<h2>Make a Reservation</h2>
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<div class=”form-field”>
<h5 class=”form-field-title”>Cosmetics</h5>
[checkbox res-services-1 use_label_element “Facials” “Eyebrow & Eyelashes” “Microdermabrasion” “Acne Treatments”]
</div>
<div class=”form-field”>
<h5 class=”form-field-title”>Hairdressing</h5>
[checkbox res-services-2 use_label_element “Wash” “Cut & Finish” “Blow Dries” “Hair Colouring & Highlights”]
</div>
<hr class=”c-divider”>
[response] <div class=”row”>
<div class=”col-sm-6″>
<div class=”form-field”><label for=”res-your-name”>Your Name <span>*</span></label>[text* res-your-name id:res-your-name]</div>
<div class=”form-field”><label for=”res-your-email”>Your Email Address</label>[email res-your-email id:res-your-email]</div>
<div class=”form-field”><label for=”res-your-phone”>Your Phone Number</label>[tel res-your-phone id:res-your-phone]</div>
</div>
<div class=”col-sm-6″>
<div class=”form-field”><label for=”res-reservation-date”>Preferred Date & Time</label><div class=”row”>
<div class=”col-sm-6″>
<div class=”datepicker-input” data-date-format=”mm/dd/yy” data-first-day=”0″>[text res-reservation-date id:res-reservation-date]</div>
</div>
<div class=”col-sm-6″>
[select res-reservation-time “9:00” “9:30” “10:00” “10:30” “11:00” “11:30” “12:00” “12:30” “13:00” “13:30” “14:00” “14:30” “15:00″]
</div>
</div>
</div>
<div class=”form-field”><label for=”res-reservation-note”>Note</label>[textarea res-reservation-note id:res-reservation-note]</div>
<div class=”form-field”>[submit class:c-button]</div>
</div>
</div>