TravelJoy

Wendie Ramirez

Travelmation| Top Producers Club

Destination Wedding Request

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Destination Wedding Request&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Hi! I want to start by saying Congratulations!! How exciting to be engaged and on this journey to planning your dream wedding. I am so exited to join you and help you navigate this crazy adventure and along side with you help you make sure your dream wedding become a reality. Please fill out this quick form that will give me a bit of information so we can start working on your special day.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="About You"/>&#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" label="Preferred name" name="preferred-name" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Wedding Questions&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Do you have wedding date set?&amp;nbsp;" inline="true" name="do-you-have-wedding-date-set-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="date" label="Wedding Date" name="wedding-date" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Wedding Destination&amp;nbsp;" name="wedding-destination-" other="true">&#13;
			<option label="Mexico " value="mexico-">Mexico </option>&#13;
			<option label="Dominican Republic " value="dominican-republic-">Dominican Republic </option>&#13;
			<option label="Hawaii" value="hawaii">Hawaii</option>&#13;
			<option label="Inside the USA" value="inside-the-usa">Inside the USA</option>&#13;
			<option label="I have not decided " value="i-have-not-decided-">I have not decided </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Lets Chat&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="I would love to set up a time to chat and talk more in detail about you get to know you a little more and get more specific details on your wedding. This will help me understand more of what you are personally looking for, talk budgets, guest, wishes &amp;nbsp;etc.&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="What is the best way to reach you to set up a time" inline="true" name="what-is-the-best-way-to-reach-you-to-set-up-a-time">&#13;
			<option label="Email " value="email-">Email </option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Call " value="call-">Call </option>&#13;
		</field>&#13;
		<field type="textarea" label="Any Additional information you think I should know before we chat?&amp;nbsp;" name="any-additional-information-you-think-i-should-know-before-we-chat-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How did you find me?&amp;nbsp;" name="how-did-you-find-me-" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>