Rhonda Rhodes

Rhodes Travel Company

<html>
  <body>
    <form-template>&#13;
	<fields>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of trip are you interested in? (a more specific inquiry related to your response will follow)" name="what-type-of-trip-are-you-interested-in-a-more-specific-inquiry-related-to-your-response-will-follow">&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Alaska Cruise or Cruise tour" value="alaska-cruise-or-cruise-tour">Alaska Cruise or Cruise tour</option>&#13;
			<option label="Hawaii Cruise" value="hawaii-cruise">Hawaii Cruise</option>&#13;
			<option label="Hawaii Land/Island Hopping" value="hawaii-landisland-hopping">Hawaii Land/Island Hopping</option>&#13;
			<option label="European Cruise" value="european-cruise">European Cruise</option>&#13;
			<option label="European Land Trip" value="european-land-trip">European Land Trip</option>&#13;
			<option label="River Cruise" value="river-cruise">River Cruise</option>&#13;
			<option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="Message" name="message" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>