[formidable id=12]
<div class="frm_forms with_frm_style frm_style_formidable-style" id="frm_form_12_container" >
<form enctype="multipart/form-data" method="post" class="frm-show-form " id="form_privatetourrequest" >
<div class="frm_form_fields ">
<fieldset>
<legend class="frm_screen_reader">Private Tour Request</legend>
<div class="frm_fields_container">
<input type="hidden" name="frm_action" value="create" />
<input type="hidden" name="form_id" value="12" />
<input type="hidden" name="frm_hide_fields_12" id="frm_hide_fields_12" value="" />
<input type="hidden" name="form_key" value="privatetourrequest" />
<input type="hidden" name="item_meta[0]" value="" />
<input type="hidden" id="frm_submit_entry_12" name="frm_submit_entry_12" value="22ef68de25" /><input type="hidden" name="_wp_http_referer" value="/tours/boston/" /><div id="frm_field_64_container" class="frm_form_field form-field frm_required_field frm_top_container">
<label for="field_eipvh" id="field_eipvh_label" class="frm_primary_label">Name
<span class="frm_required">*</span>
</label>
<input type="text" id="field_eipvh" name="item_meta[64]" value="" data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Text is invalid" aria-invalid="false" />
</div>
<div id="frm_field_69_container" class="frm_form_field form-field frm_required_field frm_top_container">
<label for="field_dosc9" id="field_dosc9_label" class="frm_primary_label">Email
<span class="frm_required">*</span>
</label>
<input type="email" id="field_dosc9" name="item_meta[69]" value="" data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Email is invalid" aria-invalid="false" />
</div>
<div id="frm_field_70_container" class="frm_form_field form-field frm_required_field frm_top_container">
<label for="field_fjfkh" id="field_fjfkh_label" class="frm_primary_label">Which private tour are you interested in?
<span class="frm_required">*</span>
</label>
<select name="item_meta[70]" id="field_fjfkh" data-reqmsg="This field cannot be blank." aria-required="true" data-invmsg="Which private tour are you interested in? is invalid" class="auto_width" aria-invalid="false" >
<option value="" selected="selected" class="">
</option>
<option value="Grand Central" class="">
Grand Central </option>
<option value="Penn Station" class="">
Penn Station </option>
<option value="Dutch New York" class="">
Dutch New York </option>
<option value="NY World's Fairs" class="">
NY World's Fairs </option>
<option value="Financial District" class="">
Financial District </option>
<option value="Underground Subway Tour" class="">
Underground Subway Tour </option>
<option value="Brooklyn Bridge" class="">
Brooklyn Bridge </option>
<option value="Ellis Island Abandoned Hospital" class="">
Ellis Island Abandoned Hospital </option>
<option value="Something else" class="">
Something else </option>
</select>
</div>
<div id="frm_field_75_container" class="frm_form_field form-field frm_top_container">
<label for="field_ipmtr" id="field_ipmtr_label" class="frm_primary_label">Do you have a preferred date and time?
<span class="frm_required"></span>
</label>
<input type="text" id="field_ipmtr" name="item_meta[75]" value="" data-invmsg="Text is invalid" aria-invalid="false" />
</div>
<div id="frm_field_80_container" class="frm_form_field form-field frm_top_container">
<label for="field_j0dnl" id="field_j0dnl_label" class="frm_primary_label">How many people are in your group?
<span class="frm_required"></span>
</label>
<input type="text" id="field_j0dnl" name="item_meta[80]" value="" data-invmsg="Text is invalid" aria-invalid="false" />
</div>
<div id="frm_field_77_container" class="frm_form_field form-field frm_top_container">
<label for="field_u4hn5" id="field_u4hn5_label" class="frm_primary_label">What would you like us to know about your group? Are you locals or visitors?
<span class="frm_required"></span>
</label>
<input type="text" id="field_u4hn5" name="item_meta[77]" value="" data-invmsg="Text is invalid" aria-invalid="false" />
</div>
<input type="hidden" name="item_key" value="" />
<div class="frm_verify" >
<label for="frm_email_12">
If you are human, leave this field blank. </label>
<input type="email" class="frm_verify" id="frm_email_12" name="frm_verify" value="" />
</div>
<div class="frm_submit">
<button class="frm_button_submit" type="submit" >Submit</button>
</div></div>
</fieldset>
</div>
</form>
</div>
