Share your information with Monica Smith

Monica Smith

Smith's Elite Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="date" label="Todays Date" name="date-1750035458514" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Basic Information"/>&#13;
		<field type="text" label="Group Name (i.e. Crystal &#39;sWedding)" name="group-name-ie-crystal-swedding" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Group Leader Contact Information"/>&#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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Details"/>&#13;
		<field type="text" label="Destinations of Interest" description="places you want to go" name="destinations-of-interest" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Travel Dates (with flexibility option)" name="preferred-travel-dates-with-flexibility-option" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Departure City/ Cities" name="departure-city-cities" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Trip Length (# of nights and days)" name="trip-length-of-nights-and-days" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Group Details"/>&#13;
		<field type="text" label="Number of Travelers (total, with breakdown of adults, children, and ages of children if applicable)" name="number-of-travelers-total-with-breakdown-of-adults-children-and-ages-of-children-if-applicable" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Type of Group" description="family, friends, school, church, organization, business, etc...." name="type-of-group" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Special Occasion" description="graduation, anniversary, birthday, wedding, etc." name="special-occasion" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Accommodation Preferences&amp;nbsp;"/>&#13;
		<field type="checkbox-group" label="Type of Travel Package" name="type-of-travel-package">&#13;
			<option label="Land Only Package" value="land-only-package">Land Only Package</option>&#13;
			<option label="Full Vacation Package" value="full-vacation-package">Full Vacation Package</option>&#13;
		</field>&#13;
		<field type="text" label="Resort/ Hotel Style" description="all-inclusive, luxury, family-friendly, adults-only, villa, cruise" name="resort-hotel-style" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Bedding Preference" name="bedding-preference">&#13;
			<option label="King Bed (based on availability)" value="king-bed-based-on-availability">King Bed (based on availability)</option>&#13;
			<option label="Queen/2 Queens" value="queen2-queens">Queen/2 Queens</option>&#13;
			<option label="Twin Beds" value="twin-beds">Twin Beds</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Room Preference" description="single, double, suites, balconies, adjoining rooms, ocean view, etc" name="total-number-of-suitemates">&#13;
			<option label="Single Occupancy" value="single-occupancy">Single Occupancy</option>&#13;
			<option label="Double Occupancy" value="double-occupancy">Double Occupancy</option>&#13;
			<option label="Triple Occupancy" value="triple-occupancy">Triple Occupancy</option>&#13;
		</field>&#13;
		<field type="text" label="Occupancy" description="# of people per room" name="occupancy" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Budget and Payment"/>&#13;
		<field type="checkbox-group" required="true" label="Estimated Budget Per Person" name="estimated-budget-per-person">&#13;
			<option label="$1,500-2,000" value="15002000">$1,500-2,000</option>&#13;
			<option label="$2,100-2,500" value="21002500">$2,100-2,500</option>&#13;
			<option label="$2,600-3,000" value="26003000">$2,600-3,000</option>&#13;
			<option label="$3,100-3,500" value="31003500">$3,100-3,500</option>&#13;
			<option label="$3,600-4,000" value="36004000">$3,600-4,000</option>&#13;
			<option label="$4,100-4,500" value="41004500">$4,100-4,500</option>&#13;
			<option label="$4,600-5,000" value="46005000">$4,600-5,000</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are Payment Plans Needed?" name="are-payment-plans-needed">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Activities and Extras"/>&#13;
		<field type="text" label="Type of Experience Desired" description="relaxation, adventure, cultural, nightlife, family fun, etc" name="type-of-experience-desired" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Excursions/Activities of Interest" description="snorkeling, tours, shows, nightlife, private dinners" name="excursionsactivities-of-interest" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Special Needs or Requests" description="dietary, accessibility, celebrations, etc" name="special-needs-or-requests" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Services"/>&#13;
		<field type="checkbox-group" label="Flights Needed?" name="flights-needed">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you currently have a passport that will still be active 3 months after the trip concludes?" name="do-you-currently-have-a-passport-that-will-still-be-active-3-months-after-the-trip-concludes">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you need travel insurance?" name="do-you-need-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No (BE ADVISED IF THIS BOX IS CHECKED YOU WILL BE REQUIRED TO SIGN WAIVER)" value="no-be-advised-if-this-box-is-checked-you-will-be-required-to-sign-waiver">No (BE ADVISED IF THIS BOX IS CHECKED YOU WILL BE REQUIRED TO SIGN WAIVER)</option>&#13;
		</field>&#13;
		<field type="text" label="Transfers/Ground transportation Needed?" description="Yes or No" name="transfersground-transportation-needed" subtype="text" className="form-control"/>&#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="Additional Notes for your Trip?" name="additional-notes-for-your-trip" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are you interested in learning more about the travel business or earning income? through travel" name="are-you-interested-in-learning-more-about-the-travel-business-or-earning-income-through-travel">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Not at this time" value="not-at-this-time">Not at this time</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>