JSFiddle - React, Tailwind, and code Playground

by steadily

HTML

<form action="https://steadorg2--ccvf.sandbox.my.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST">
  <form id="salesforce-form">

    <input type=hidden name="orgid" value="00D770000008fz3">
    <input type=hidden name="retURL" value="www.steadily.com/confirmation">
    <input type="hidden" name="debug" value="1">

    <label for="company">Company</label><input id="company" maxlength="40" name="company" size="20" type="text" /><br>

    <label for="street">Street</label><textarea name="street"></textarea><br>

    <label for="city">City</label><input id="city" maxlength="40" name="city" size="20" type="text" /><br>

    <label for="state_code">State/Province</label><select id="state_code" name="state_code">
      <option value="AL">AL</option>
      <option value="AK">AK</option>
      <option value="AR">AR</option>
      <option value="AZ">AZ</option>
      <option value="CA">CA</option>
      <option value="CO">CO</option>
      <option value="CT">CT</option>
      <option value="DC">DC</option>
      <option value="DE">DE</option>
      <option value="FL">FL</option>
      <option value="GA">GA</option>
      <option value="HI">HI</option>
      <option value="IA">IA</option>
      <option value="ID">ID</option>
      <option value="IL">IL</option>
      <option value="IN">IN</option>
      <option value="KS">KS</option>
      <option value="KY">KY</option>
      <option value="LA">LA</option>
      <option value="MA">MA</option>
      <option value="MD">MD</option>
      <option value="ME">ME</option>
      <option value="MI">MI</option>
      <option value="MN">MN</option>
      <option value="MO">MO</option>
      <option value="MS">MS</option>
      <option value="MT">MT</option>
      <option value="NC">NC</option>
      <option value="NE">NE</option>
      <option value="NH">NH</option>
      <option value="NJ">NJ</option>
      <option value="NM">NM</option>
      <option value="NV">NV</option>
      <option value="NY">NY</option>
...