Share your information with Meredith Schoenherr

Meredith Schoenherr

MCS Travel Designs

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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" 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="checkbox-group" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="Personal Network/Referral" value="personal-networkreferral">Personal Network/Referral</option>&#13;
			<option label="Virtuoso" value="virtuoso">Virtuoso</option>&#13;
			<option label="Website" value="website">Website</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="LinkedIn" value="linkedin">LinkedIn</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Event" value="event">Event</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Details for this Trip"/>&#13;
		<field type="text" label="Where would you like to travel?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="When would you like to travel?" name="when-would-you-like-to-travel" rows="2" className="form-control"/>&#13;
		<field type="textarea" label="Who will be traveling with you, if anyone? (Ages will help, especially for children)" name="who-will-be-traveling-with-you-if-anyone-ages-will-help-especially-for-children" rows="2" className="form-control"/>&#13;
		<field type="radio-group" label="What are you comfortable spending on this trip?" name="what-are-you-comfortable-spending-on-this-trip">&#13;
			<option label="Under $5,000" value="under-5000">Under $5,000</option>&#13;
			<option label="$5,000 - $10,000" value="5000-10000">$5,000 - $10,000</option>&#13;
			<option label="$10,000 - $20,000" value="10000-20000">$10,000 - $20,000</option>&#13;
			<option label="$20,000 - $30,000" value="20000-30000">$20,000 - $30,000</option>&#13;
			<option label="$30,000 - $50,000" value="30000-50000">$30,000 - $50,000</option>&#13;
			<option label="$50,000 +" value="50000-">$50,000 +</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What is the most memorable travel experience you&#39;ve ever had and what made it great?" name="what-is-the-most-memorable-travel-experience-youve-ever-had-and-what-made-it-great" className="form-control"/>&#13;
		<field type="textarea" label="Anything else you would like me to know?" description="Types of hotels you like or don&#39;t like?  Specific experiences you&#39;re looking for?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>