TravelJoy

Dionne Roberts

Foster Perry Travel

2024 Jazz Series Special Requests

<html>
  <body>
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	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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" 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="header" subtype="h2" label="Organization Information"/>&#13;
		<field type="text" required="true" label="Organization Name" name="organization-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Website" name="website" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is your organization a 501c3 or 501c4?" name="is-your-organization-a-501c3-or-501c4">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Your Request"/>&#13;
		<field type="checkbox-group" required="true" label="What are you requesting?" name="what-are-you-requesting" other="true">&#13;
			<option label="Complimentary tickets" value="complimentary-tickets">Complimentary tickets</option>&#13;
			<option label="Sponsorship / Advertising" value="sponsorship-advertising">Sponsorship / Advertising</option>&#13;
			<option label="Fundraising Partnership" value="fundraising-partnership">Fundraising Partnership</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is the purpose of your request?" name="what-is-the-purpose-of-your-request" other="true">&#13;
			<option label="Silent Auction" value="silent-auction">Silent Auction</option>&#13;
			<option label="Live Auction" value="live-auction">Live Auction</option>&#13;
			<option label="Raffle" value="raffle">Raffle</option>&#13;
			<option label="Provide to Staff, Board or Participants" value="provide-to-staff-board-or-participants">Provide to Staff, Board or Participants</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the event where this contribution will be utilized? (please also provide date)" name="what-is-the-event-where-this-contribution-will-be-utilized-please-also-provide-date" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What additional information is important for us to know?" name="what-additional-information-is-important-for-us-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>