TravelJoy

Angela Smith Ford

Abundant Excursions, Inc.

2027 South Africa Experience

South Africa

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Cell Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How are you traveling?&amp;nbsp;" name="how-are-you-traveling-">&#13;
			<option label="Single (1 traveler)" value="single-1-traveler">Single (1 traveler)</option>&#13;
			<option label="Double (2 travelers)" value="double-2-travelers">Double (2 travelers)</option>&#13;
			<option label="Traveling with my family" value="traveling-with-my-family">Traveling with my family</option>&#13;
			<option label="Traveling with my travel squad (3 or more)" value="traveling-with-my-travel-squad-3-or-more">Traveling with my travel squad (3 or more)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you have a passport?&amp;nbsp;" name="do-you-have-a-passport-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>