TravelJoy

Megan Heilbrun

Moms at Sea

Vacation Inquiry

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Megan Heilbrun - Moms at Sea"/>&#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" label="What departure port do you prefer?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Port Canaveral" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many guests total?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any children? If so, what are their ages?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What Cruise Line or Resort are you interested in?" name="what-cruise-line-are-you-interested-in">&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Disney Parks and Resorts" value="disney-parks-and-resorts">Disney Parks and Resorts</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a specific Ship or Resort in mind?" name="do-you-have-a-specific-ship-or-resort-in-mind" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" 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" required="true" label="What features are most important to you?" name="budget">&#13;
			<option label="Perfect Day at Coco Cay? - Royal Caribbean" value="perfect-day-at-coco-cay-royal-caribbean">Perfect Day at Coco Cay? - Royal Caribbean</option>&#13;
			<option label="Celebration Key - Carnival " value="celebration-key-carnival-">Celebration Key - Carnival </option>&#13;
			<option label="Castaway Cay/Lighthouse Point  - Disney Cruise Line" value="castaway-caylighthouse-point-disney-cruise-line">Castaway Cay/Lighthouse Point  - Disney Cruise Line</option>&#13;
			<option label="Nursery: 6M - 36M" value="nursery-6m-36m">Nursery: 6M - 36M</option>&#13;
			<option label="Diapered area splashpad" value="diapered-area-splashpad">Diapered area splashpad</option>&#13;
			<option label="Waterslides" value="waterslides">Waterslides</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;
		</field>&#13;
		<field type="radio-group" label="What type of cabin are you most interested in?" name="hotel-preference" other="true">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Ocean View Balcony" value="ocean-view-balcony">Ocean View Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Cabins that accommodate 5+" value="cabins-that-accommodate-5">Cabins that accommodate 5+</option>&#13;
			<option label="Accessible Cabin" value="accessible-cabin">Accessible Cabin</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="State of Residency" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Cruise Loyalty Number?" name="cruise-loyalty-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Eligible Discounts" name="eligible-discounts">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Law Enforcemnt" value="law-enforcemnt">Law Enforcemnt</option>&#13;
			<option label="EMT/First Responder" value="emtfirst-responder">EMT/First Responder</option>&#13;
			<option label="Senior 55+" value="senior-55">Senior 55+</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know about your cruise vacation?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>