email template pasted below
General Information
Establishment Name
{text_44}
Physical Address
{text_45}
Postal Code
{text_46}
Country
{text_9}
Province
{text_10}
Owner / Operator Details
Name
{text_12}
Postal Address
{text_13}
Postal Code
{text_14}
Country
{text_15}
Province
{text_16}
Telephone
{text_17}
Cell / Mobile Phone
{text_19}
Fax
{text_18}
Email
{email}
Reservation Contact Details
Contact details are the same as above
{check0}
Reservation Contact Name
{text_21}
Postal Address
{text_23}
Telephone
{text_25}
Cell / Mobile Phone
{text_24}
Fax
{text_26}
Email
{text_27}
Establishment Information
Accommodation Type
{text_29}
GPS Co-ordinates
{text_31}
Website Address
{text_30}
Cancellation Policy
{text_32}
No. of Units / Chalets / Camp Sites, etc
{text_35}
Rates (In Season)
{text_44}
Rates (Out of Season)
{text_45}
Rates for Children
{text_38}
Check In
{text_40}
Check Out
{text_41}
Facilities and Activities Available on Site
{text_44}
Services Provided
{text_45}
Description of Establishment
{text_43}
Additional Guest Requirements
{text_42}
Additional Information
{text_45}
Type in the letters/numbers displayed in black only
Note: Listing your establishment with UpAndGo is subject to the applicable Terms and Conditions. Receipt of this listing form is confirmation that you have read and accepted the Terms & Conditions and have accepted the applicable commission of 12.5% due to UpAndGo on the total accommodation quotation.
The html looks like this..
<div title="form_item0" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_heading">
<h3 class="cf_text">General Information</h3>
</div>
<div class="clear"></div>
</div>
<div title="form_item1" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Establishment Name</label>
<input name="text_44" id="text_44" size="30" maxlength="150" title="" class="cf_inputbox required" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item2" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Physical Address</label>
<textarea name="text_45" cols="30" id="text_45" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item3" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Postal Code</label>
<input name="text_46" id="text_46" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item4" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Country</label>
<input name="text_9" id="text_9" size="30" maxlength="150" title="" class="cf_inputbox required validate-alpha" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item5" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Province</label>
<input name="text_10" id="text_10" size="30" maxlength="150" title="" class="cf_inputbox validate-alpha" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item6" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_heading">
<h3 class="cf_text">Owner / Operator Details</h3>
</div>
<div class="clear"></div>
</div>
<div title="form_item7" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Name</label>
<input name="text_12" id="text_12" size="30" maxlength="150" title="" class="cf_inputbox required" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item8" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Postal Address</label>
<textarea name="text_13" cols="30" id="text_13" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item9" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Postal Code</label>
<input name="text_14" id="text_14" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item10" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Country</label>
<input name="text_15" id="text_15" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item11" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Province</label>
<input name="text_16" id="text_16" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item12" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Telephone</label>
<input name="text_17" id="text_17" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item13" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Cell / Mobile Phone</label>
<input name="text_19" id="text_19" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item14" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Fax</label>
<input name="text_18" id="text_18" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item15" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Email</label>
<input name="email" id="text_13" size="30" maxlength="150" title="" class="cf_inputbox required validate-email" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item16" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_heading">
<h3 class="cf_text">Reservation Contact Details</h3>
</div>
<div class="clear"></div>
</div>
<div title="form_item17" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_checkbox">
<label class="cf_label" style="width: 300px;">Contact details are the same as above</label>
<div class="float_left" title="">
<input value="Yes" class="radio" id="check00" name="check0[]" type="checkbox">
<label for="check00" class="check_label">Yes</label>
<br>
</div>
</div>
<div class="clear"></div>
</div>
<div title="form_item18" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label" style="width: 200px;">Reservation Contact Name</label>
<input name="text_21" id="text_21" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item19" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Postal Address</label>
<textarea name="text_23" cols="30" id="text_23" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item20" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Telephone</label>
<input name="text_25" id="text_25" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item21" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Cell / Mobile Phone</label>
<input name="text_24" id="text_24" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item22" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Fax</label>
<input name="text_26" id="text_26" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item23" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Email</label>
<input name="text_27" id="text_27" size="30" maxlength="150" title="" class="cf_inputbox validate-email" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item24" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_heading">
<h3 class="cf_text">Establishment Information</h3>
</div>
<div class="clear"></div>
</div>
<div title="form_item25" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Accommodation Type</label>
<textarea name="text_29" cols="30" id="text_29" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item26" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">GPS Co-ordinates</label>
<input name="text_31" id="text_31" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item27" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Website Address</label>
<input name="text_30" id="text_30" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item28" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Cancellation Policy</label>
<textarea name="text_32" cols="30" id="text_32" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item29" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">No. of Units / Chalets / Camp Sites, etc</label>
<textarea name="text_35" cols="30" id="text_35" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item30" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Rates (In Season)</label>
<textarea name="text_44" cols="30" id="text_44" rows="10" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item31" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Rates (Out of Season)</label>
<textarea name="text_45" cols="30" id="text_45" rows="10" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item32" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Rates for Children</label>
<input name="text_38" id="text_38" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item33" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Check In</label>
<input name="text_40" id="text_40" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item34" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textbox">
<label class="cf_label">Check Out</label>
<input name="text_41" id="text_41" size="30" maxlength="150" title="" class="cf_inputbox" type="text">
</div>
<div class="clear"></div>
</div>
<div title="form_item35" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Facilities and Activities Available on Site</label>
<textarea name="text_44" cols="30" id="text_44" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item36" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Services Provided</label>
<textarea name="text_45" cols="30" id="text_45" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item37" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Description of Establishment</label>
<textarea name="text_43" cols="30" id="text_43" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item38" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Additional Guest Requirements</label>
<textarea name="text_42" cols="30" id="text_42" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item39" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_textarea">
<label class="cf_label">Additional Information</label>
<textarea name="text_45" cols="30" id="text_45" rows="3" title="" class="cf_inputbox"></textarea>
</div>
<div class="clear"></div>
</div>
<div title="form_item40" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_captcha">
<label class="cf_label">Verification Code</label>
<span>{imageverification}</span>
</div>
<div class="clear"></div>
</div>
<div title="form_item41" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_text"><span class="cf_text">Type in the letters/numbers displayed in black only</span></div>
<div class="clear"></div>
</div>
<div title="form_item42" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_button">
<input value="Submit" type="button">
</div>
<div class="clear"></div>
</div>
<div title="form_item43" class="form_item" style="border: 0px none ; background-color: rgb(255, 255, 255);">
<div class="form_element cf_text"><span class="cf_text">Note: Listing your establishment with UpAndGo is subject to the applicable Terms and Conditions. Receipt of this listing form is confirmation that you have read and accepted the Terms & Conditions and have accepted the applicable commission of 12.5% due to UpAndGo on the total accommodation quotation.</span></div>
<div class="clear"></div>
</div>