TravelJoy

Team Travelooza

Travelooza

23-04 Mayflower Delightful Duoro Apr23

Apr 20, 2023 to Apr 28, 2023

Portugal

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="RIVER CRUISE INFORMATION REQUEST"/>&#13;
		<field type="paragraph" subtype="p" label="Hello! I'm excited that you are looking to join us on our River Cruise! If you could just provide the information below, I will send you full pricing and booking details."/>&#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="Email" name="email" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Additional travelers full legal name and birthdays" name="additional-travelers-full-legal-name-and-birthdays" className="form-control"/>&#13;
		<field type="select" label="Have you been working with a specific Travelooza agent?&amp;nbsp;" name="have-you-been-working-with-a-specific-travelooza-agent-" className="form-control">&#13;
			<option label="Jana Huse" value="jana-huse" selected="selected">Jana Huse</option>&#13;
			<option label="Kristen Pfeifer" value="kristen-pfeifer">Kristen Pfeifer</option>&#13;
			<option label="Stephanie Benson" value="stephanie-benson">Stephanie Benson</option>&#13;
			<option label="Shonda Meitler" value="shonda-meitler">Shonda Meitler</option>&#13;
			<option label="Katelyn Bozada" value="katelyn-bozada">Katelyn Bozada</option>&#13;
			<option label="Tammie Macias" value="tammie-macias">Tammie Macias</option>&#13;
			<option label="Alejandro Del Villar" value="alejandro-del-villar">Alejandro Del Villar</option>&#13;
			<option label="Emily Wangen" value="emily-wangen">Emily Wangen</option>&#13;
			<option label="Miranda Martinez" value="miranda-martinez">Miranda Martinez</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Airport you prefer to fly from or will you get your own air?&amp;nbsp; Do you prefer a certain airline?" name="airport-you-prefer-to-fly-from-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Have you sailed on a river cruise before?" name="have-you-sailed-on-a-viking-cruise-before" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Stateroom Category preferred if available:" name="stateroom-category-preferred-if-available" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Questions about the trip that I can answer?" name="questions-about-the-trip-that-i-can-answer" className="form-control"/>&#13;
		<field type="textarea" label="Are you interested in pre or post tours?" name="textarea-1650934826034" className="form-control"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>