Name and surname

[text: John Doe]

E-mail

[e-mail: user@domain.dom]

Vendor

[Select from pull down menu]

Payement type

[Select from pull down menu]

Period

Date of arrival

Date of departure

[Select date from calendar: click on right button near the fields]

Lodging

[Select from pull down menu]

Lodging quantity

[Select from pull down menu]

Lodging type

[Select from pull down menu]

Note

[Payement description - max 40 chars]

Total

[Numeric: 5.00 - use the . (dot) for decimals]