Share your information with Shelly Schooler

Shelly Schooler

Magical Travel By Shelly Schooler - Travelmation agent

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Date of Birth" name="date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Please list all additional travelers with Full name and Date of Birth&amp;nbsp;"/>&#13;
		<field type="textarea" label="Additional traveler information goes here" name="additional-traveler-information-goes-here" className="form-control"/>&#13;
		<field type="text" label="Budget for the entire trip" name="budget-for-the-entire-trip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="text" label="Destination (Where would you like to go?)" name="destination-where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Departure date" name="departure-date" className="form-control"/>&#13;
		<field type="date" label="Returning date" name="returning-date" className="form-control"/>&#13;
		<field type="text" label="Preferred Airline" name="preferred-airline" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite Aisle" value="opposite aisle">Opposite Aisle</option>&#13;
		</field>&#13;
		<field type="text" label="Is it important for you to pick your seat on the airplane?" name="is-it-important-for-you-to-pick-your-seat-on-the-airplane" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Hotels" name="preferred-hotels" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="King">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
			<option label="1 bed and a sofa bed" value="1-bed-and-a-sofa-bed">1 bed and a sofa bed</option>&#13;
			<option label="Conjoining rooms" value="conjoining-rooms">Conjoining rooms</option>&#13;
		</field>&#13;
		<field type="text" label="Is it important to you what the view from your room is?" name="is-it-important-to-you-what-the-view-from-your-room-is" subtype="text" className="form-control"/>&#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="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences">&#13;
			<option label="Museums and History" value="museums-and-history">Museums and History</option>&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Sight Seeing" value="sight-seeing">Sight Seeing</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Theme parks/water parks" value="theme-parkswater-parks">Theme parks/water parks</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you think I should know" name="anything-else-you-think-i-should-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>