This is the "reservationbox" div (600 W x 650 H). This div contains the input fields for customer data:

Arrival date
Departure date
Adults (13 & over) (that's quantity)
Children (under 13) (quantity)
Surname
Given Name
Other Name
RV Type (drop down menu) Motor Home, 5th Wheel, Travel Trailer, Truck Camper
RV Length
Vehicle Type
Vehicle Color
Address 1
Address 2
Town
State
Zip Code Country (other than US)
Mobile Phone #
Other Phone #
Email Address
Credit Card
Credit Card Number (this field needs dashes every four characters (xxxx-xxxx-xxxx-xxxx)
Expiration Date
CVV Code

This page can generally follow the layout of the existing reservations page .here
The numeric $54.00 to be removed from the text at the top of the page.
Top Rated
Facebook