<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Company Name" name="company-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many employees would need travel coordination?" name="how-many-employees-would-need-travel-coordination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please tell us anything else we need to know!" name="please-tell-us-anything-else-we-need-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>