Easy HTML form and Status bar and popup job for quick turnaround.

Num. of web pages: 3
Description of every page: Easy HTML form,Status bar and popup job for quick turnaround.

This job is very simple for any competent HTML developer. I just need a HTML form and a HTML status bar. Nothing else.

It's not a full page just these two aspects. Design will be provided and very simple. The form should be in a div, which contains the form. Radio buttons are to be used for the selection and a submit/cancel button.

All form elements must have names and id's. HTML must be valid per HTML5 standards. Code must be correctly formatted and indented - as we are sending to a PHP developer for integration.

Form dimensions must be as in the design.

Form must be exactly as the design given. Also needs to be responsive for mobile, full size version is fine for tablet.

The status bar should just be a 100% width div and per the design. Simple!

This can all be sent in one HTML file with the CSS in a separate style tag in the same file - not inline styling though.

Thanks.
Ideas for the visual style: Designs attached
Extra notes: This needs to be done today within the next 2-3 hours.