TravelJoy

Terri Moore

Far Moore Travel

Inquiry Form

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="text" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Type Of Vacation" description="Check all that apply" name="type-of-vacation" other="true">&#13;
			<option label="Air/Hotel Package" value="airhotel-package">Air/Hotel Package</option>&#13;
			<option label="Resort/Hotel Only" value="resorthotel-only">Resort/Hotel Only</option>&#13;
			<option label="All- inclusive resort" value="all-inclusive-resort">All- inclusive resort</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Second&amp;nbsp; Destination Choice" name="first-destination-choice" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Age Range of Travelers" name="age-range-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Rooms/Cabins" name="number-of-roomscabin" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Departure Airport?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Airline" name="prefered-airline" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Alternative Departure Airport" name="alternative-departure-airport" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Flight Preference" name="flight-preference">&#13;
			<option label="Direct (non-stop) ONLY" value="direct-nonstop-only">Direct (non-stop) ONLY</option>&#13;
			<option label="1 Stop Maximum" value="1-stop-maximum">1 Stop Maximum</option>&#13;
			<option label="Any Flights" value="any-flights">Any Flights</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred Resort, Hotel, Cruise Line" name="preferred-resort-hotel-cruise-line" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Resort Type" name="resort-type" other="true">&#13;
			<option label="Adult Only " value="adult-only-">Adult Only </option>&#13;
			<option label="Family" value="family">Family</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Preferences" inline="true" name="preferences">&#13;
			<option label="Smoking" value="smoking">Smoking</option>&#13;
			<option label="Non Smoking" value="non-smoking">Non Smoking</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget Per Person?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$750 to $1,500" value="750-to-1500">$750 to $1,500</option>&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#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="Resort/Hotel Room Type" name="resorthotel-room-type" other="true">&#13;
			<option label="Garden View or Similar" value="garden-view-or-similar">Garden View or Similar</option>&#13;
			<option label="Pool View or Similar" value="pool-view-or-similar">Pool View or Similar</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Ocean Front" value="ocean-front">Ocean Front</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cruise Cabin Preference" name="cabin-type" other="true">&#13;
			<option label="Inside" value="inside">Inside</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;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#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;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#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 theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Spa" value="spa">Spa</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity Level" name="what-best-describes-yougroup" other="true">&#13;
			<option label="Level 1: Easy-small amount of physical activity" value="level-1-easysmall-amount-of-physical-activity">Level 1: Easy-small amount of physical activity</option>&#13;
			<option label="Level 2: Relaxed- light physical activity long walks" value="level-2-relaxed-light-physical-activity-long-walks">Level 2: Relaxed- light physical activity long walks</option>&#13;
			<option label="Level 3: Moderate- some physical activity; moderate physical fitness" value="level-3-moderate-some-physical-activity-moderate-physical-fitness">Level 3: Moderate- some physical activity; moderate physical fitness</option>&#13;
			<option label="Level 4: Active-physically fit, long walks, climbing, uneven terrain" value="level-4-activephysically-fit-long-walks-climbing-uneven-terrain">Level 4: Active-physically fit, long walks, climbing, uneven terrain</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What do you NOT want to do?" name="what-do-you-not-want-to-do" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are you celebrating a special occasion? If so what?" name="are-you-celerbtarating-a-special-occasion-if-so-what" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Would you like to receive e-mail promotions from Far Moore Travel?" name="would-you-like-to-receive-email-promotions-from-far-moore-travel" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="How did you hear about Far Moore Travel?" name="how-did-you-hear-about-far-moore-travel" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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