<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="CONTACT FORM"/>&#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 Address:" name="email" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How can I help you?" name="describe-your-vision-for-your-ideal-vacation" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like to be subscribed to our company newsletter?&amp;nbsp;" name="would-you-like-to-be-subscribed-to-our-newsletter-and-travel-updates" className="form-control">&#13;
			<option label="Yes- sign me up!" value="yes-sign-me-up">Yes- sign me up!</option>&#13;
			<option label="No, I get too many emails" value="no-i-get-too-many-emails">No, I get too many emails</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="By submitting this form, you consent to receive travel-related content via email from Scout &amp;amp; Bimble"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>