Share your information with Angela Garvin-German

Angela Garvin-German

AGGWorldTravels

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Answer the following questions to complete your request."/>&#13;
		<field type="header" subtype="h1" label="Name"/>&#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="header" subtype="h1" label="Address"/>&#13;
		<field type="text" required="true" label="Street address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip code" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Contact"/>&#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="h1" label="Trip Details"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not exactly sure   just give me a few destinations to explore for you." name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be leaving from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" name="ending-at" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes, give me some wiggle room." value="yes-give-me-some-wiggle-room">Yes, give me some wiggle room.</option>&#13;
			<option label="No, the dates are set." value="no-the-dates-are-set">No, the dates are set.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Is your travel round trip or one way?" name="is-your-travel-round-trip-or-one-way">&#13;
			<option label="Round trip" value="round-trip">Round trip</option>&#13;
			<option label="One way" value="one-way">One way</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the total number of travelers for this trip?" name="what-is-the-total-number-of-travelers-for-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers are children?" name="how-many-travelers-are-children" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers?" description="This gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Under $1,500" value="under-1500">Under $1,500</option>&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$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="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="checkbox-group" required="true" label="Which modes of travel will you require for your trip?" description="Select all that apply" toggle="true" name="which-modes-of-travel-will-you-require-for-your-trip">&#13;
			<option label="Air" value="air">Air</option>&#13;
			<option label="Rail" value="rail">Rail</option>&#13;
			<option label="Sea" value="sea">Sea</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your flight preference?" name="what-is-your-flight-preference">&#13;
			<option label="Nonstop" value="nonstop">Nonstop</option>&#13;
			<option label="1 stop" value="1-stop">1 stop</option>&#13;
			<option label="2 stops" value="2-stops">2 stops</option>&#13;
			<option label="No preference" value="no-preference">No preference</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Hotel Preferences"/>&#13;
		<field type="radio-group" label="What best describes the hotel accommodations for you travelers?" name="what-best-describes-the-hotel-accommodations-for-you-travelers">&#13;
			<option label="I prefer suites to accommodate my travelers." value="i-prefer-suites-to-accommodate-my-travelers">I prefer suites to accommodate my travelers.</option>&#13;
			<option label="I am okay with separate rooms for my travelers." value="i-am-okay-with-separate-rooms-for-my-travelers">I am okay with separate rooms for my travelers.</option>&#13;
			<option label="I do not need a hotel for my trip." value="i-do-not-need-a-hotel-for-my-trip">I do not need a hotel for my trip.</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How many total rooms/suites do you think you need to accommodate all travelers?" name="how-many-rooms-will-you-need-for-your-stay" className="form-control">&#13;
			<option label="0" value="0" selected="selected">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;
		</field>&#13;
		<field type="radio-group" label="What best describes your 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;
		<field type="header" subtype="h1" label="Trip Experience Ideas"/>&#13;
		<field type="header" subtype="h3" label="To provide the best recommendations, please choose the scenario, vibes, and activities that would be ideal for your travelers and overall experience."/>&#13;
		<field type="radio-group" required="true" label="Select one scenario that best matches the overall purpose of your trip." name="select-one-scenario-that-best-matches-the-overall-purpose-of-your-trip">&#13;
			<option label="Personal getaway" value="personal-getaway">Personal getaway</option>&#13;
			<option label="Romantic getaway" value="romantic-getaway">Romantic getaway</option>&#13;
			<option label="Family reunion" value="family-reunion">Family reunion</option>&#13;
			<option label="Family vacay" value="family-vacay">Family vacay</option>&#13;
			<option label="Strictly business" value="strictly-business">Strictly business</option>&#13;
			<option label="Business and pleasure" value="business-and-pleasure">Business and pleasure</option>&#13;
			<option label="Friends vacay" value="friends-vacay">Friends vacay</option>&#13;
			<option label="Boys trip" value="boys-trip">Boys trip</option>&#13;
			<option label="Girls trip" value="girls-trip">Girls trip</option>&#13;
			<option label="Unique or special occasion" value="unique-or-special-occasion">Unique or special occasion</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What vibes would you prefer for your trip experience?" description="Select all that apply" toggle="true" name="vibe-preference">&#13;
			<option label="Private and romantic" value="private-and-romantic">Private and romantic</option>&#13;
			<option label="Rest and relaxation (R&amp;R)" value="rest-and-relaxation-rr">Rest and relaxation (R&amp;R)</option>&#13;
			<option label="Quiet wilderness" value="quiet-wilderness">Quiet wilderness</option>&#13;
			<option label="Night life" value="night-life">Night life</option>&#13;
			<option label="Local culture and history" value="local-culture-and-history">Local culture and history</option>&#13;
			<option label="Family fun time" value="family-fun-time">Family fun time</option>&#13;
			<option label="Food and wine lovers" value="food-and-wine-lovers">Food and wine lovers</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity Preferences" description="Select all that apply" toggle="true" name="activity-preferences">&#13;
			<option label="Beach life" value="beach-life">Beach life</option>&#13;
			<option label="Social gatherings" value="social-gatherings">Social gatherings</option>&#13;
			<option label="Amusement/theme parks" value="amusementtheme-parks">Amusement/theme parks</option>&#13;
			<option label="Physical/outdoor activities" value="physicaloutdoor-activities">Physical/outdoor activities</option>&#13;
			<option label="Arts and theatre" value="arts-and-theatre">Arts and theatre</option>&#13;
			<option label="Conferences &amp; conventions" value="conferences-conventions">Conferences &amp; conventions</option>&#13;
			<option label="Just relaxing" value="">Just relaxing</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please enter any additional details that will help me plan your divine destination experience." name="please-enter-any-additional-details-that-will-help-me-plan-your-divine-destination-experience" rows="10" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>