TravelJoy

Aubree Johnson

Vagablonde Travel

Secrets St. Lucia

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h1" label="Travel Stylist: Aubree Johnson"/>&#13;
		<field type="header" subtype="h1" label="CLIENT INFORMATION"/>&#13;
		<field type="text" required="true" label="Your Full Name&amp;nbsp;" description="This needs to match your passport" name="first-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="h1" label="ABOUT YOUR TRIP"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="Please offer a date range if you dont have exact dates" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="radio-group" required="true" 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" required="true" label="Do you have a set budget? (Not including flights)" name="do-you-have-a-set-budget-not-including-flights" className="form-control">&#13;
			<option label="$4,500 - $6,000" value="4500-6000" selected="selected">$4,500 - $6,000</option>&#13;
			<option label="$6,000 - $8,000 " value="6000-8000-">$6,000 - $8,000 </option>&#13;
			<option label="$8,000 - $10,000 " value="8000-10000-">$8,000 - $10,000 </option>&#13;
			<option label=" $10,000 - $15,000" value="10000-15000"> $10,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="At what phase of planning are you in?&amp;nbsp;" name="at-what-phase-of-planning-are-you-in-">&#13;
			<option label="Just Curious" value="just-curious">Just Curious</option>&#13;
			<option label="We have dates, but we need everything else." value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else.</option>&#13;
			<option label="Flights are all booked...now help us fill in the blanks." value="flights-are-all-bookednow-help-us-fill-in-the-blanks">Flights are all booked...now help us fill in the blanks.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Total # of Adults" name="total-of-adults" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>