<form-template>
	<fields>
		<field type="header" subtype="h1" label="Travel Pros Gift Certificate Request Form"/>
		<field type="header" subtype="h2" label="Name to be Listed on the Gift Certificate"/>
		<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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Who is the Gift Certificate from?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number for who is providing the Gift Certificate" name="phone-number-for-who-is-providing-the-gift-certificate" subtype="text" className="form-control"/>
		<field type="textarea" required="true" label="Email for who is providing the Gift Certificate" description="Email for who is providing the Gift Certificate" name="email-for-who-is-providing-the-gift-certificate" subtype="textarea" className="form-control"/>
		<field type="text" required="true" label="How much is the Gift Certificate for?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" subtype="textarea" className="form-control"/>
	</fields>
</form-template>

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