Share your information with SarahLynn Preussner

SarahLynn Preussner

Sharpe Travel Agency

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Sharpe Travel Quote Request Form"/>&#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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Method of Contact" name="preferred-method-of-contact">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text Message" value="text-message">Text Message</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Where are you interested in traveling ?" description="Select a max of two options from the menu" name="destination">&#13;
			<option label="Disney World" value="disney-world">Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Aulani" value="aulani">Aulani</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Universal Hollywood" value="universal-hollywood">Universal Hollywood</option>&#13;
		</field>&#13;
		<field type="date" label="Arrival Date" name="arrival-date" className="form-control"/>&#13;
		<field type="date" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="How many adults?&amp;nbsp;" name="how-many-adults-" className="form-control">&#13;
			<option label="1" value="1">1</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;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9" value="9">9</option>&#13;
			<option label="10" value="10">10</option>&#13;
			<option label="More than 10" value="more-than-10">More than 10</option>&#13;
		</field>&#13;
		<field type="select" label="How many children?&amp;nbsp;" name="how-many-children" className="form-control">&#13;
			<option label="0" value="0">0</option>&#13;
			<option label="1" value="1">1</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;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9" value="9">9</option>&#13;
			<option label="10" value="10">10</option>&#13;
			<option label="More than 10" value="more-than-10">More than 10</option>&#13;
		</field>&#13;
		<field type="textarea" label="If there are children in your group, what will their ages be at time of travel?&amp;nbsp;" name="textarea-1728493246297" rows="5" className="form-control"/>&#13;
		<field type="textarea" label="Please list any other important details to consider (i.e. budget, days in park, hotel preferences, etc.)" placeholder="Example: I&#39;d like to stay near the skyliner  I want a verandah room" name="please-list-any-other-important-details-to-consider" rows="5" className="form-control"/>&#13;
		<field type="textarea" label="How did you hear about us?&amp;nbsp;" name="textarea-1728493300127" rows="1" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>