<?xml version="1.0" encoding="UTF-8"?>

<form url="default_form.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="450"
 height="500"
 bkcolor="0xFFFFFF"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 bcc=""
 cc=""
 reqmessage="One or More Fields are Required"
 transition="0"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="subject"
 value="Form Submission from Website"
></hidden>

<image
 image="formbkgnd.jpg"
 x="0"
 y="0"
 bk="true"
></image>

<textinput
 name="Name"
 x="144"
 y="30"
 w="298"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="My Input Box 2"
 x="144"
 y="61"
 w="297"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 emailbox="true"
  restrict="email"
>
</textinput>

<textinput
 name="Phone"
 x="145"
 y="92"
 w="296"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
  restrict="phone"
>
</textinput>

<textarea
 name="Message"
 x="16"
 y="372"
 w="423"
 h="91"
 initvalue=""
 wordwrap="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Submit Button"
 x="128"
 y="469"
 w="202"
 h="24"
 label="SUBMIT"
 fontname="Georgia"
 fontcolor="0xFF0000"
 fontbold="bold"
  fontsize="16"
></submitbutton>

<label
 name="My Text 1"
 x="15"
 y="351"
 w="117"
 h="18"
 text="Your Message"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 2"
 x="16"
 y="95"
 w="126"
 h="18"
 text="Evening Phone"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 3"
 x="80"
 y="65"
 w="59"
 h="18"
 text="E-Mail"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 4"
 x="88"
 y="34"
 w="52"
 h="18"
 text="Name"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 5"
 x="164"
 y="2"
 w="111"
 h="23"
 text="Contact Us"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="19"
></label>

<textinput
 name="Hotel-Ship"
 x="15"
 y="142"
 w="426"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 6"
 x="12"
 y="120"
 w="243"
 h="18"
 text="Name of Hotel or Cruise Ship"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<textinput
 name="Date-Arrive"
 x="14"
 y="190"
 w="204"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
  restrict="date"
>
</textinput>

<label
 name="My Text 7"
 x="15"
 y="170"
 w="105"
 h="18"
 text="Arrival Date"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<textinput
 name="Date-Depart"
 x="232"
 y="190"
 w="207"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
  restrict="date"
>
</textinput>

<label
 name="My Text 8"
 x="232"
 y="169"
 w="103"
 h="18"
 text="Depart Date"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<textinput
 name="Date-Time-Prefer"
 x="181"
 y="221"
 w="257"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 9"
 x="15"
 y="223"
 w="163"
 h="18"
 text="Request Date/Time"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<textinput
 name="Source"
 x="16"
 y="325"
 w="421"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 10"
 x="15"
 y="303"
 w="343"
 h="18"
 text="How did you find our site?  Searched for?"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 11"
 x="88"
 y="253"
 w="110"
 h="18"
 text="Divers-Adult"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 12"
 x="204"
 y="253"
 w="108"
 h="18"
 text="Divers-Child"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 13"
 x="320"
 y="253"
 w="86"
 h="18"
 text="Observers"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<textinput
 name="Adults"
 x="124"
 y="274"
 w="38"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Kids"
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 y="274"
 w="38"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Passengers"
 x="344"
 y="275"
 w="38"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 14"
 x="16"
 y="276"
 w="99"
 h="18"
 text="How Many?"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

</form>