Share your information with Donna Petrina

Donna Petrina

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Plan 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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Preferred check-in 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="Preferred check-out 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="Are your travel dates flexible?" name="are-your-travel-dates-flexible" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults are traveling in your party?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children are traveling in your party?" placeholder="List age at time of travel as well" name="text-1738698914883" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What is everyone&#39;s name and date of birth for each person traveling?" placeholder="ex: Jane P Doe 01/12/1978 F" name="what-is-everyones-name-and-date-of-birth-for-each-person-traveling" className="form-control"/>&#13;
		<field type="radio-group" label="What type of vacation are you looking for?" name="what-type-of-vacation-are-you-looking-for">&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Honeymoon - not all inclusive" value="honeymoon-not-all-inclusive">Honeymoon - not all inclusive</option>&#13;
			<option label="All-Inclusive Travel" value="allinclusive-travel">All-Inclusive Travel</option>&#13;
			<option label="Disney Theme Park" value="disney-theme-park">Disney Theme Park</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Disney's Aulani Resort, Hawaii" value="disneys-aulani-resort-hawaii">Disney's Aulani Resort, Hawaii</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Universal Studios" value="universal-studios">Universal Studios</option>&#13;
			<option label="Group Trip" value="group-trip">Group Trip</option>&#13;
			<option label="Visit a City" value="visit-a-city">Visit a City</option>&#13;
			<option label="Ski Trip" value="ski-trip">Ski Trip</option>&#13;
			<option label="Road Trip - multi stop" value="road-trip-multi-stop">Road Trip - multi stop</option>&#13;
			<option label="Europe Trip" value="europe-trip">Europe Trip</option>&#13;
			<option label="Asia Trip" value="asia-trip">Asia Trip</option>&#13;
			<option label="Africa Trip" value="africa-trip">Africa Trip</option>&#13;
			<option label="Fully Guided Tour" value="fully-guided-tour">Fully Guided Tour</option>&#13;
			<option label="Rail Travel" value="rail-travel">Rail Travel</option>&#13;
			<option label="Mountain Destination" value="mountain-destination">Mountain Destination</option>&#13;
			<option label="Other Destination" value="other-destination">Other Destination</option>&#13;
			<option label="Unsure Yet" value="unsure-yet">Unsure Yet</option>&#13;
		</field>&#13;
		<field type="text" label="If you selected &quot;Other Destination&quot;, where are you wanting to go?" name="if-you-selected-other-destination-where-are-you-wanting-to-go" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you need flights?" name="do-you-need-flights">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe - open to package pricing" value="maybe-open-to-package-pricing">Maybe - open to package pricing</option>&#13;
		</field>&#13;
		<field type="text" label="If flying, from what airport?" name="if-flying-from-what-airport" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have a budget in mind? If you have not glanced at flight pricing, use google flights to help you when considering your budget." description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Less than $1,000" value="less-than-1000">Less than $1,000</option>&#13;
			<option label="$1,000 to $5,000" value="1000-to-5000">$1,000 to $5,000</option>&#13;
			<option label="$5,000 to $10,000" value="5000-to-10000">$5,000 to $10,000</option>&#13;
			<option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="select" label="For INTERNATIONAL travel - Will everyone in your party have active passports expiring no less than 6 months from date of return? (If not, your passport is considered inactive.)" name="for-international-travel-will-everyone-in-your-party-have-active-passports-expiring-no-less-than-6-months-from-date-of-return-if-not-your-passport-is-considered-inactive" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, need to apply for" value="no-need-to-apply-for">No, need to apply for</option>&#13;
			<option label="No, need to renew" value="no-need-to-renew">No, need to renew</option>&#13;
		</field>&#13;
		<field type="text" label="If you want to visit a theme park, how many days of tickets?" name="if-you-want-to-visit-a-theme-park-how-many-days-of-tickets" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Florida Resident?" name="florida-resident">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you a member of the US Military?" name="are-you-a-member-of-the-us-military">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Retired" value="retired">Retired</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="textarea" label="Is there anything else I need to know?" name="notes" className="form-control"/>&#13;
		<field type="textarea" label="Cruise Room preference" description="Suite, Balcony, Ocean View, Interior, Joining Rooms, etc" name="cruise-room-preference" rows="3" className="form-control"/>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#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;
	</fields>&#13;
</form-template>
  </body>
</html>