TravelJoy

Amy Lee Petrick

Travelmation- Amy Lee Petrick

Travel Request

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    <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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="How would you like &amp;nbsp;to be contacted?" name="how-would-you-like-to-be-contacted">&#13;
			<option label="E-mail" value="email">E-mail</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Where are you hoping to vacation?" name="where-are-you-hoping-to-vacation">&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Disney Land (California)" value="disney-land-california">Disney Land (California)</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Celebrity Cruie" value="celebrity-cruie">Celebrity Cruie</option>&#13;
			<option label="Norwegian Cruise" value="norwegian-cruise">Norwegian Cruise</option>&#13;
			<option label="Royal Caribbean Cruise" value="royal-caribbean-cruise">Royal Caribbean Cruise</option>&#13;
			<option label="Viking Cruise" value="viking-cruise">Viking Cruise</option>&#13;
			<option label="River Cruise" value="river-cruise">River Cruise</option>&#13;
			<option label="Sandals/Beaches All-Inclusive" value="sandalsbeaches-allinclusive">Sandals/Beaches All-Inclusive</option>&#13;
			<option label="Moon Palace All-Inclusive" value="moon-palace-allinclusive">Moon Palace All-Inclusive</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Does everyone traveling have a passport (For International Travel), and will they expire more than 6 months after your desired travel dates?" name="does-everyone-traveling-have-a-passport-for-international-travel-and-will-they-expire-more-than-6-months-after-your-desired-travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="How Many Adults (Over 18) Will Be in Your Travel Party" name="how-many-adults-over-18-will-be-in-your-travel-party">&#13;
			<option label="Just me!" value="just-me" selected="selected">Just me!</option>&#13;
			<option label="2 Adults" value="2-adults">2 Adults</option>&#13;
			<option label="3 Adults" value="3-adults">3 Adults</option>&#13;
			<option label="4 Adults" value="4-adults">4 Adults</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="How many Children (under 18)? Please list the children&#39;s names and please include the birthday(s) in this format: Month, Day, Year, or 00/00/0000." name="how-many-children-under-18-please-list-the-childrens-names-and-please-include-the-birthdays-in-this-format-month-day-year-or-00000000" className="form-control"/>&#13;
		<field type="textarea" label="Please list the legal names (First Middle and Last names) of each person traveling." name="please-list-the-legal-names-first-middle-and-last-names-of-each-person-traveling" className="form-control"/>&#13;
		<field type="text" label="What month are You planning On traveling?" name="what-month-are-you-planning-on-traveling" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Do you have a specific check-in date?" name="do-you-have-a-specific-checkin-date" className="form-control"/>&#13;
		<field type="date" label="Check-out" name="checkout" className="form-control"/>&#13;
		<field type="checkbox-group" label="Will you be flying?" name="will-you-be-flying">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Will you need a rental car?" name="will-you-need-a-rental-car">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you have a &amp;nbsp;budget you would like me to be mindful of?" name="do-you-have-a-budget-you-would-like-me-to-be-mindful-of">&#13;
			<option label="No-I want the best experience I can have!" value="noi-want-the-best-experience-i-can-have" selected="selected">No-I want the best experience I can have!</option>&#13;
			<option label="Under $2000" value="under-2000">Under $2000</option>&#13;
			<option label="Under $4000" value="under-4000">Under $4000</option>&#13;
			<option label="Under $6000" value="under-6000">Under $6000</option>&#13;
			<option label="Under $8000" value="under-8000">Under $8000</option>&#13;
			<option label="Under $10,000" value="under-10000">Under $10,000</option>&#13;
			<option label="I do not know how much this vacation will cost!  Show me some options." value="i-do-not-know-how-much-this-vacation-will-cost-show-me-some-options">I do not know how much this vacation will cost!  Show me some options.</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have any questions, comments, or concerns?" name="do-you-have-any-questions-comments-or-concerns" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Thank you! I will be contacting you soon!"/>&#13;
		<field type="paragraph" subtype="blockquote" label="When you book with me, my services are free! Amyleepetrick@travelmation.net"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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