TravelJoy

Dawn OBrien

Wheelie Fun Cruise and Travel, Dream Vacations

Let's Get Started!

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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="Full name (as shown on your passport exactly)"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City, &amp;nbsp;State, Zip Code" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="checkbox-group" required="true" label="What type of vacation are you looking for?" name="what-type-of-vacation-are-you-looking-for">&#13;
			<option label="Cruise: Ocean or River" value="cruise-ocean-or-river">Cruise: Ocean or River</option>&#13;
			<option label="All-Inclusive (Mexico or Caribbean)" value="allinclusive-mexico-or-caribbean">All-Inclusive (Mexico or Caribbean)</option>&#13;
			<option label="Customized Itinerary (Europe/Hawaii)" value="customized-itinerary-europehawaii">Customized Itinerary (Europe/Hawaii)</option>&#13;
			<option label="Luxury Villa Rental" value="luxury-villa-rental">Luxury Villa Rental</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" 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="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-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="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Please provide legal names and dates of birth (mm/dd/year) for all travelers"/>&#13;
		<field type="text" label="Text Field" name="text-1708737103612" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$2500 to $4000" value="2500-4000">$2500 to $4000</option>&#13;
			<option label="$4000 to $6500" value="4000-to-6500">$4000 to $6500</option>&#13;
			<option label="$6500 to $8500" value="6500-to-8500">$6500 to $8500</option>&#13;
			<option label="$8500 to $10000" value="8500-to-10000">$8500 to $10000</option>&#13;
			<option label="$10,000+" value="10000+">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cruise Info (if applicable)" name="cruise-info-if-applicable">&#13;
			<option label="Interior (inside) cabin" value="interior-inside-cabin">Interior (inside) cabin</option>&#13;
			<option label="Outside/Oceanview cabin (no balcony)" value="outsideoceanview-cabin-no-balcony">Outside/Oceanview cabin (no balcony)</option>&#13;
			<option label="Balcony Cabin" value="balcony-cabin">Balcony Cabin</option>&#13;
			<option label="Suite Cabin" value="suite-cabin">Suite Cabin</option>&#13;
			<option label="Solo Cabin (solo travelers only)" value="solo-cabin-solo-travelers-only">Solo Cabin (solo travelers only)</option>&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Royal Caribbean Cruise Line" value="royal-caribbean-cruise-line">Royal Caribbean Cruise Line</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="Celebrity Cruise Line" value="celebrity-cruise-line">Celebrity Cruise Line</option>&#13;
			<option label="Other cruise line" value="other-cruise-line">Other cruise line</option>&#13;
			<option label="Pre-Cruise Hotel Stay" value="precruise-hotel-stay">Pre-Cruise Hotel Stay</option>&#13;
			<option label="Post-Cruise Hotel Stay" value="postcruise-hotel-stay">Post-Cruise Hotel Stay</option>&#13;
			<option label="Excursions (before/during/after)" value="excursions-beforeduringafter">Excursions (before/during/after)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Villa" value="Villa">Villa</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Is there anything else you would like me to know? &amp;nbsp;Medical Issues/Allergies/Dietary Restrictions I should be aware of?" name="notes" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>