TravelJoy

Brianna Driskill

Travelmation LLC

Cruise Request

<html>
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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 type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Cruise!"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers?" inline="true" name="what-is-your-total-budget-for-all-travelers" other="true">&#13;
			<option label="$1,500-$2,500" value="15002500">$1,500-$2,500</option>&#13;
			<option label="$2,500-$4,500" value="25004500">$2,500-$4,500</option>&#13;
			<option label="$4,500-$6,500" value="45006500">$4,500-$6,500</option>&#13;
			<option label="$6,500-$8,500" value="65008500">$6,500-$8,500</option>&#13;
			<option label="$8,500-$10,000" value="850010000">$8,500-$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="When are you looking to travel? If you have a specific date please indicate that below" placeholder="Please put time of year and/or calendar year." name="when-are-you-looking-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Cruise Date" name="cruise-date" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How many days would you like to cruise?" name="how-many-days-would-you-like-to-cruise">&#13;
			<option label="2-5 days" value="25-days">2-5 days</option>&#13;
			<option label="7-10 days" value="710-days">7-10 days</option>&#13;
			<option label="10+ days" value="10-days">10+ days</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How Many Adults are Traveling?" name="how-many-adults-are-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How Many Children are Traveling, and what are the ages at the time of travel?" description="If no children are going  please put a 0 or N/A." name="how-many-children-are-traveling-and-what-are-the-ages-at-the-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Cruiseline Preference" inline="true" name="cruiseline-preference">&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Royal Caribbean Cruise Line" value="royal-caribbean-cruise-line">Royal Caribbean Cruise Line</option>&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Virgin Voyages" value="">Virgin Voyages</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Cruise Destination" description="Select your starting location(s) and then we can discuss specific locations." inline="true" name="cruise-destination">&#13;
			<option label="Caribbean " value="caribbean-">Caribbean </option>&#13;
			<option label="The Bahamas" value="the-bahamas">The Bahamas</option>&#13;
			<option label="Northern Europe" value="northern-europe">Northern Europe</option>&#13;
			<option label="Norwegian Fjords" value="norwegian-fjords">Norwegian Fjords</option>&#13;
			<option label="Mediterranean" value="mediterranean">Mediterranean</option>&#13;
			<option label="British Isles" value="british-isles">British Isles</option>&#13;
			<option label="Bermuda" value="bermuda">Bermuda</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Canada" value="canada">Canada</option>&#13;
			<option label="Mexican Riviera" value="mexican-riviera">Mexican Riviera</option>&#13;
			<option label="Baja " value="baja-">Baja </option>&#13;
			<option label="Panama Canal" value="panama-canal">Panama Canal</option>&#13;
			<option label="Pacific Coast" value="pacific-coast">Pacific Coast</option>&#13;
			<option label="Transatlantic" value="transatlantic">Transatlantic</option>&#13;
			<option label="Hawai'i" value="hawaii">Hawai'i</option>&#13;
			<option label="South Pacific" value="south-pacific">South Pacific</option>&#13;
			<option label="New Zealand and Australia" value="new-zealand-and-australia">New Zealand and Australia</option>&#13;
			<option label="Specialty Cruises (i.e. Marvel Day at Sea, Pixar Day at Sea etc.)" value="specialty-cruises-ie-marvel-day-at-sea-pixar-day-at-sea-etc">Specialty Cruises (i.e. Marvel Day at Sea, Pixar Day at Sea etc.)</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Ship Location Preference (front to back)" name="seat-preference">&#13;
			<option label="Forward" value="forward">Forward</option>&#13;
			<option label="Middle " value="middle-">Middle </option>&#13;
			<option label="Aft (back)" value="aft-back">Aft (back)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Location Preference (bottom to top)" description="Please select a category and a preferred deck location." inline="true" name="bed-preference">&#13;
			<option label="Lower Decks" value="lower-decks">Lower Decks</option>&#13;
			<option label="Middle Decks" value="middle-decks">Middle Decks</option>&#13;
			<option label="Higher Decks" value="higher-decks">Higher Decks</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Stateroom Category&amp;nbsp;" inline="true" name="stateroom-category-">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Undecided" value="undecided">Undecided</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to prepay gratuities?" name="would-you-like-to-prepay-gratuities">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to include travel insurance?" name="would-you-like-to-include-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I need more info" value="i-need-more-info">I need more info</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Any Special Occasions?" description="Will you be celebrating anything while on the cruise?" name="any-special-occasions" other="true">&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Engagement" value="engagement">Engagement</option>&#13;
			<option label="Wedding" value="wedding">Wedding</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Bachelorette Party" value="bachelorette-party">Bachelorette Party</option>&#13;
			<option label="Bachelor Party " value="bachelor-party-">Bachelor Party </option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Babymoon" value="babymoon">Babymoon</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything you&#39;d like me to know?" name="anything-youd-like-me-to-know" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="By submitting this quote, you are giving me permission to text the phone number above with relevant information concerning your request and travel planning, as well as adding your email to my email list." name="by-submitting-this-quote-you-are-giving-me-permission-to-text-the-phone-number-above-with-relevant-information-concerning-your-request-and-travel-planning-as-well-as-adding-your-email-to-my-email-list">&#13;
			<option label="Yes, I understand. Please text!" value="yes-i-understand-please-text">Yes, I understand. Please text!</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for your submission! Please watch for an email from me shortly with further communication about your trip. -Bri"/>&#13;
	</fields>&#13;
</form-template>
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