Share your information with Alexandra Whiting

Alexandra Whiting

Ticket to Adventure Travel Company

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Gather Some Information for your Cruise"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="Any extra information about your dates?" name="any-extra-information-about-your-dates" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How many days would you like to cruise?" name="how-many-days-would-you-like-to-cruise">&#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="7" value="7">7</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What cruise lines are you interested in?" name="what-cruise-lines-are-you-interested-in">&#13;
			<option label="Disney" value="disney">Disney</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
			<option label="Holland America" value="holland-america">Holland America</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
		</field>&#13;
		<field type="text" label="Where will you be traveling from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Will you drive or fly?" name="text-1769112720479" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults?" name="text-1769129327431" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children?" name="text-1769129339813" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are the ages of the children at the time of travel?" name="text-1769129357652" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#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="radio-group" label="Are you interested in Travel Protection? (Highly Recommended)" name="are-you-interested-in-travel-protection-highly-recommended">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Which Ports are you willing to sail out of." description="This just gives me a general starting point and can always be changed later." name="radio-group-1769112793271">&#13;
			<option label="Port Canaveral, FL" value="port-canaveral-fl">Port Canaveral, FL</option>&#13;
			<option label="Maimi, FL" value="maimi-fl">Maimi, FL</option>&#13;
			<option label="Fort Lauderdale, FL" value="fort-lauderdale-fl">Fort Lauderdale, FL</option>&#13;
			<option label="Galveston, TX" value="galveston-tx">Galveston, TX</option>&#13;
			<option label="San Diego, CA" value="san-diego-ca">San Diego, CA</option>&#13;
			<option label="Vancouver, BC" value="vancouver-bc">Vancouver, BC</option>&#13;
			<option label="New Orleans, LA" value="new-orleans-la">New Orleans, LA</option>&#13;
			<option label="Tampa, FL" value="tampa-fl">Tampa, FL</option>&#13;
			<option label="Jacksonville, FL" value="jacksonville-fl">Jacksonville, FL</option>&#13;
			<option label="Cape Liberty, NJ" value="cape-liberty-nj">Cape Liberty, NJ</option>&#13;
			<option label="Baltimore, MD" value="baltimore-md">Baltimore, MD</option>&#13;
			<option label="Boston, MA" value="boston-ma">Boston, MA</option>&#13;
			<option label="Charleston, SC" value="charleston-sc">Charleston, SC</option>&#13;
			<option label="Los Angeles, CA" value="los-angeles-ca">Los Angeles, CA</option>&#13;
			<option label="San Fransisco, CA" value="san-fransisco-ca">San Fransisco, CA</option>&#13;
			<option label="San Juan, PR" value="san-juan-pr">San Juan, PR</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Australia" value="australia">Australia</option>&#13;
			<option label="Asia" value="asia">Asia</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your stateroom preference?" name="hotel-preference" other="true">&#13;
			<option label="Inside" value="inside">Inside</option>&#13;
			<option label="Oceanview (1 or 2 portholes)" value="oceanview-1-or-2-portholes">Oceanview (1 or 2 portholes)</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Neighborhood Balcony" value="neighborhood-balcony">Neighborhood Balcony</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Ship Location Preference" name="ship-location-preference">&#13;
			<option label="Forward (front of ship)" value="forward-front-of-ship">Forward (front of ship)</option>&#13;
			<option label="Mid Ship" value="mid-ship">Mid Ship</option>&#13;
			<option label="Aft ( Back of Ship)" value="aft-back-of-ship">Aft ( Back of Ship)</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" other="true">&#13;
			<option label="Larger Ship" value="larger-ship">Larger Ship</option>&#13;
			<option label="Smaller Ship" value="smaller-ship">Smaller Ship</option>&#13;
			<option label="Laid back" value="laid-back">Laid back</option>&#13;
			<option label="Party Ship" value="party-ship">Party Ship</option>&#13;
			<option label="Family Oriented" value="family-oriented">Family Oriented</option>&#13;
			<option label="Newer Ship" value="newer-ship">Newer Ship</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Itinerary Preference:" name="itinerary-preference">&#13;
			<option label="Bahamas" value="bahamas">Bahamas</option>&#13;
			<option label="Caribbean" value="caribbean">Caribbean</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Mexico" value="mexico">Mexico</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Dining Time Preference" name="dining-time-preference">&#13;
			<option label="Early (can be anytime between 5:00 and 6:00)" value="early-can-be-anytime-between-500-and-600">Early (can be anytime between 5:00 and 6:00)</option>&#13;
			<option label="late (can be anytime between 7:00 and 8:00)" value="late-can-be-anytime-between-700-and-800">late (can be anytime between 7:00 and 8:00)</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>