TravelJoy

Fred & Stacey Edwards

Integrity Elite Travel

Vacation Packages Inquiry (Hotel & Flights)

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Vacation Packages (Hotel/Resort with Flights)"/>&#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="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="text" required="true" label="Where would you like to go? (No more than 2 Destinations)" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Dates"/>&#13;
		<field type="date" required="true" label="Planned Arrival Date" 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" required="true" label="Return Date" 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="text" required="true" label="Departure Airport" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adult travelers?" name="how-many-adult-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children and their ages?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms? (If 3 rooms or more, please select Group Trips)" name="how-many-rooms-if-3-rooms-or-more-please-select-group-trips" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is the maximum budget per person?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option>&#13;
			<option label="$1,500 to $2,000" value="1500-to-2000">$1,500 to $2,000</option>&#13;
			<option label="$2,000 to $2.500" value="2000-to-2500">$2,000 to $2.500</option>&#13;
			<option label="$2,500 to $3,000" value="2500-to-3000">$2,500 to $3,000</option>&#13;
			<option label="$3,000 to $3,500" value="3000-to-3500">$3,000 to $3,500</option>&#13;
			<option label="$3,500+" value="3500">$3,500+</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Type of Accommodations"/>&#13;
		<field type="radio-group" required="true" label="Bed Preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Hotel / Resort Preference" name="hotel-resort-preference">&#13;
			<option label="Economy (Courtyard, Quality Inn, Holiday Inn)" value="economy-courtyard-quality-inn-holiday-inn">Economy (Courtyard, Quality Inn, Holiday Inn)</option>&#13;
			<option label="Moderate (Marriott, Hyatt, Hilton)" value="moderate-marriott-hyatt-hilton">Moderate (Marriott, Hyatt, Hilton)</option>&#13;
			<option label="Luxury (W Hotel, Sandals, Nobu)" value="luxury-w-hotel-sandals-nobu">Luxury (W Hotel, Sandals, Nobu)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What kind of vibe are you looking for?" name="purpose-of-the-group-trip" 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-and-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Room Category Preference" name="room-category-preference">&#13;
			<option label="Ocean Front" value="ocean-front">Ocean Front</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Partial Ocean View" value="partial-ocean-view">Partial Ocean View</option>&#13;
			<option label="Golf Course View" value="golf-course-view">Golf Course View</option>&#13;
			<option label="Mountain View" value="mountain-view">Mountain View</option>&#13;
			<option label="Pool View" value="pool-view">Pool View</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do You Want an All Inclusive Resort (All food and beverages/liquor included)?" name="do-you-want-an-all-inclusive-resort-all-food-and-beveragesliquor-included">&#13;
			<option label="Yes, it is a must have for me" value="yes-it-is-a-must-have-for-me">Yes, it is a must have for me</option>&#13;
			<option label="No, it's not a big deal for me" value="no-its-not-a-big-deal-for-me">No, it's not a big deal for me</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Who referred you?" name="who-referred-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Complete this form ONLY for SERIOUS travel inquiries. Please allow 2-3 business days to receive your Vacation Packages quote via email.&amp;nbsp; If your planned trip is for more than 3 rooms please complete the Group Trip Inquiries form. Thank you."/>&#13;
		<field type="textarea" required="true" label="Any Additional Information I need to know? (Special Occasion? Birthday? Anniversary)" name="any-additional-information-i-need-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>