TravelJoy

Laquietta T.

Quality Travel & Adventure

Star of the Seas

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="date" required="true" label="Requested Date of Sailing" name="requested-date-of-sailing" 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="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers in your party?&amp;nbsp;" name="how-many-travelers-in-your-party-" subtype="text" 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="select" required="true" label="Are you ready to pay your deposit?" name="are-you-ready-to-pay-your-deposit" multiple="multiple" className="form-control">&#13;
			<option label="YES" value="YES">YES</option>&#13;
			<option label="NO" value="NO">NO</option>&#13;
			<option label="I HAVE  QUESTIONS " value="I HAVE QUESTIONS">I HAVE  QUESTIONS </option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>