TravelJoy

Lauren Dixon

Travelmation

Travel Inquiry

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Travel Inquiry Form"/>&#13;
		<field type="text" required="true" label="First name" name="first-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 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="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="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Ages of children at time of travel? (if applicable)" name="ages-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of trip are you interested in?" name="which-kind-of-trip-are-you-interested-in-booking" other="true">&#13;
			<option label="Disney World or Disneyland" value="disney-world-or-disneyland">Disney World or Disneyland</option>&#13;
			<option label="Hawaii" value="hawaii">Hawaii</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="National Park" value="national-park">National Park</option>&#13;
			<option label="All-Inclusive" value="allinclusive">All-Inclusive</option>&#13;
			<option label="Business" value="business">Business</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your TOTAL budget for the trip?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="unsure" value="unsure">unsure</option>&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How soon do you want to book?" name="how-soon-do-you-want-to-book">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="within the next few days" value="within-the-next-few-days">within the next few days</option>&#13;
			<option label="within the next few months" value="within-the-next-few-months">within the next few months</option>&#13;
			<option label="just interested in learning more for now" value="just-interested-in-learning-more-for-now">just interested in learning more for now</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How did you learn about my services? Please select all that apply. " name="how-did-you-learn-about-my-services-please-select-all-that-apply-" other="true">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Travel Leaders" value="travel-leaders">Travel Leaders</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Triad Moms on Main" value="triad-moms-on-main">Triad Moms on Main</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred communication method?" name="preferred-communication-method">&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please list any details or questions here:" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>