<h2>{global:formtitle}</h2>
{error}
<!-- Do not remove this ID, it is used to identify the page so that the pagination script can work correctly -->
<div class="formContainer formHorizontal" id="rsform_{global:formid}_page_0">
	<div class="formRow">
		<div class="formSpan12">
			<div class="rsform-block rsform-block-header rsform-type-freetext{Header:errorClass}">
					{Header:body}
			</div>
			<div class="rsform-block rsform-block-claim-giftcard rsform-type-textbox{CLAIM_GIFTCARD:errorClass}">
				<label class="formControlLabel" for="CLAIM_GIFTCARD">{CLAIM_GIFTCARD:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls">
					<div class="formBody">
						{CLAIM_GIFTCARD:body}
						<span class="formValidation">{CLAIM_GIFTCARD:validation}</span>
						<p class="formDescription">{CLAIM_GIFTCARD:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-full-name-claimer rsform-type-textbox{FULL_NAME_Claimer:errorClass}">
				<label class="formControlLabel" for="FULL_NAME_Claimer">{FULL_NAME_Claimer:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls">
					<div class="formBody">
						{FULL_NAME_Claimer:body}
						<span class="formValidation">{FULL_NAME_Claimer:validation}</span>
						<p class="formDescription">{FULL_NAME_Claimer:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-claim-email rsform-type-textbox{Claim_Email:errorClass}">
				<label class="formControlLabel" for="Claim_Email">{Claim_Email:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls">
					<div class="formBody">
						{Claim_Email:body}
						<span class="formValidation">{Claim_Email:validation}</span>
						<p class="formDescription">{Claim_Email:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-claim-notes rsform-type-textarea{CLAIM_NOTES:errorClass}">
				<label class="formControlLabel" for="CLAIM_NOTES">{CLAIM_NOTES:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{CLAIM_NOTES:body}
						<span class="formValidation">{CLAIM_NOTES:validation}</span>
						<p class="formDescription">{CLAIM_NOTES:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-contactby rsform-type-checkboxgroup{ContactBy:errorClass}">
				<label class="formControlLabel" id="ContactBy-grouplbl">{ContactBy:caption}</label>
				<div class="formControls" role="group" aria-labelledby="ContactBy-grouplbl">
					<div class="formBody">
						{ContactBy:body}
						<span class="formValidation">{ContactBy:validation}</span>
						<p class="formDescription">{ContactBy:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-contactwhen rsform-type-calendar{ContactWhen:errorClass}">
				<label class="formControlLabel" for="txtcal23_0">{ContactWhen:caption}<strong class="formRequired">(*)</strong></label>
				<div class="formControls">
					<div class="formBody">
						{ContactWhen:body}
						<span class="formValidation">{ContactWhen:validation}</span>
						<p class="formDescription">{ContactWhen:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-submit rsform-type-submitbutton{Submit:errorClass}">
				<label class="formControlLabel">{Submit:caption}</label>
				<div class="formControls">
					<div class="formBody">
						{Submit:body}
						<span class="formValidation">{Submit:validation}</span>
						<p class="formDescription">{Submit:description}</p>
					</div>
				</div>
			</div>
			<div class="rsform-block rsform-block-footer rsform-type-freetext{Footer:errorClass}">
					{Footer:body}
			</div>
		</div>
	</div>
</div>