TravelJoy

Melanie Frady

Travelmation

Destination Wedding & Honeymoon Specialist

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Tell me about your Destination Wedding or Honeymoon"/>&#13;
		<field type="checkbox-group" label="Which package are you interested in?" name="which-package-are-you-interested-in">&#13;
			<option label="Destination Wedding ($500 planning fee)" value="destination-wedding-500-planning-fee">Destination Wedding ($500 planning fee)</option>&#13;
			<option label="Honeymoon Only ($200 planning fee)" value="honeymoon-only-200-planning-fee">Honeymoon Only ($200 planning fee)</option>&#13;
			<option label="Both Destination Wedding &amp; Honeymoon ($500 planning fee, honeymoon fee waived)" value="both-destination-wedding-honeymoon-500-planning-fee-honeymoon-fee-waived">Both Destination Wedding &amp; Honeymoon ($500 planning fee, honeymoon fee waived)</option>&#13;
		</field>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your partner&#39;s full name (First &amp;amp; Last)?&amp;nbsp;" name="what-is-your-partners-full-name-first-last-" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Partner&#39;s Birthday" name="partners-birthday" className="form-control"/>&#13;
		<field type="checkbox-group" label="How did you hear about my services?" name="how-did-you-hear-about-my-services" other="true">&#13;
			<option label="Pete Bowbliss with Blissful Productions (Atlanta, GA)" value="pete-bowbliss-with-blissful-productions-atlanta-ga">Pete Bowbliss with Blissful Productions (Atlanta, GA)</option>&#13;
			<option label="Holton Media (St. Simons Island, GA)" value="holton-media-st-simons-island-ga">Holton Media (St. Simons Island, GA)</option>&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
			<option label="Referred by a friend (add their name in the other box)" value="referred-by-a-friend-add-their-name-in-the-other-box">Referred by a friend (add their name in the other box)</option>&#13;
		</field>&#13;
		<field type="text" label="What is your dream destination? Wedding? Honeymoon?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your wedding date?" name="what-is-your-wedding-date" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are your honeymoon dates?" name="what-are-your-honeymoon-dates" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-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="select" label="If traveling internationally, do you have a current passport (valid 6 months after your return date)" name="if-traveling-internationally-do-you-have-a-current-passport" className="form-control">&#13;
			<option label="Yes! I have confirmed my passport is valid a minimum of 6 months after my return date." value="yes-i-have-confirmed-my-passport-is-valid-a-minimum-of-6-months-after-my-return-date">Yes! I have confirmed my passport is valid a minimum of 6 months after my return date.</option>&#13;
			<option label="Not yet, but working on it." value="not-yet-but-working-on-it">Not yet, but working on it.</option>&#13;
			<option label="Not yet. Can you help me with that?" value="not-yet-can-you-help-me-with-that">Not yet. Can you help me with that?</option>&#13;
		</field>&#13;
		<field type="textarea" label="How many guests are you expecting? What else can you tell me about your celebration or honeymoon?" name="what-else-can-you-tell-me-about-your-trip" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>