<h2>{global:formtitle}</h2>
{error}
<img src="https://givebackpromotions.org/images/For%20Sale%208.5%20x%2011%20in%201%202.png"
<!-- Do not remove this ID, it is used to identify the page so that the pagination script can work correctly -->
<fieldset class="formContainer" id="rsform_{global:formid}_page_0">
	<div class="row">
		<div class="col-md-12">
			<div class="mb-3 rsform-block rsform-block-first-name rsform-type-textbox{First Name:errorClass}">
{if {First Name:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{First Name:descriptionhtml}" for="First Name">{First Name:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{First Name:body}
					<div><span class="formValidation">{First Name:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-last-name rsform-type-textbox{Last_Name:errorClass}">
{if {Last_Name:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Last_Name:descriptionhtml}" for="Last_Name">{Last_Name:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Last_Name:body}
					<div><span class="formValidation">{Last_Name:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-email rsform-type-textbox{Email:errorClass}">
{if {Email:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Email:descriptionhtml}" for="Email">{Email:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Email:body}
					<div><span class="formValidation">{Email:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-phone rsform-type-textbox{Phone:errorClass}">
{if {Phone:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Phone:descriptionhtml}" for="Phone">{Phone:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Phone:body}
					<div><span class="formValidation">{Phone:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-address rsform-type-textarea{Address:errorClass}">
{if {Address:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Address:descriptionhtml}" for="Address">{Address:caption}</label>
{/if}
				<div class="formControls">
					{Address:body}
					<div><span class="formValidation">{Address:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-for-pick-up-or-delivery rsform-type-radiogroup{For_Pick_Up_or_Delivery:errorClass}">
{if {For_Pick_Up_or_Delivery:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{For_Pick_Up_or_Delivery:descriptionhtml}" id="For_Pick_Up_or_Delivery-grouplbl">{For_Pick_Up_or_Delivery:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls" role="group" aria-labelledby="For_Pick_Up_or_Delivery-grouplbl">
					{For_Pick_Up_or_Delivery:body}
					<div><span class="formValidation">{For_Pick_Up_or_Delivery:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-how-many rsform-type-selectlist{How_many:errorClass}">
{if {How_many:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{How_many:descriptionhtml}" for="How_many">{How_many:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{How_many:body}
					<div><span class="formValidation">{How_many:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-order-estimate rsform-type-checkboxgroup{Order_Estimate:errorClass}">
{if {Order_Estimate:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Order_Estimate:descriptionhtml}" id="Order_Estimate-grouplbl">{Order_Estimate:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls" role="group" aria-labelledby="Order_Estimate-grouplbl">
					{Order_Estimate:body}
					<div><span class="formValidation">{Order_Estimate:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-date-n-time rsform-type-jquerycalendar{Date_n_Time:errorClass}">
{if {Date_n_Time:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Date_n_Time:descriptionhtml}" for="txtjQcal15_0">{Date_n_Time:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Date_n_Time:body}
					<div><span class="formValidation">{Date_n_Time:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-captcha rsform-type-captcha{Captcha:errorClass}">
{if {Captcha:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Captcha:descriptionhtml}" for="captchaTxt133">{Captcha:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Captcha:body}
					<div><span class="formValidation">{Captcha:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-submit rsform-type-submitbutton{Submit:errorClass}">
{if {Submit:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Submit:descriptionhtml}">{Submit:caption}</label>
{/if}
				<div class="formControls">
					{Submit:body}
					<div><span class="formValidation">{Submit:validation}</span></div>
				</div>
			</div>
		</div>
	</div>
</fieldset>