<form-template> <fields> <field type="text" subtype="text" required="true" label="Organization/Name: " class="form-control text-input" name="text-1675973086905" value="Organization/Name"></field> <field type="text" subtype="text" label="Address" class="form-control text-input" name="text-1675973119934" value="Address"></field> <field type="text" subtype="email" label="Email" class="form-control text-input" name="text-1675973136326" value="Email"></field> <field type="paragraph" subtype="output" label="Your Ad will run for a minimum of one week at $10.00 per week" class="paragraph"></field> <field type="paragraph" subtype="output" label="Start Date:" class="paragraph"></field> <field type="date" label="Date Field" class="form-control calendar" name="date-1675973248842"></field> <field type="checkbox-group" label="Checkbox Group" class="checkbox-group" name="checkbox-group-1675973310009"> <option value="One Week" selected="true">One Week</option> <option value="Two Weeks">Two Weeks</option> </field> <field type="paragraph" subtype="output" label="Please provide the following information:" class="paragraph"></field> <field type="text" subtype="text" required="true" label="What:" class="form-control text-input" name="text-1675973387994" value="What:"></field> <field type="text" subtype="text" required="true" label="Where:" class="form-control text-input" name="text-1675973403332" value="Where:"></field> <field type="text" subtype="text" required="true" label="When:" class="form-control text-input" name="text-1675973418910" value="When:"></field> <field type="text" subtype="text" required="true" label="Time:" class="form-control text-input" name="text-1675973433492" value="Time:"></field> <field type="text" subtype="text" label="Other:" class="form-control text-input" name="text-1675973452398" value="Other:"></field> <field type="paragraph" subtype="output" label="The Town of Kipling reserves the right to edit/limit content for the sign." class="paragraph"></field> <field type="paragraph" subtype="p" label="Office Use" class="paragraph"></field> <field type="paragraph" subtype="output" label="Paid ______________________" class="paragraph"></field> </fields> </form-template> Submit Submitting...