TravelJoy

Ciera Easterday

Travelmation

Client Inquiry

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How would you like to be contacted?" name="how-would-you-like-to-be-contacted">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What Cruise Line(s) are you interested in? (feel free to choose multiple)" name="what-cruise-lines-are-you-interested-in-choose-multiple-if-you-are-unsure" other="true">&#13;
			<option label="I'm Unsure" value="im-unsure">I'm Unsure</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Viking" value="viking">Viking</option>&#13;
			<option label="Virgin" value="virgin">Virgin</option>&#13;
		</field>&#13;
		<field type="text" label="Is there a specific ship you prefer?" name="is-there-a-specific-ship-you-prefer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of people in your party &amp;amp; ages" name="number-of-people-in-your-party-ages" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Is there a specific port you would like to leave from?" name="is-there-a-specific-port-you-would-like-to-leave-from" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return date" name="return-date" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Do you have any accessibility needs? (this includes any severe allergies that will need to be listed on dining reservations)" placeholder="Please give a brief description" name="do-you-have-any-accessibility-needs-this-includes-any-severe-allergies-that-will-need-to-be-listed-on-dining-reservations" className="form-control"/>&#13;
		<field type="text" required="true" label="More information" placeholder="Anything else I should know about your group? Food allergies  accessibility needs  state room preferences?" name="more-information" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please list the best days of the week &amp;amp; times for a Zoom call" placeholder="This is when I&#39;ll go over specifics of your trip before booking everything. I&#39;ll email dates/times to choose from based on options you provide." name="please-list-the-best-days-of-the-week-times-for-a-zoom-call" className="form-control"/>&#13;
		<field type="checkbox-group" label="Would you like to join my email list to receive exclusive offers available to my clients?" description="choose all that apply" name="would-you-like-to-join-my-email-list-to-receive-exclusive-offers-available-to-my-clients">&#13;
			<option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Universal Studios" value="universal-studios">Universal Studios</option>&#13;
			<option label="Other Cruise Lines" value="other-cruise-lines">Other Cruise Lines</option>&#13;
			<option label="All Inclusive Resorts" value="all-inclusive-resorts">All Inclusive Resorts</option>&#13;
			<option label="Other Offers" value="other-offers">Other Offers</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>