TravelJoy

Annette M. Benjamin

sublimeXcursions LLC

Yamival!

Apr 30, 2024 to May 6, 2024

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="YAMIVILLE 5.0 Traveler &amp;amp; Trip Information"/>&#13;
		<field type="text" label="Prefix - Passenger #1" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name - Passenger #1" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name - Passenger #1" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name - Passenger #1" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthdate" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number&amp;nbsp;" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Client #2 - Full Legal Name&amp;nbsp;" name="client-2-full-legal-name-as-it-appears-on-passport" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Passenger #2 - Birthday" name="passenger-2-birthdate" className="form-control"/>&#13;
		<field type="text" label="Passenger #2 - Email Address if they require a separate invoice." name="passenger-2-email-address-if-they-require-a-separate-invoice" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Request"/>&#13;
		<field type="radio-group" required="true" label="Travel Services Needed" name="travel-services-needed">&#13;
			<option label="Air/Hotel Package (Quotes for this packages will not be available until after Jun 11, 2023)" value="airhotel-package-quotes-for-this-packages-will-not-be-available-until-after-jun-11-2023">Air/Hotel Package (Quotes for this packages will not be available until after Jun 11, 2023)</option>&#13;
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred Departure Airport (Air/Hotel Package)" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="ending-at" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Total Travel Budget" name="total-travel-budget">&#13;
			<option label="$1,500 - $2,500" value="1500-2500">$1,500 - $2,500</option>&#13;
			<option label="$2,501 - $3,500" value="2501-3500">$2,501 - $3,500</option>&#13;
			<option label="$3,501+" value="3501">$3,501+</option>&#13;
		</field>&#13;
		<field type="text" label="Provide Names and date of birth for any additional travelers." name="provide-names-and-date-of-birth-for-any-additional-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What else would you like me to know?" description="Would you like to add a rental car to your reservation? Anything else travel related that you think I should know?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>