<!DOCTYPE html>
<html>
<head>
	<title>Life Insurance Form</title>
</head>
<body>
	<h1>Life Insurance Form</h1>
	<form>
		<label for="name">Name:</label><br>
		<input type="text" id="name" name="name"><br>
		<label for="phone">Phone number:</label><br>
		<input type="text" id="phone" name="phone"><br>
		<label for="email">Email:</label><br>
		<input type="text" id="email" name="email"><br>
		<label for="amount">Desired amount of life insurance:</label><br>
		<input type="text" id="amount" name="amount"><br>
		<label for="budget">Budget:</label><br>
		<input type="text" id="budget" name="budget"><br><br>
		<input type="submit" value="Submit">
	</form> 
</body>
</html>