6.3 6.3-6.3z"/>
</svg>
</div>
<div class="header-title">Almost there!</div>
</div>
<!-- Form Card -->
<div class="card">
<h2>Provide your contact info</h2>
<!-- Country dropdown -->
<div class="field placeholder">
United States
<svg class="right-arrow" width="36" height="36" viewBox="0 0 24 24" fill="#9aa0aa">
<path d="M7 10l5 5 5-5z"></path>
</svg>
</div>
<!-- Street address -->
<div class="field placeholder">Enter your street address</div>
<!-- Mobile number -->
<div class="field">
<div class="flag-box">US</div>
<div class="cc">+1</div>
<div class="placeholder" style="color:#8c929c;">Mobile number</div>
</div>
<div class="link-row">
<a href="#">I only have a landline</a>
</div>
<button class="btn">Continue</button>
</div>
<div class="gesture"></div>
</div>
</body>
</html>