Share your information with R Dream Destinations

R Dream Destinations

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Please fill out the form below and we will be in touch as soon as possible. We look forward to working with you!"/>&#13;
		<field type="checkbox-group" required="true" label="What type of travel are you interested in?&amp;nbsp;" name="what-type-of-travel-are-you-interested-in" other="true">&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Couples Getaway - Tropical" value="couples-getaway-tropical">Couples Getaway - Tropical</option>&#13;
			<option label="European Adventure" value="european-adventure">European Adventure</option>&#13;
			<option label="Romantic Cruise" value="romantic-cruise">Romantic Cruise</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="If you are a interested in destination wedding, please provide the full name of your significant other." name="if-the-answer-to-the-above-is-yes-what-is-name-of-your-significant-other" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Where would you like to go? Select all that apply.&amp;nbsp;" name="where-would-you-like-to-go-select-all-that-apply-" other="true">&#13;
			<option label="Mexico - Cancun" value="mexico-cancun">Mexico - Cancun</option>&#13;
			<option label="Mexico - Cabo" value="mexico-cabo">Mexico - Cabo</option>&#13;
			<option label="Mexico - Puerto Vallarta" value="mexico-puerto-vallarta">Mexico - Puerto Vallarta</option>&#13;
			<option label="Dominican - Punta Cana" value="dominican-punta-cana">Dominican - Punta Cana</option>&#13;
			<option label="Caribbean Islands" value="caribbean-islands">Caribbean Islands</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="When would you like to depart?&amp;nbsp;"/>&#13;
		<field type="date" required="true" label="This just gives me an idea of when you would 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" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="If you are planning a destination wedding do you want family friendly or adults only?&amp;nbsp; How many guests will you invite?" placeholder="N/A if not applicable" name="destination" 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;
	</fields>&#13;
</form-template>
  </body>
</html>