<form-template> <fields> <field type="text" subtype="text" required="true" label="Name" class="form-control text-input" name="text-1647464176696"></field> <field type="text" subtype="text" required="true" label="Address" class="form-control text-input" name="text-1647464178478"></field> <field type="text" subtype="text" required="true" label="Utility Account #" class="form-control text-input" name="text-1647464179129"></field> <field type="text" subtype="text" required="true" label="Email Address" class="form-control text-input" name="text-1647464179518"></field> <field type="header" subtype="h1" label="Ensure You Recieve Your Utility Bill:" class="header"></field> <field type="paragraph" subtype="p" label="Since utility bills are a mass-emailed item, from time to time they can end up in junk e-mail inboxes. Please ensure you are checking your junk folder, and, if found there, most email clients allow you to mark the sender 'utility@dauphin.ca' as a 'safe sender'. This will prevent these emails from going to junk in the future." class="paragraph"></field> </fields> </form-template> Submit Submitting...