Nicole Welter

Lets Go Travel Agency

<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="textarea" required="true" label="Are you a US Citizen?" name="are-you-a-us-citizen" className="form-control"/>&#13;
		<field type="textarea" label="If you are not a US Citizen please provide me with where you are a citizen of." name="if-you-are-not-a-us-citizen-please-provide-me-with-where-you-are-a-citizen-of" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Are you the age of 18 or older?" name="are-you-the-age-of-18-or-older" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>