Checkout Form Component

<div class="max-w-md mx-auto mt-10 p-6 bg-white dark:bg-gray-800 rounded-lg shadow-lg">
    <h2 class="text-2xl font-semibold text-gray-800 dark:text-white">Checkout</h2>
    <form class="mt-4">
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="name">Name</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="name" placeholder="John Doe" required>
        </div>
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="email">Email</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="email" id="email" placeholder="[email protected]" required>
        </div>
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="address">Address</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="address" placeholder="123 Main St" required>
        </div>
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="city">City</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="city" placeholder="Your City" required>
        </div>
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="state">State</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="state" placeholder="Your State" required>
        </div>
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="zip">ZIP Code</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="zip" placeholder="12345" required>
        </div>
        <div class="mb-4">
            <label class="block text-gray-700 dark:text-gray-300" for="card">Credit Card Number</label>
            <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="card" placeholder="1234 5678 9012 3456" required>
        </div>
        <div class="mb-4 flex justify-between">
            <div class="w-1/2 mr-2">
                <label class="block text-gray-700 dark:text-gray-300" for="expiry">Expiry Date</label>
                <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="expiry" placeholder="MM/YY" required>
            </div>
            <div class="w-1/2 ml-2">
                <label class="block text-gray-700 dark:text-gray-300" for="cvc">CVC</label>
                <input class="mt-1 p-2 w-full border border-gray-300 dark:border-gray-600 rounded-md focus:outline-none focus:ring-2 focus:ring-blue-500 dark:focus:ring-blue-400" type="text" id="cvc" placeholder="123" required>
            </div>
        </div>
        <div class="mb-4">
            <label class="flex items-center">
                <input class="mr-2 leading-tight" type="checkbox" id="terms" required>
                <span class="text-gray-700 dark:text-gray-300">I agree to the terms and conditions</span>
            </label>
        </div>
        <button type="submit" class="w-full mt-4 p-2 bg-blue-600 dark:bg-blue-500 text-white font-semibold rounded-lg hover:bg-blue-700 dark:hover:bg-blue-400 transition duration-300">Complete Purchase</button>
    </form>
    <div class="mt-6">
        <h3 class="text-lg font-semibold text-gray-800 dark:text-white">Summary</h3>
        <ul class="mt-2 text-gray-600 dark:text-gray-400">
            <li>Item 1 - $29.99</li>
            <li>Item 2 - $49.99</li>
            <li>Total - $79.98</li>
        </ul>
    </div>
</div>