TravelJoy

TONYA DELPHOUS

Adventurous Travels affiliate of Archer Travel Group

Diva's In Power

Mar 18, 2019 to Mar 18, 2020

www.divasinpower.com

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	<fields>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Where are you From?"/>
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="textarea" label="What Peaked your interested in Diva's In Power?" name="what-peaked-your-interested-in-divas-in-power" subtype="textarea" className="form-control"/>
	</fields>
</form-template>