TravelJoy

Tara Martin

Reign Travels

Travel Agent Interest Form

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="I am currently looking to mentor new business partners who want to travel more and earn extra income working from anywhere! You will be an independent travel agent, owner and operator of your very own travel agency with the ability to help others do the same.  It's $179.95 to get started and 39.95/month after. Unlock an additional stream of income and help others start their own travel agency for an additional $19.95/mo.&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Are you ready to turn travel into a paycheck?" name="are-you-ready-to-turn-travel-into-a-paycheck">&#13;
			<option label="I'm ready to signup today!" value="im-ready-to-signup-today">I'm ready to signup today!</option>&#13;
			<option label="I need more info first!" value="i-need-more-info-first">I need more info first!</option>&#13;
		</field>&#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" 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;
	</fields>&#13;
</form-template>
  </body>
</html>