Multiple value checkbox example
Value 1
Value 2
Value 3
Value 4

Multiple value checkbox example
Value 5
Value 6
Value 7
Value 8
First Name

Last Name

SelectRecipient_Special text field
SelectRecipient (array) text field
xxxxxxxxxx
Email Address

1st image file.

2nd image file.

3rd image file.

Provide a DETAILED Description of your below.
(Include descriptions like height, color, markings, damage etc.)