TravelJoy

Alesia Hawkins

Peacock Travel Agency

Your Vacation

<form-template>
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>
		<field type="header" subtype="h1" label="Peacock Membership/Vacation Proposal Questionnaire"/>
		<field type="paragraph" subtype="blockquote" label="Thank you for considering Peacock Travel Agency.&amp;nbsp; We are super excited that you will Celebrate Life with a vacation.&amp;nbsp; We are dedicated to providing you with excellent, professional and attentive service!&amp;nbsp; &amp;nbsp;"/>
		<field type="header" subtype="h1" label="Peacock Membership/Vacation Proposal Terms"/>
		<field type="paragraph" subtype="p" label="To&amp;nbsp; help ensure we expend our time on creating great vacation options for book-ready clients, a $35 Vacation Proposal &quot;Holding Fee&quot;, per roundtrip destination, is required.&amp;nbsp; The &quot;Holding Fee&quot; is returned within five days after your reservation, per roundtrip destination, is confirmed.&amp;nbsp; &amp;nbsp;Each Vacation Proposal Fee includes two or more vacation options, per destination, and one adjustment request (i.e., refreshed pricing, or a change in proposed flights, room category, resort/hotel or the number of occupants in a room/suite).&amp;nbsp; However, if you need a complimentary estimate of your vacation,&amp;nbsp; simply check the appropriate box below.&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp; &amp;nbsp;Please DO NOT hesitate to contact us at 844-3PEACOCK, if you have any questions prior to submitting your questionnaire."/>
		<field type="header" subtype="h1" label="Peacock Memberships"/>
		<field type="radio-group" required="true" label="How many destinations would you like included on your Vacation Proposal?" name="select-your-peacock-membership">
			<option label="Silver Peacock Membership: One Roundtrip Destination ($35)" value="silver-peacock-membership-one-roundtrip-destination-35">Silver Peacock Membership: One Roundtrip Destination ($35)</option>
			<option label="Bronze Peacock Membership: Two Roundtrip Destinations ($70)" value="bronze-peacock-membership-two-roundtrip-destinations-70">Bronze Peacock Membership: Two Roundtrip Destinations ($70)</option>
			<option label="Gold Peacock Membership:  Three Roundtrip Destinations ($105)" value="gold-peacock-membership-three-roundtrip-destinations-105">Gold Peacock Membership:  Three Roundtrip Destinations ($105)</option>
		</field>
		<field type="header" subtype="h1" label="Contact Person's Information"/>
		<field type="text" required="true" label="First Name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Address"/>
		<field type="text" label="Street, City, State &amp;amp; Zip Code" name="address-line-1" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="General Information"/>
		<field type="text" required="true" label="Where would you like to go?&amp;nbsp;" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Type of vacation experience." name="what-type-of-vacation-experience-do-you-want" other="true">
			<option label="Cruise " value="cruise-">Cruise </option>
			<option label="Disney World" value="disney-world">Disney World</option>
			<option label="Disneyland" value="disneyland">Disneyland</option>
			<option label="Adults-Only, All-Inclusive Resort" value="adultsonly-allinclusive-resort">Adults-Only, All-Inclusive Resort</option>
			<option label="Adults-Only Resorts" value="adultsonly-resorts">Adults-Only Resorts</option>
			<option label="Family-Friendly, All-Inclusive Resort" value="familyfriendly-allinclusive-resort">Family-Friendly, All-Inclusive Resort</option>
			<option label="Family-Friendly Resort" value="familyfriendly-resort">Family-Friendly Resort</option>
			<option label="Flight and Hotel Package" value="flight-and-hotel-package">Flight and Hotel Package</option>
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>
		</field>
		<field type="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/>
		<field type="date" required="true" label="When would you like to leave?" name="when-would-you-like-to-leave" className="form-control"/>
		<field type="radio-group" label="Are your dates flexible?&amp;nbsp; Enter any flexible dates in &quot;Other&quot;." inline="true" name="are-the-dates-flexible" other="true">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="checkbox-group" label="Preferred resort/hotel or cruise line?&amp;nbsp; Enter your preference in &quot;Other&quot;." inline="true" name="whats-your-preferred-resorthotel-or-cruise-line-enter-your-preference-in-other" other="true">
			<option label="I'm flexible" value="im-flexible">I'm flexible</option>
		</field>
		<field type="text" required="true" label="How many rooms/staterooms are needed" name="how-many-roomsstaterooms-are-needed" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many people per room/stateroom?&amp;nbsp; Enter &quot;Unknown&quot; if this hasn't been determined." name="how-many-people-per-room" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Please list the ages of travelers under 18 years old" name="how-many-travelers-will-be-at-least-18-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="RESORTS/HOTELS"/>
		<field type="radio-group" label="What best describes your resort/hotel preference?&amp;nbsp; Or, enter your preferred Resort/Hotel Star Rating (i.e., 4 Star, 5 Star) in &quot;Other&quot;." name="hotel-preference" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="Economy" value="economy">Economy</option>
			<option label="Moderate" value="moderate">Moderate</option>
			<option label="Luxury" value="luxury">Luxury</option>
			<option label="Boutique" value="boutique">Boutique</option>
		</field>
		<field type="header" subtype="h1" label="Airfare"/>
		<field type="radio-group" required="true" label="Are airline tickets needed?&amp;nbsp;" inline="true" name="for-cruises-would-like-cruisearranged-airfare">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="radio-group" label="If yes, what's the preferred airline(s)?" name="whats-your-preferred-airlines" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="I'm Flexible" value="im-flexible">I'm Flexible</option>
			<option label="American" value="american">American</option>
			<option label="United" value="united">United</option>
			<option label="Southwest" value="southwest">Southwest</option>
			<option label="Delta" value="delta">Delta</option>
		</field>
		<field type="text" label="What time would you prefer to leave on your outbound flight?&amp;nbsp; Enter &quot;N/A&quot; if airline tickets aren't needed.&amp;nbsp;&amp;nbsp;" name="preferred-time-of-flight-departure" subtype="text" className="form-control"/>
		<field type="text" label="What time would you prefer to leave on your return flight? Enter &quot;N/A&quot; if airline tickets aren't needed." name="what-time-would-you-prefer-to-leave-on-your-return-flight-enter-na-if-airline-tickets-arent-needed" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's your preferred departure airport?&amp;nbsp; &amp;nbsp;Enter &quot;N/A&quot; if airline tickets are not needed.&amp;nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's your preferred arrival airport?&amp;nbsp; Enter &quot;N/A&quot; if airline tickets aren't needed?&amp;nbsp;&amp;nbsp;" name="whats-your-preferred-arrival-airport-enter-na-if-airline-tickets-are-not-needed-" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Budget"/>
		<field type="text" required="true" label="What's the maximum amount of your budget PER PERSON?" name="whats-the-maximum-amount-of-your-budget-per-person" subtype="text" className="form-control"/>
		<field type="checkbox-group" label="Are any travelers a member of a Loyalty Program(s), a current or former first responder or member of the armed forces." name="are-any-travelers-a-member-of-a-loyalty-programs-for-your-preferred-airline-or-hotelresort" other="true">
			<option label="Yes, Airline Loyalty Program" value="yes-airline-loyalty-program">Yes, Airline Loyalty Program</option>
			<option label="Yes, Cruise or Hotel/Resort Loyalty Program" value="yes-cruise-or-hotelresort-loyalty-program">Yes, Cruise or Hotel/Resort Loyalty Program</option>
			<option label="Fire Department EMT" value="fire-department-emt">Fire Department EMT</option>
			<option label="U.S. Military" value="us-military">U.S. Military</option>
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>
		</field>
		<field type="textarea" label="What else would you like Peacock Travel Agency to know that would make your vacation extra special?" name="notes" className="form-control"/>
		<field type="checkbox-group" required="true" label="What do you need?" name="what-do-you-need">
			<option label="A general idea of pricing; enter $0.00 in the &quot;Amount Authorized&quot; field below." value="a-general-idea-of-pricing-enter-000-in-the-amount-authorized-field-below">A general idea of pricing; enter $0.00 in the "Amount Authorized" field below.</option>
			<option label="Vacation Proposal." value="vacation-proposal">Vacation Proposal.</option>
		</field>
		<field type="text" required="true" label="Enter the appropriate amount based on the number of destinations.&amp;nbsp; An invoice will be generated for payment." name="enter-the-appropriate-amount-based-on-the-number-of-destinations-an-invoice-will-be-generated-for-payment" subtype="text" className="form-control"/>
	</fields>
</form-template>