[section_break section_break-832 "Hotel Booking"] Experience something new every moment [/section_break]


    
        <label> First Name *
            [text* first-name placeholder "Alex"] </label>
    
    
        <label> Last Name *
            [text* last-name placeholder "Piter"] </label>
    



    
        <label> Phone Number *
            [phone* phone-248] </label>
    
    
        <label> Email Address *
            [email* email-35 placeholder "[email protected]"] </label>
    



    
        <label>  Room Type *
            [select* select-376 first_as_label "Select" "Standard Room (1 to 2 People)" "Family Room (3 to 4 People)" "Private Room (1 to 3 People)" "Mix Dorm Room (6 People)" "Male Dorm Room (6 People)" "Female Dorm Room (6 People)"] </label>
    
    
        <label>  Number of Guests *
            [number* guests] </label>
    



    
        <label> Arrival Date *
            [booking_date* booking_date-355] </label>
    
    
        <label> Arrival Time *
            [booking_time* booking_time-535] </label>
    


<label> Departure Date *
    [date_time* date_time-756 "m/d/Y"] </label>

<label> Free Pickup? *
    [select* select-692 first_as_label "Select" "Yes" "No"] </label>

<label> Special Requests
    [textarea special-request x3] </label> 
    
[submit "Book"]