diff --git a/app/templates/views/service-settings/request-to-go-live.html b/app/templates/views/service-settings/request-to-go-live.html
index ae5124491..8838cfb72 100644
--- a/app/templates/views/service-settings/request-to-go-live.html
+++ b/app/templates/views/service-settings/request-to-go-live.html
@@ -24,14 +24,11 @@
       </ul>
 
       <form method="post">
-
-        {{ textbox(
-          form.usage,
-          label='Estimate how many emails and text messages you’ll send each month',
-          hint='If your estimate is likely to change, tell us how ',
-          width='1-1',
-          rows=5
-        ) }}
+        {{ textbox(form.channel, width='1-1') }}
+        {{ textbox(form.start_date, width='1-1') }}
+        {{ textbox(form.start_volume, width='1-1') }}
+        {{ textbox(form.peak_volume, width='1-1') }}
+        {{ textbox(form.upload_or_api, width='1-1') }}
 
         <p>
           We will: