Share your information with Brian & Yani Marshall

Brian & Yani Marshall

Anchors and Ever After Vacations LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Tell Me More About Your Trip"/>&#13;
		<field type="text" required="true" 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="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="select" required="true" label="Package Type" name="do-you-need-flights" className="form-control">&#13;
			<option label="Flight and Hotel Only" value="flight-and-hotel-only">Flight and Hotel Only</option>&#13;
			<option label="Flight, Hotel, Airport Transportation " value="flight-hotel-airport-transportation-">Flight, Hotel, Airport Transportation </option>&#13;
			<option label="Hotel and Airport Transportation Only" value="hotel-and-airport-transportation-only">Hotel and Airport Transportation Only</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#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" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Flight Preference" name="flight-preference" className="form-control">&#13;
			<option label="Nonstop if possible" value="nonstop-if-possible">Nonstop if possible</option>&#13;
			<option label="Layovers are ok" value="layovers-are-ok">Layovers are ok</option>&#13;
			<option label="No preference" value="no-preference">No preference</option>&#13;
			<option label="No Flight " value="no-flight-">No Flight </option>&#13;
		</field>&#13;
		<field type="select" label="Airline Preference" name="airline-preference" className="form-control">&#13;
			<option label="Budget Airline For best price" value="budget-airline-for-best-price">Budget Airline For best price</option>&#13;
			<option label="No Budget Airline: I will pay the extra" value="no-budget-airline-i-will-pay-the-extra">No Budget Airline: I will pay the extra</option>&#13;
			<option label="Either" value="either">Either</option>&#13;
			<option label="Not applicable " value="not-applicable-">Not applicable </option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How Many Rooms?" name="how-many-rooms" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How Many Travelers per room?" name="how-many-travelers-per-room" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Cruise Cabin Preferences" description="what kind of room do you prefer?" name="radio-group-1770136521652">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View (window only)" value="ocean-view-window-only">Ocean View (window only)</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suites" value="suites">Suites</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is Your Per Person Budget? I need an actual number to work with or range." description="I need a realistic budget  good deal or best rate is not an ideal response" name="what-is-your-per-person-budget-i-need-an-actual-number-to-work-with-or-range" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Are you Deposit Ready?" name="are-you-deposit-ready" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do You Need A Payment Plan?" name="do-you-need-a-payment-plan" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Yes monthly" value="yes-monthly">Yes monthly</option>&#13;
			<option label="Yes bi-weekly" value="yes-biweekly">Yes bi-weekly</option>&#13;
			<option label="Yes weekly" value="yes-weekly">Yes weekly</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you Ready to Book?" name="are-you-ready-to-book" className="form-control">&#13;
			<option label="ASAP and Deposit Ready" value="asap-and-deposit-ready">ASAP and Deposit Ready</option>&#13;
			<option label="Within the next 2 weeks" value="within-the-next-2-weeks">Within the next 2 weeks</option>&#13;
			<option label="Within the Next Month" value="within-the-next-month">Within the Next Month</option>&#13;
			<option label="Just Looking at my Options" value="just-looking-at-my-options">Just Looking at my Options</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="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="ATVs" value="atvs">ATVs</option>&#13;
			<option label="Boat Parties" value="boat-parties">Boat Parties</option>&#13;
			<option label="Shopping Tours" value="shopping-tours">Shopping Tours</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Ziplining" value="ziplining">Ziplining</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="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;
		<field type="textarea" label="Please list the ages of all travelers to take advantage of any deals and promotions (mandatory for cruises or trips with children)" name="please-list-the-ages-of-all-travelers-to-take-advantage-of-any-deals-and-promotions-mandatory-for-cruises-or-trips-with-children" className="form-control"/>&#13;
		<field type="text" label="How Did You Hear About US?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Travel Insurance" name="travel-insurance" className="form-control">&#13;
			<option label="Yes Add Insurance to the Package" value="yes-add-insurance-to-the-package">Yes Add Insurance to the Package</option>&#13;
			<option label="I Decline Insurance and will sign Waiver" value="i-decline-insurance-and-will-sign-waiver">I Decline Insurance and will sign Waiver</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Contact Information"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Additional Requests" name="textarea-1655254375759" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>