TravelJoy

Melanie Frady

Travelmation

Let's Plan Your Trip!

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Tell me all about your future travel plans"/>&#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 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="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="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="text" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="How many adults are traveling with you? List their names below." name="how-many-adults-are-traveling-with-you-list-their-names-below" className="form-control"/>&#13;
		<field type="textarea" label="How many children are traveling 18+ and under? Please list their name &amp;amp; age below." name="how-many-children-are-traveling-18-and-under-please-list-their-name-age-below" className="form-control"/>&#13;
		<field type="select" label="If traveling internationally, do you have a current passport?" name="if-traveling-internationally-do-you-have-a-current-passport" className="form-control">&#13;
			<option label="Yes!" value="yes">Yes!</option>&#13;
			<option label="Not yet, but working on it." value="not-yet-but-working-on-it">Not yet, but working on it.</option>&#13;
			<option label="Not yet. Can you help me with that?" value="not-yet-can-you-help-me-with-that">Not yet. Can you help me with that?</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else can you tell me about your trip?" description="Is there anything else that would help me plan an amazing trip for you?" name="what-else-can-you-tell-me-about-your-trip" value="How many adults are traveling with you? List their names below." className="form-control"/>&#13;
		<field type="text" label="Did someone refer you? If so, who?&amp;nbsp;" name="did-someone-refer-you-if-so-whom-" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>