TravelJoy

Wennette Bennett

Eyescream Travel

EYESCREAM TRAVEL FB DEALS FORM

Jan 1, 2023 to Jan 1, 2026

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="Primary email address" 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="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="FB Travel Deal Code (Trip you're inquiring about)" name="fb-travel-deal-code-trip-youre-inquiring-about" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have a Loyalty number with the cruiseline? (please provide)" name="do-you-have-a-loyalty-number-with-the-cruiseline-please-provide" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What type of cabin do you need?&amp;nbsp;" name="what-type-of-cabin-do-you-need-">&#13;
			<option label="Interior Cabin " value="interior-cabin-">Interior Cabin </option>&#13;
			<option label="Ocean View Cabin" value="ocean-view-cabin">Ocean View Cabin</option>&#13;
			<option label="Balcony Cabin " value="balcony-cabin-">Balcony Cabin </option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="How many people are traveling with you?&amp;nbsp;" name="how-many-people-are-traveling-with-you-" className="form-control"/>&#13;
		<field type="select" required="true" label="Are you ready to pay a deposit?" name="are-you-ready-to-pay-a-deposit" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>