<form-template>
	<fields>
		<field type="header" subtype="h1" label="Travel Design Agreement"/>
		<field type="paragraph" subtype="p" label="A non-refundable Travel Design Fee is Required On All Itineraries. Vacation planning involves much time. Our work is based on years of personal experience and professional expertise. We research cruises, hotels and tours to meet your specific needs, contact suppliers, coordinate transportation, and draft itineraries. Your final itinerary and documents will give you as smooth a vacation as is possible. Once Sunflower Travel has constructed your itinerary, you are free to shop it on the Internet, or wherever you would like. If you choose to book your vacation elsewhere or your trip is canceled, the travel design fee will be retained by Sunflower Travel as payment for services rendered. A Travel Design Agreement is valid for 30 days. If you are unable to proceed with a booking after 30 days, a new agreement will be required once planning resumes.&amp;nbsp;&amp;nbsp; All vacations arranged through Sunflower Travel offer peace of mind, as we are experienced professionals in the business of planning individual and group travel for sophisticated travelers who demand the most professional individual attention to detail and execution of a well-planned vacation.&amp;nbsp;"/>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" required="true" label="Lead Traveler First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="textarea" label="Additional Passengers Name(s) and Date(s) of Birth" name="additional-passengers-names-and-dates-of-birth" className="form-control"/>
		<field type="textarea" label="If other traveler(s) in your party would like to recieve email communications about your trip, please list their email address (Provide name it belongs to if multiple travelers).&amp;nbsp;" name="if-other-travelers-in-your-party-would-like-to-recieve-email-communications-about-your-trip-please-list-their-email-address-provide-name-it-belongs-to-if-multiple-travelers-" className="form-control"/>
		<field type="select" required="true" label="How did you hear about us?&amp;nbsp;" name="how-did-you-hear-about-us-" className="form-control">
			<option label="I am a current client" value="i-am-a-current-client" selected="true">I am a current client</option>
			<option label="Friend/Family Referral " value="friendfamily-referral-">Friend/Family Referral </option>
			<option label="Bridal Show" value="bridal-show">Bridal Show</option>
			<option label="Facebook" value="facebook">Facebook</option>
			<option label="Google Search" value="google-search">Google Search</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="select" required="true" label="What stage of planning are you in?" name="what-stage-of-planning-are-you-in" className="form-control">
			<option label="Just browsing for now!" value="just-browsing-for-now" selected="true">Just browsing for now!</option>
			<option label="I have a destination in mind." value="i-have-a-destination-in-mind">I have a destination in mind.</option>
			<option label="I'm ready to book!" value="im-ready-to-book">I'm ready to book!</option>
		</field>
		<field type="checkbox-group" required="true" label="Which&amp;nbsp; Travel Design Service would you like to proceed with?&amp;nbsp; Pricing is for up to 4 Travelers (excluding Groups &amp;amp; Air Only) and NOT per person.&amp;nbsp; More than 4 Travelers? Your invoice will be adjusted by an agent prior to charging your form of payment." name="which-travel-design-service-would-you-like-to-proceed-with-" other="true">
			<option label="Caribbean/Domestic USA/Mexico - $50" value="caribbeandomestic-usamexico-50">Caribbean/Domestic USA/Mexico - $50</option>
			<option label="Guided Tour/International Cruise - $150" value="guided-tourinternational-cruise-150">Guided Tour/International Cruise - $150</option>
			<option label="Custom Tour/FIT Up to 10 Days - $250" value="custom-tourfit-up-to-10-days-250">Custom Tour/FIT Up to 10 Days - $250</option>
			<option label="Air Only Ticketing - From $40 per person" value="air-only-ticketing-from-40-per-person">Air Only Ticketing - From $40 per person</option>
			<option label="Custom Tour/FIT 11+ Days - Fee Upon Request" value="custom-tourfit-11-days-fee-upon-request">Custom Tour/FIT 11+ Days - Fee Upon Request</option>
			<option label="Group Travel/Destination Wedding for 8-19 people - $300" value="group-traveldestination-wedding-for-819-people-300">Group Travel/Destination Wedding for 8-19 people - $300</option>
			<option label="Group Travel/Destination Wedding for 20-39 people - $500" value="group-traveldestination-wedding-for-2039-people-500">Group Travel/Destination Wedding for 20-39 people - $500</option>
			<option label="Arranged Comped Fee - $0" value="arranged-comped-fee-0">Arranged Comped Fee - $0</option>
		</field>
		<field type="header" subtype="h1" label="Trip Information"/>
		<field type="date" required="true" label="Arrival Date" name="arrival-date" className="form-control"/>
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>
		<field type="select" required="true" label="Are your dates flexible?&amp;nbsp;" name="are-your-dates-flexible-" className="form-control">
			<option label="Yes" value="yes" selected="true">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" required="true" label="Departure City" name="departure-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What destination(s) did you have in mind?&amp;nbsp;&amp;nbsp;" name="what-destinations-did-you-have-in-mind-" subtype="text" className="form-control"/>
		<field type="select" required="true" label="How many adults are traveling?&amp;nbsp;" name="how-many-adults-are-traveling-" className="form-control">
			<option label="1" value="1">1</option>
			<option label="2" value="2">2</option>
			<option label="3" value="3">3</option>
			<option label="4" value="4">4</option>
			<option label="5" value="5">5</option>
			<option label="6" value="6">6</option>
			<option label="7" value="7">7</option>
			<option label="8" value="8">8</option>
			<option label="9" value="9">9</option>
			<option label="10" value="10">10</option>
			<option label="More than 10" value="more-than-10">More than 10</option>
		</field>
		<field type="textarea" required="true" label="How many children are traveling (Please provide their ages at time of travel)?" name="how-many-children-are-traveling-please-provide-their-ages-at-time-of-travel" className="form-control"/>
		<field type="text" required="true" label="Estimated Budget?&amp;nbsp; Please specify if per person or total for everyone." name="estimated-budget-please-specify-if-per-person-or-total-for-everyone" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Is the above total Per Person or TOTAL for ALL travelers?" name="is-the-above-total-per-person-or-total-for-all-travelers">
			<option label="Per Person" value="per-person">Per Person</option>
			<option label="Total for everyone" value="total-for-everyone">Total for everyone</option>
		</field>
		<field type="header" subtype="h2" label="Travel Preferences"/>
		<field type="radio-group" label="Hotel preference" name="hotel-preference">
			<option label="Economy" value="value">Economy</option>
			<option label="Moderate" value="moderate">Moderate</option>
			<option label="Luxury" value="luxury">Luxury</option>
			<option label="Boutique" value="boutique">Boutique</option>
		</field>
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">
			<option label="Romantic" value="romantic">Romantic</option>
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>
			<option label="Party" value="party">Party</option>
			<option label="Local culture" value="local-culture">Local culture</option>
			<option label="Family friendly" value="family-friendly">Family friendly</option>
			<option label="Food and wine" value="food-wine">Food and wine</option>
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>
			<option label="Adventure" value="adventure">Adventure</option>
			<option label="LGBT" value="lgbt">LGBT</option>
		</field>
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">
			<option label="Beach and water" value="beach-water">Beach and water</option>
			<option label="Gambling" value="gambling">Gambling</option>
			<option label="Scuba" value="scuba">Scuba</option>
			<option label="Adventure activities" value="adventure">Adventure activities</option>
			<option label="Golf" value="golf">Golf</option>
			<option label="Nightlife" value="nightlife">Nightlife</option>
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>
		</field>
		<field type="textarea" required="true" label="Message" description="Please give as many details for your request as possible. All inclusive or european plan? What destination or country did you have in mind? What do you value most in a vacation? What vibe are you looking for? Paint us a picture of your next trip so we can make it a reality! Do you need multiple rooms for your family or a care taker?" placeholder="Please give as many details for your request as possible. All inclusive or european plan? What destination or country did you have in mind? What do you value most in a vacation? What vibe are you looking for? Paint us a picture of your next trip so we can make it a reality! Do you need multiple rooms for your family or a care taker?" name="message" className="form-control"/>
		<field type="select" required="true" label="Please Select Your Travel Agent" name="please-select-your-travel-agent" className="form-control">
			<option label="Angie Webb" value="angie-webb">Angie Webb</option>
			<option label="Bobbi Hansen" value="bobbi-hansen" selected="true">Bobbi Hansen</option>
			<option label="Carol Parsons" value="carol-parsons">Carol Parsons</option>
			<option label="Christa Wallin" value="christa-wallin">Christa Wallin</option>
			<option label="Devin Hansen" value="devin-hansen">Devin Hansen</option>
			<option label="Heather Hadley" value="heather-hadley">Heather Hadley</option>
			<option label="Rachel Sullard" value="rachel-sullard">Rachel Sullard</option>
			<option label="Terri Windsor" value="terri-windsor">Terri Windsor</option>
		</field>
	</fields>
</form-template>