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Momcations .co

Momcations.co

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="More Thank Just a Mom- Group Cruise Info"/>&#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="Age" description="Mainly  I just need to make sure you are over 18!" name="age" 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="header" subtype="h2" label="Additional Info"/>&#13;
		<field type="text" required="true" label="What airport(s) would you be flying from?" name="what-airports-would-you-be-flying-from" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Do you need airfare?" name="do-you-need-airfare" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I will take care of it myself" value="i-will-take-care-of-it-myself">I will take care of it myself</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you need a transfer set up from the airport to the cruise terminal?" name="do-you-need-a-transfer-set-up-from-the-airport-to-the-cruise-terminal" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I will take care of it myself." value="i-will-take-care-of-it-myself">I will take care of it myself.</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Trip Insurance" name="trip-insurance" className="form-control">&#13;
			<option label="I will be protecting myself and my trip by taking insurance." value="i-will-be-protecting-myself-and-my-trip-by-taking-insurance">I will be protecting myself and my trip by taking insurance.</option>&#13;
			<option label="I like to live on the edge and will not be taking insurance, and will sign off that I have declined coverage. " value="i-like-to-live-on-the-edge-and-will-not-be-taking-insurance-and-will-sign-off-that-i-have-declined-coverage-">I like to live on the edge and will not be taking insurance, and will sign off that I have declined coverage. </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How many people will be in your room?" name="how-many-people-will-be-in-your-room" className="form-control">&#13;
			<option label="Solo Traveler" value="solo-traveler">Solo Traveler</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</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="Yes- Let's Go" value="yes-lets-go">Yes- Let's Go</option>&#13;
			<option label="No- Still need more information" value="no-still-need-more-information">No- Still need more information</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you would like me to know before we start?" name="anything-else-you-would-like-me-to-know-before-we-start" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>