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Tabitha Weathersbee

View Park Travel

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Pre-departure Information"/>&#13;
		<field type="text" required="true" label="Full name as it appears on your booking:" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Booking #:" name="booking-" 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="header" subtype="h2" label="Additional Contact Info"/>&#13;
		<field type="text" label="Facebook profile" name="facebook-profile" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Instagram profile" name="instagram-profile" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Messages/Questions" name="messagesquestions" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>