Popup Form

body{margin:0;font-family:Poppins,sans-serif;background:#fff;}
.card{border-radius:16px;overflow:hidden;box-shadow:0 12px 40px rgba(0,0,0,.2);}
.head{background:linear-gradient(135deg,#0D47A1,#1976D2);padding:16px;color:#fff;}
.head h3{margin:0;font-size:16px;}
.head p{margin:0;font-size:12px;opacity:.7;}
.body{padding:16px;}
input,select{width:100%;padding:10px;margin-bottom:10px;border:1px solid #ccc;border-radius:8px;}
input[type=submit]{background:#1565C0;color:#fff;border:none;}