Share your information with Adrenaline-HQ Travel

Adrenaline-HQ Travel

Adrenaline -HQ Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Interest &amp;amp; Inquiry Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thinking about joining us in Bali? Tell us where you are in the decision process. Submitting this form does not reserve a space. We will personally follow up with you through your preferred contact method."/>&#13;
		<field type="header" subtype="h3" label="YOUR 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" subtype="email" required="true" label="Email address" name="email" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Phone number" name="phone-number" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="🛏️ROOM PREFERENCE"/>&#13;
		<field type="checkbox-group" required="true" label="Room preference" inline="true" name="room-preference" className="checkbox-group">&#13;
			<option label="Double occupancy - $2,100 per person" value="double-occupancy-2100-per-person">Double occupancy - $2,100 per person</option>&#13;
			<option label="Single occupancy - $2,300" value="single-occupancy-2300">Single occupancy - $2,300</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="✈️ WHO&#39;S COMING WITH YOU?"/>&#13;
		<field type="checkbox-group" label="Who are you traveling with?" inline="true" name="who-are-you-traveling-with" className="checkbox-group">&#13;
			<option label="I would be joining solo" value="joining-solo">I would be joining solo</option>&#13;
			<option label="I plan to travel with someone" value="travel-with-someone">I plan to travel with someone</option>&#13;
			<option label="I am not sure yet" value="not-sure-yet">I am not sure yet</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="🤔HOW READY ARE YOU?"/>&#13;
		<field type="checkbox-group" required="true" label="Where are you in the decision making process?" inline="true" name="where-are-you-right-now" className="checkbox-group">&#13;
			<option label="Ready to reserve" value="ready-to-reserve">Ready to reserve</option>&#13;
			<option label="Seriously considering it" value="seriously-considering">Seriously considering it</option>&#13;
			<option label="Gathering information" value="gathering-information">Gathering information</option>&#13;
			<option label="Waiting on my travel partner" value="waiting-on-my-travel-partner">Waiting on my travel partner</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="📲 PREFERRED CONTACT METHOD?"/>&#13;
		<field type="checkbox-group" required="true" label="How should we follow up?" inline="true" name="how-should-we-follow-up" className="checkbox-group">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone call" value="phone-call">Phone call</option>&#13;
		</field>&#13;
		<field type="text" label="Best time to reach you (optional)" name="best-time-to-reach-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="💬 YOUR BIGGEST QUESTION?"/>&#13;
		<field type="textarea" label="What would help you feel confident about joining this Bali experience?" name="biggest-question" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="HOW DID YOU HEAR ABOUT US?"/>&#13;
		<field type="text" label="Platform, person, group, or referral source" name="referral-source" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>