<form-template> <fields> <field type="header" subtype="h1" label="2021 Rain Barrel Order Form" class="header"></field> <field type="paragraph" subtype="p" label="Please Note: Orders will be accepted until 4pm on April 19, 2021. Payment must be submitted separately and must also be received by 4pm April 19, 2021 - no exceptions. Choose your payment method in the dropdown provided. Please ensure the NAME on your ORDER FORM matches the NAME on your PAYMENT METHOD for timely processing. Once the rain barrels are in stock, you will be contacted using your preferred contact method below. The pick up location will be the Town of Bon Accord Public Works Yard. You will need PHOTO ID to pick up your rain barrel. Again, please ensure the NAME on your PHOTO ID matches the NAME on your ORDER FORM. All names must be consistent to avoid hiccups. If you're sending someone else to pick up, please advise the Town in advance." class="paragraph"></field> <field type="text" subtype="text" required="true" label="First Name" class="form-control text-input" name="text-1613170385060"></field> <field type="text" subtype="text" required="true" label="Last Name" class="form-control text-input" name="text-1613170401140"></field> <field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1613170424469"></field> <field type="text" subtype="text" required="true" label="Phone number" class="form-control text-input" name="text-1613502916142"></field> <field type="text" subtype="email" label="Email Address - If you provide an email, you will receive an email confirmation of your order after submission." class="form-control text-input" name="text-1613502928116"></field> <field type="radio-group" required="true" label="Preferred Contact Method - This is how we will contact you when your order has arrived." class="radio-group" name="radio-group-1613170448870"> <option value="option-1" selected="true">Phone</option> <option value="option-2">Email</option> </field> <field type="select" required="true" label="Quantity" placeholder="--Select--" class="form-control select" name="select-1613170616688"> <option value="1-barrel-55" selected="true">1 barrel $55</option> <option value="2-barrel-110">2 barrels $110</option> <option value="3-barrel-165">3 barrels $165</option> <option value="4-barrel-220">4 barrels $220</option> <option value="5-barrel-275">5 barrels $275</option> </field> <field type="select" required="true" label="Payment Method" placeholder="--Select--" class="form-control select" name="select-1613170740903"> <option value="Cheque" selected="true">Cheque</option> <option value="CreditCard-phone-Town-Office">Credit Card - I will phone the Town Office</option> <option value="CreditCard-OptionPay">Credit Card - I will use OptionPay</option> <option value="total-add-utility">I would like the total added to my utility bill. I will provide my account number below.</option> </field> <field type="text" subtype="text" label="If you would like the total added to your utility bill, please provide your Utility Bill Account Number below" class="form-control text-input" name="text-1613170818522"></field> </fields> </form-template> Submit Submitting...