Share your information with Monique

Monique | of Movacay

Movacay LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Don&#39;t miss&amp;nbsp; when group trips come out"/>&#13;
		<field type="header" subtype="h2" label="Submit 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="Email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" placeholder="To get info sent via text" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Which group trip are interested in learning or joining? (Choose from drop down)" name="which-group-trip-are-interested-in-learning-or-joining-choose-from-drop-down" className="form-control">&#13;
			<option label="Ultimate Family &amp;Friends cruise-Royal (20026)" value="ultimate-family-friends-cruiseroyal-20026" selected="selected">Ultimate Family &amp;Friends cruise-Royal (20026)</option>&#13;
			<option label="New Year's Eve Cruise-Norwegian 2026" value="new-years-eve-cruisenorwegian-2026">New Year's Eve Cruise-Norwegian 2026</option>&#13;
			<option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option>&#13;
		</field>&#13;
		<field type="date" label="Birthday: We want to wish you a happy birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about Movacay" name="how-did-you-hear-about-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your social media handle ?" placeholder="IG: Travelwithmovacay" name="what-is-your-social-media-handle-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anything you want us to know or share." name="anything-you-want-us-to-know-or-share" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>