Share your information with Book with Kathy Houlihan

Book with Kathy Houlihan

D2C Travel Crew

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you learn about D2C Travel Crew?" name="how-did-you-learn-about-d2c-travel-crew" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Mobile number" name="mobile-number" subtype="text" className="form-control"/>&#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   Bali  Fiji  Disney Cruise,  or Invite Us to Inspire You!" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What is your Travel Mission?&amp;nbsp;" description="Tell us what will make this a dream trip for you. Include must haves and definitely nots." placeholder="Relax  business-related   destination wedding  learn or do something new, adventure, reconnect with my spouse, spend time with family, find a new job, expand my business, wellness retreat, you get the idea." name="notes" className="form-control"/>&#13;
		<field type="date" required="true" 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" required="true" 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="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="text" required="true" label="How many travelers?&amp;nbsp;" description="List the number of travelers 18+ and also the number of children" placeholder="2 Adults  2 Children" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="I&#39;d like to register a group or business to increase my travel perks.&amp;nbsp;" description="We work with businesses and individuals who earn commissions and free travel when they oranize group travel with us." name="id-like-to-register-as-a-group-to-increase-travel-perks">&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="text" label="Group or Business Name" name="group-or-business-name" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibes are you looking for? (Click all that Apply)" description="Which options should be considered when building your Dream Vacation" name="vibe-preference" other="true">&#13;
			<option label="Send me a no frills quote" value="send-me-a-no-frills-quote">Send me a no frills quote</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest &amp; Relaxation" value="rest-relaxation">Rest &amp; Relaxation</option>&#13;
			<option label="Spiritual" value="spiritual">Spiritual</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Meet like minded people" value="meet-like-minded-people">Meet like minded people</option>&#13;
			<option label="Party &amp; Nightlife" value="party-nightlife">Party &amp; Nightlife</option>&#13;
			<option label="Food and Wine" value="food-and-wine">Food and Wine</option>&#13;
			<option label="Off the Grid" value="off-the-grid">Off the Grid</option>&#13;
			<option label="Sports &amp; Adventure" value="sports-adventure">Sports &amp; Adventure</option>&#13;
			<option label="Fitness &amp; Wellness" value="fitness-wellness">Fitness &amp; Wellness</option>&#13;
			<option label="Educational &amp; Historical" value="educational-historical">Educational &amp; Historical</option>&#13;
			<option label="Start a Business &amp; Career Exploring" value="start-a-business-career-exploring">Start a Business &amp; Career Exploring</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="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Boating" value="boating">Boating</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Fitness &amp; Wellbeing" value="fitness-wellbeing">Fitness &amp; Wellbeing</option>&#13;
			<option label="Nature" value="nature">Nature</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife and Gambling" value="nightlife-and-gambling">Nightlife and Gambling</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
			<option label="Cooking" value="cooking">Cooking</option>&#13;
			<option label="Spa" value="spa">Spa</option>&#13;
			<option label="Shopping" value="shopping">Shopping</option>&#13;
			<option label="Learning &amp; Career Discovery" value="learning-career-discovery">Learning &amp; Career Discovery</option>&#13;
			<option label="Unique experiences" value="unique-experiences">Unique experiences</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you have a budget?" name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your lodging 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="Unique" value="unique">Unique</option>&#13;
			<option label="Home / Villa Rental" value="home-villa-rental">Home / Villa Rental</option>&#13;
			<option label="Camping" value="camping">Camping</option>&#13;
			<option label="RV rental" value="rv-rental">RV rental</option>&#13;
			<option label="Cruising - River Cruising" value="cruising-river-cruising">Cruising - River Cruising</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs | Account #" 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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>