TravelJoy

Anna Horne

Travelmation

Travel Inquiry

Europe

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="text" required="true" label="First Name" name="first-name" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Have you traveled to Europe before?&amp;nbsp;" name="have-you-traveled-to-europe-before-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Where would you like to go?&amp;nbsp;"/>&#13;
		<field type="text" label="Location #1&amp;nbsp;" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: London" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Location #2&amp;nbsp;" name="location-2-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Location #3&amp;nbsp;" name="location-3-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Location #4&amp;nbsp;" name="location-4-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="When would you like to travel?" name="when-would-you-like-to-travel" className="form-control"/>&#13;
		<field type="text" label="How many days total would you like to plan for?&amp;nbsp;" name="how-many-days-total-would-you-like-to-plan-for-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How soon are you looking to book?&amp;nbsp;" name="how-soon-are-you-looking-to-book-">&#13;
			<option label="Today" value="today">Today</option>&#13;
			<option label="Within next 7 - 10 days" value="within-next-7-10-days">Within next 7 - 10 days</option>&#13;
			<option label="In a few months" value="in-a-few-months">In a few months</option>&#13;
			<option label="Just considering options" value="just-considering-options">Just considering options</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city/airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many hotel rooms would you like?&amp;nbsp;" name="how-many-hotel-rooms-would-you-like-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many beds in each room?&amp;nbsp;" name="how-many-beds-in-each-room-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you prefer a private bath or shared hall bath?&amp;nbsp;" name="do-you-prefer-a-private-bath-or-shared-hall-bath-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Does everyone have an up to date passport?&amp;nbsp;" name="firstlast-name-birthdate-gender" className="form-control"/>&#13;
		<field type="radio-group" label="Are you looking for the following experiences?&amp;nbsp;" name="are-you-looking-for-the-following-">&#13;
			<option label="Theater Experiences " value="theater-experiences-">Theater Experiences </option>&#13;
			<option label="Food and Wine " value="food-and-wine-">Food and Wine </option>&#13;
			<option label="Train Excursions " value="train-excursions-">Train Excursions </option>&#13;
			<option label="Cultural Experiences " value="cultural-experiences-">Cultural Experiences </option>&#13;
			<option label="Historical Sites " value="historical-sites-">Historical Sites </option>&#13;
			<option label="Musical Concerts " value="musical-concerts-">Musical Concerts </option>&#13;
			<option label="Outdoor Adventure " value="outdoor-adventure-">Outdoor Adventure </option>&#13;
			<option label="Bicycle Tours " value="bicycle-tours-">Bicycle Tours </option>&#13;
			<option label="River Cruising " value="river-cruising-">River Cruising </option>&#13;
			<option label="Holiday Markets " value="holiday-markets-">Holiday Markets </option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in travel insurance?&amp;nbsp;" name="are-you-interested-in-travel-insurance-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>