TravelJoy

Marylin Johnson

BLU DIAMOND TRAVEL

Blu Diamond 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 AND DATES.&amp;nbsp;"/>&#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" required="true" label="What is your 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="textarea" label="How many total travelers?" name="how-many-total-travelers" rows="0" className="form-control"/>&#13;
		<field type="textarea" label="How many rooms will you need?&amp;nbsp;" name="how-many-rooms-will-you-need-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Which&amp;nbsp; travel deal do you desire to&amp;nbsp; book? Check post for special code or title description?&amp;nbsp;" name="which-travel-deal-do-you-desire-to-o-book-check-post-for-special-code-or-title-description-" className="form-control"/>&#13;
		<field type="textarea" label="Questions" name="questions" className="form-control"/>&#13;
		<field type="select" label="Are you ready to pay the deposit?&amp;nbsp;" 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 a question" value="i-have-a-question">I have a question</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 </option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</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>