[[+partition:is=`dialog.create`:then=`
<div class="">
  <form data-id="dialog" data-style="default" novalidate>
    <div class="input" data-type="text">
      <label for="user_referral:fullname">[[%full_name? &namespace=xtra &topic=default]]</label>
      <div class="input-inner">
        <input type="text" id="user_referral:fullname" value="" />
      </div>
      <span class="warning">You must provide a name</span>
    </div>
    <div class="input" data-type="email">
      <label for="user_referral:email">[[%email? &namespace=xtra &topic=default]]</label>
      <div class="input-inner">
        <input type="text" id="user_referral:email" value="" />
      </div>
      <span class="warning">You must provide an email</span>
    </div>
    <div class="input" data-type="textarea">
      <label for="user_referral:message">[[%message? &namespace=xtra &topic=default]]</label>
      <div class="input-inner">
        <textarea id="user_referral:message"></textarea>
      </div>
    </div>
  </form>
</div>
`]]