TravelJoy

Jacqueline Alfred

Lady J

Travel Request

<html>
  <body>
    <form-template>
	<fields>
		<field label="The Basics" subtype="h2" type="header"/>
		<field label="Prefix" name="prefix" subtype="text" type="text" className="form-control"/>
		<field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Middle name" name="middle-name" subtype="text" type="text" className="form-control"/>
		<field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Suffix" name="suffix" subtype="text" type="text" className="form-control"/>
		<field label="Preferred name" name="preferred-name" subtype="text" type="text" className="form-control"/>
		<field required="true"  label="Email" name="email" subtype="text" type="text" className="form-control"/>
		<field label="Phone number" name="phone-number" subtype="text" type="text" className="form-control"/>
		<field label="The Adventure" subtype="h1" type="header"/>
		<field description="If you're not sure  just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" subtype="text" type="text" className="form-control"/>
		<field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" type="date" className="form-control"/>
		<field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" type="date" className="form-control"/>
		<field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/>
		<field label="Do you have a passport?" name="do-you-have-a-passport" type="radio-group">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field label="How many travelers?" name="number-of-travelers" type="text" className="form-control"/>
		<field description="This just gives me a general starting point and can always be changed later." label="What is your budget per traveler?" name="budget" required="true" type="radio-group">
			<option label="$0 to $500" value="0-to-500">$0 to $500</option>
			<option label="$501 to $1,000" value="501-to-1000">$501 to $1,000</option>
			<option label="$1,001 to $2,000" value="1001-to-2000">$1,001 to $2,000</option>
			<option label="$2,001 to $3,500" value="2001-to-3500">$2,001 to $3,500</option>
			<option label="$3,500 to $5,000" value="3500-to-5000">$3,500 to $5,000</option>
			<option label="$5,001+" value="5001">$5,001+</option>
		</field>
		<field label="If any travelers are children please list their age at the time of travel" name="if-any-travelers-are-children-please-list-their-age-at-the-time-of-travel" type="textarea" className="form-control"/>
		<field label="What would you like to include in your booking?" name="what-would-you-like-to-include-in-your-booking" type="checkbox-group">
			<option label="Activities/Excursions/Tours" value="activitiesexcursionstours">Activities/Excursions/Tours</option>
			<option label="Air" selected="selected" value="air">Air</option>
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>
			<option label="Car Rental" value="car-rental">Car Rental</option>
			<option label="Cruise" value="cruise">Cruise</option>
			<option label="Hotel/Resort" selected="selected" value="hotelresort">Hotel/Resort</option>
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>
		</field>
		<field label="Are you traveling for a Special Occasion?" name="are-you-traveling-for-a-special-occasion" type="radio-group">
			<option label="Anniversary" value="anniversary">Anniversary</option>
			<option label="Birthday" value="birthday">Birthday</option>
			<option label="Destination Bachelor/Bachelorette Party" value="destination-bachelorbachelorette-party">Destination Bachelor/Bachelorette Party</option>
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>
		</field>
		<field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/>
		<field description="What else would you like me to know about your travelers  budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/>
		<field label="Loyalty Programs" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" name="loyalty-program" type="clientLoyaltyPrograms" className="form-control"/>
	</fields>
</form-template>
  </body>
</html>