TravelJoy

Patrick Ketelaar

Montgomery Travel Partners LLC

Margaritaville at Sea Cruise

Bahamas

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Margaritaville at sea Cruise Quote Request"/>&#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" label="Preferred name" name="preferred-name" subtype="text" 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" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Best Time to Contact (When is the best day/time to call)" name="text-1698258323634" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="textarea" label="Names and Birthdates of your cabinmates" name="textarea-1697991641030" className="form-control"/>&#13;
		<field type="text" label="When would you like to go? (Please provide date or date&amp;nbsp; range)" name="text-1697572732130" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Cabin Choice" name="cabin-choice">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Departure Port" name="departure-port">&#13;
			<option label="West Palm Beach, FL" value="west-palm-beach-fl">West Palm Beach, FL</option>&#13;
			<option label="Tampa, FL" value="tampa-fl">Tampa, FL</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Interested in a" name="interested-in-a">&#13;
			<option label="3 Day 2 Night  Cruise" value="3-day-2-night-cruise">3 Day 2 Night  Cruise</option>&#13;
			<option label="4 Day - Cruise &amp; Stay" value="4-day-cruise-stay">4 Day - Cruise &amp; Stay</option>&#13;
			<option label="6 Day - Cruise &amp; Stay" value="6-day-cruise-stay">6 Day - Cruise &amp; Stay</option>&#13;
			<option label="4 Day Cruise" value="4-day-cruise">4 Day Cruise</option>&#13;
			<option label="6 Day Cruise" value="6-day-cruise">6 Day Cruise</option>&#13;
			<option label="7 Day Cruise" value="7-day-cruise">7 Day Cruise</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Resort stay preference" name="resort-stay-preference">&#13;
			<option label="Pelican Bay Resort Hotel" value="pelican-bay-resort-hotel">Pelican Bay Resort Hotel</option>&#13;
			<option label="Viva Wyndham Fortuna Beach (All-Inclusive Resort)" value="viva-wyndham-fortuna-beach-allinclusive-resort">Viva Wyndham Fortuna Beach (All-Inclusive Resort)</option>&#13;
			<option label="Grand Lucayan (All-Inclusive)" value="grand-lucayan-allinclusive">Grand Lucayan (All-Inclusive)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like us to include information on using FlexPay as part of your quote?" name="would-you-like-us-to-include-information-on-using-flexpay-as-part-of-your-quote">&#13;
			<option label="yes" value="yes">yes</option>&#13;
			<option label="no" value="no">no</option>&#13;
		</field>&#13;
		<field type="textarea" label="Notes or Instructions" description="If you have exact instructions as for cabin type or room # place it here along with anything else you may want us to know when preparing your quote" name="notes-or-instructions" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>