<div>[error]</div><div class="clearfix"></div><h1>[show_price style="float:right;"]</h1><h2>General informations</h2><div class="clearfix"></div><div class="easyreservation-row" data-label="Arrival Date"><label>Arrival Date</label><span class="row">[date-from style="width:75px"] [date-from-hour style="width:50px" value="12"]:[date-from-min style="width:50px"]</span></div><div class="easyreservation-row" data-label="Departure Date"><label>Departure Date</label><span class="row">[date-to style="width:75px"] [date-to-hour style="width:50px" value="12"]:[date-to-min style="width:50px"]</span></div><div class="easyreservation-row" data-label="Resource"><label>Resource</label><span class="small">What do you want?</span>[resources]</div><div class="easyreservation-row" data-label="Adults"><label>Adults</label><span class="small">How many guests?</span>[adults 1 10]</div><div class="easyreservation-row" data-label="Children’s"><label>Children’s</label><span class="small">With children’s?</span>[childs 0 10]</div><div class="clearfix"></div><h2>Personal information’s</h2><div class="clearfix"></div><div class="easyreservation-row" data-label="Name"><label>Name</label><span class="small">Whats your name?</span>[thename]</div><div class="easyreservation-row" data-label="Email"><label>Email</label><span class="small">Whats your email?</span>[email]</div><div class="easyreservation-row" data-label="Phone"><label>Phone</label><span class="small">Your phone number?</span>[custom text Phone *]</div><div class="easyreservation-row" data-label="Street"><label>Street</label><span class="small">Your street?</span>[custom text Street *]</div><div class="easyreservation-row" data-label="Postal code"><label>Postal code</label><span class="small">Your postal code?</span>[custom text PostCode *]</div><div class="easyreservation-row" data-label="City"><label>City</label><span class="small">Your city?</span>[custom text City *]</div><div class="easyreservation-row" data-label="Country"><label>Country</label><span class="small">Your country?</span>[country]</div><div class="easyreservation-row" data-label="Message"><label>Message</label><span class="small">Any comments?</span>[custom textarea Message]</div><div class="easyreservation-row" data-label="Captcha"><label>Captcha</label>[captcha]</div>[submit Send]