TravelJoy

Allyson/Stacey Allyson Segar-Cohen

Moms at Sea Travel, a Dream Vacations Franchise

Trip Inquiry

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like a phone call?" name="would-you-like-a-phone-call">&#13;
			<option label="Yes, I'm ready to book!" value="yes-im-ready-to-book" selected="selected">Yes, I'm ready to book!</option>&#13;
			<option label="I'd like to schedule it." value="id-like-to-schedule-it">I'd like to schedule it.</option>&#13;
			<option label="Not at this time." value="not-at-this-time">Not at this time.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like us to text you when we have sent our initial response?" name="radio-group-1725454959792">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many guests? Please list the ages of any children." name="how-many-guests-please-list-the-ages-of-any-children" subtype="text" className="form-control"/>&#13;
		<field type="text" label="When would you like to depart?" name="when-would-you-like-to-depart" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Which cruise line are you interested in sailing?" name="which-cruise-line-are-you-interested-in-sailing">&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Carnival Cruise" value="carnival-cruise">Carnival Cruise</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
			<option label="Ama Waterways" value="ama-waterways">Ama Waterways</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred Ship and/or Port" name="preferred-ship-andor-port" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="I want these features!" name="i-want-these-features">&#13;
			<option label="Waterslides" value="waterslides">Waterslides</option>&#13;
			<option label="Diaper splash pad" value="diaper-splash-pad">Diaper splash pad</option>&#13;
			<option label="Nursery (under 3)" value="nursery-under-3">Nursery (under 3)</option>&#13;
			<option label="Splash pad for potty trained kids" value="splash-pad-for-potty-trained-kids">Splash pad for potty trained kids</option>&#13;
			<option label="Cruise Line's Private Island(s)" value="cruise-lines-private-islands">Cruise Line's Private Island(s)</option>&#13;
			<option label="Butler/Concierge Service" value="butlerconcierge-service">Butler/Concierge Service</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What room category are you interested in?" name="what-room-category-are-you-interested-in">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Rooms that accommodate 5+" value="rooms-that-accommodate-5">Rooms that accommodate 5+</option>&#13;
			<option label="Connecting" value="connecting">Connecting</option>&#13;
			<option label="Accessible" value="accessible">Accessible</option>&#13;
			<option label="I'll take anything, just get me a room!" value="ill-take-anything-just-get-me-a-room">I'll take anything, just get me a room!</option>&#13;
			<option label="Go BIG or go home!" value="go-big-or-go-home">Go BIG or go home!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Land Vacation Options" name="land-vacation-options">&#13;
			<option label="Walt Disney World Resort Packages" value="walt-disney-world-resort-packages">Walt Disney World Resort Packages</option>&#13;
			<option label="Universal Orlando Resort Packages" value="universal-orlando-resort-packages">Universal Orlando Resort Packages</option>&#13;
			<option label="Beaches Family All-Inclusive Resorts" value="beaches-family-allinclusive-resorts">Beaches Family All-Inclusive Resorts</option>&#13;
			<option label="Sandals Adults-Only All-Inclusive Resorts" value="sandals-adultsonly-allinclusive-resorts">Sandals Adults-Only All-Inclusive Resorts</option>&#13;
			<option label="Nickelodeon Resorts" value="nickelodeon-resorts">Nickelodeon Resorts</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to visit?" name="where-would-you-like-to-visit" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Eligible Discounts" description="May be required to provide proof" name="eligible-discounts">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>&#13;
			<option label="EMT/First Responder" value="emtfirst-responder">EMT/First Responder</option>&#13;
			<option label="Senior" value="senior">Senior</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you find out about me?" name="how-did-you-find-out-about-me" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>