{{ form_start(requestAccessForm, {'action': path('request_access')}) }}
<div class="row">
<div class="col">
<label for="customerAccountName">Company Name *</label>
{{ form_widget(requestAccessForm.customerAccountName) }}
</div>
</div> <div class="row">
<div class="col">
<label for="IATANumber">IATA Number</label>
{{ form_widget(requestAccessForm.IATANumber) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="contactFirstName">Contact First Name *</label>
{{ form_widget(requestAccessForm.contactFirstName) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="contactLastName">Contact Last Name *</label>
{{ form_widget(requestAccessForm.contactLastName) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="email">Email *</label>
{{ form_widget(requestAccessForm.email) }}
</div>
</div>
<div class="row">
<div class="form-group col-md-3">
<label for="website">Phone Code *</label>
{{ form_widget(requestAccessForm.phoneCountryCode) }}
</div>
<div class="form-group col-md-9">
<label for="website">Phone *</label>
{{ form_widget(requestAccessForm.phone) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="website">Website</label>
{{ form_widget(requestAccessForm.website) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="addressLine1">Address *</label>
{{ form_widget(requestAccessForm.addressLine1) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="addressLine2">Unit/Suite/Apartment</label>
{{ form_widget(requestAccessForm.addressLine2) }}
</div>
</div>
<div class="row">
<div class="col">
<label for="language">Language</label>
{{ form_widget(requestAccessForm.language) }}
</div>
<div class="col">
<label for="customerAccount">{% if not app.session.get("customerAccountDomain") %}(*Optional){% endif%} Host / Agency Group{% if app.session.get("customerAccountDomain") %} *{% endif%}</label>
{{ form_widget(requestAccessForm.customerAccount) }}
</div>
</div>
<div class="flex">
{{ form_widget(requestAccessForm.ownershipLink) }}
{{ form_row(requestAccessForm._token) }}
<input id="submitBtn" type="submit" class="btn btn-primary" value="Request Access"/>
</div>
<input type="hidden" name="recaptcha_response" id="recaptchaResponse">
{{ form_end(requestAccessForm) }}