TravelJoy

Tamarian Maddox

Opulence Travel Services

3D Dream Travel Social Media/Upcoming Deals Form

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="PLEASE NOTE PRICES ARE NOT GUARANTEED AND SUBJECT TO CHANGE, UNTIL THE DEPOSIT IS RECEIVED OR THE TRIP IS PAID IN FULL. A PLANNING FEE IS REQUIRED TO ADD FLIGHTS TO HOTEL ONLY DEALS. A PLANNING FEE IS REQUIRED TO CHANGE DEPARTURE CITIES."/>&#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" required="true" label="What is your phone number?" name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers total?" name="how-many-travelers-total" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many rooms will you need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Which travel deal do you desire to book? Check post for the special code." name="special-travel-request" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Questions&amp;nbsp;" name="questions-" className="form-control"/>&#13;
		<field type="select" label="Are you ready to pay the deposit?" name="are-you-ready-to-pay-the-deposit" 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;
		<field type="checkbox-group" label="Which cabin would you like? (Cruises)" name="which-cabin-would-you-like-cruises">&#13;
			<option label="Interior " value="interior-" selected="selected">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;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>