TravelJoy

Team Travelooza

Travelooza

NEW LEADS

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="CRUISE REQUEST"/>&#13;
		<field type="paragraph" subtype="p" label="Hello! I would love to help you plan your fabulous cruise vacation package.... provide me with some details and I will get back with you shortly!"/>&#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="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="select" label="Have you been working with a specific Travelooza agent?" name="have-you-been-working-with-a-specific-travelooza-agent" className="form-control">&#13;
			<option label="Jana Huse" value="jana-huse">Jana Huse</option>&#13;
			<option label="Kristen Pfeifer" value="kristen-pfeifer">Kristen Pfeifer</option>&#13;
			<option label="Stephanie Benson" value="stephanie-benson">Stephanie Benson</option>&#13;
			<option label="Shonda Meitler" value="shonda-meitler">Shonda Meitler</option>&#13;
			<option label="Katelyn Bozada" value="katelyn-bozada">Katelyn Bozada</option>&#13;
			<option label="Tammie Macias" value="tammie-macias">Tammie Macias</option>&#13;
			<option label="Alejandro Del Villar" value="alejandro-del-villar">Alejandro Del Villar</option>&#13;
			<option label="Emily Wangen" value="emily-wangen">Emily Wangen</option>&#13;
			<option label="Miranda Martinez" value="miranda-martinez">Miranda Martinez</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a specific itinerary in mind or departure port?" name="do-you-have-a-specific-itinerary-in-mind-or-departure-port" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many guests traveling (Please list Adults &amp;amp; Kids)" name="how-many-guests-traveling" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="If traveling with kids, what are their ages?&amp;nbsp;" name="if-traveling-with-kids-what-are-their-ages-" className="form-control"/>&#13;
		<field type="text" label="Dates you prefer to cruise:" name="dates-you-prefer-to-cruise" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you prefer any particular cruise line?" name="do-you-prefer-any-particular-cruise-line" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your ideal budget?&amp;nbsp;" name="what-is-your-ideal-budget-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Stateroom Preference" name="stateroom-preference">&#13;
			<option label="Inside" value="inside">Inside</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;
		</field>&#13;
		<field type="text" label="Do you need connecting staterooms?&amp;nbsp;" name="do-you-need-connecting-staterooms-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What Amenities are you Interested In?&amp;nbsp;" name="what-amenities-are-you-interested-in-">&#13;
			<option label="Beverage Package" value="beverage-package">Beverage Package</option>&#13;
			<option label="Wifi" value="wifi">Wifi</option>&#13;
			<option label="Kids Club" value="kids-club">Kids Club</option>&#13;
			<option label="Specialty Dining" value="specialty-dining">Specialty Dining</option>&#13;
			<option label="Onboard Credit" value="onboard-credit">Onboard Credit</option>&#13;
			<option label="Pre-Paid Gratuities" value="prepaid-gratuities">Pre-Paid Gratuities</option>&#13;
		</field>&#13;
		<field type="text" label="Comments about your trip expectations." name="comments-about-your-trip-expectations" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>