TravelJoy

Christine Blizzard

Travelmation

Travel Inquiry

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Travelmation- Christine Blizzard Inquiry Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for your inquiry!&amp;nbsp; I would be honored to help you plan your upcoming vacation.&amp;nbsp; Please complete this form so I can best serve you.&amp;nbsp; Please allow up to two business days for me to respond."/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" 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;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="What type of vacation are you considering?" name="what-type-of-vacation-are-you-considering" other="true">&#13;
			<option label="Walt Disney World (FL)" value="walt-disney-world-fl">Walt Disney World (FL)</option>&#13;
			<option label="Disneyland (CA)" value="disneyland-ca">Disneyland (CA)</option>&#13;
			<option label="Universal (FL or CA)" value="universal-fl-or-ca">Universal (FL or CA)</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="US Travel/Tour" value="us-traveltour">US Travel/Tour</option>&#13;
			<option label="International Travel/Tour" value="international-traveltour">International Travel/Tour</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What destination(s) would you like to consider?" name="text-1673703963847" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Travel Departure Date" description="If you are unsure of travel dates  select a date you are considering  and describe your preferences in the text box below." name="travel-departure-date" className="form-control"/>&#13;
		<field type="date" label="Travel Return Date" name="travel-return-date" className="form-control"/>&#13;
		<field type="textarea" label="Are your travel dates flexible? Please explain here.&amp;nbsp; Please include the number of nights you'd like to stay." name="are-your-travel-dates-flexible-please-explain-here" className="form-control"/>&#13;
		<field type="text" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of people in Travel Party? Please specify number of adults (including yourself) and ages of children (at the time of travel)." description="i.e. 2 adults  2 children (7 and 9)" name="number-of-people-in-travel-party-please-specify-number-of-adults-including-yourself-and-ages-of-children-at-the-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your total travel budget?" name="what-is-your-total-travel-budget" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Does anyone in your party have any accessibility needs? If yes, please explain." name="does-anyone-in-your-party-have-any-accessibility-needs" className="form-control"/>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT friendly" value="lgbt-friendly">LGBT friendly</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything else you'd like me to know about your family or vacation dreams?" name="is-there-anything-else-youd-like-me-to-know-about-your-family-or-vacation-dreams" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How did you hear about Travelmation- Christine Blizzard?" name="how-did-you-hear-about-travelmation-christine-blizzard" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>