diff --git a/static/style.css b/static/style.css
index 5d1becd..84a4e6b 100644
--- a/static/style.css
+++ b/static/style.css
@@ -162,4 +162,35 @@ footer p {
 footer a {
     color: #5d5d5d;
     font-weight: 700;
+}
+
+input {
+    padding: 10px;
+    margin: 10px 0;
+    width: 100%;
+    font-size: 16px;
+    border: 1px solid #ccc;
+    border-radius: 5px;
+}
+
+button {
+    padding: 10px;
+    margin: 10px 0;
+    width: 100%;
+    font-size: 16px;
+    border: none;
+    background-color: #333;
+    color: #fff;
+    cursor: pointer;
+    border-radius: 5px;
+}
+
+button:hover {
+    background-color: #5d5d5d;
+}
+
+input:focus, button:focus {
+    outline: none;
+    border-color: #5d5d5d;
+    box-shadow: 0 0 0 2px rgba(93,93,93,0.5);
 }
\ No newline at end of file
diff --git a/templates/request.html b/templates/request.html
index 8f0dc23..3039bc9 100644
--- a/templates/request.html
+++ b/templates/request.html
@@ -1,14 +1,15 @@
-{% extends "base.html" %}
-
-{% block content %}
-    <h1>Request</h1>
-    <p>Request method: {{ request.method }}</p>
-    <p>Request path: {{ request.path }}</p>
-    <p>Request query string: {{ request.query_string }}</p>
-    <p>Request headers:</p>
-    <ul>
-        {% for key, value in request.headers.items() %}
-            <li>{{ key }}: {{ value }}</li>
-        {% endfor %}
-    </ul>
-{% endblock %}
\ No newline at end of file
+{% extends "base.html" %} {% block content %}
+<main>
+  <div class="container">
+    <p>Please enter your email address to request a Planka account.</p>
+    <p>
+      You will receive an email with a verification link, where you can complete
+      your registration.
+    </p>
+    <form>
+      <input type="email" name="email" placeholder="Email address" required />
+      <button type="submit">Request</button>
+    </form>
+  </div>
+</main>
+{% endblock %}