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The following video explains how to create a form in Raley IntakeForms like the one below:

Widget Connector
urlhttp://youtube.com/watch?v=hQ5faiumfFA

Online demo:

Raley Intake Forms
configurationIdd14dc618-0e03-4d97-9086-4c465cf33a53
height300
tokenrumpqfha5z

Info

Simple Raley Intake Form embedded to Confluence page using a free plugin - Raley IntakeForms Viewer (available for Confluence Server and for Confluence Cloud)