Share your information with C&M Bonner

C&M Bonner

CMB Travel Group, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field required="true"  type="text" label="First name:" name="first-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Last name:" name="last-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email:" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number:" name="text-1788112924534" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?" 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="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;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What airport would you like to depart from?" description="Where will you be flying from?" name="departure-city" 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 travelers will be over the age of 18 at the time of travel?&amp;nbsp;" name="text-1788111613324" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children?&amp;nbsp;" name="text-1788112659698" subtype="text" className="form-control"/>&#13;
		<field type="select" label="What type of vacation would you like to purchase?" placeholder="Select one" name="select-1788112405765" className="form-control">&#13;
			<option label="Cruise only" value="cruise-only">Cruise only</option>&#13;
			<option label="Cruise &amp; Air" value="cruise-air">Cruise &amp; Air</option>&#13;
			<option label="Land package (air &amp; hotel)" value="land-package-air-hotel">Land package (air &amp; hotel)</option>&#13;
			<option label="Hotel only" value="hotel-only">Hotel only</option>&#13;
		</field>&#13;
		<field type="select" label="What is your budget?" placeholder="Select one" name="select-1788112718976" className="form-control">&#13;
			<option label="$1,500-$2,500" value="15002500">$1,500-$2,500</option>&#13;
			<option label="$2,500-$5,000" value="25005000">$2,500-$5,000</option>&#13;
			<option label="$5,000-$10,000" value="500010000">$5,000-$10,000</option>&#13;
			<option label="Over $10,000" value="over-10000">Over $10,000</option>&#13;
		</field>&#13;
		<field type="select" label="What is your airline preference? (If applicable)" placeholder="Select one" name="select-1788111869289" className="form-control">&#13;
			<option label="Delta" value="delta">Delta</option>&#13;
			<option label="American Airlines" value="american-airlines">American Airlines</option>&#13;
			<option label="United Airlines" value="united-airlines">United Airlines</option>&#13;
			<option label="Jet Blue" value="jet-blue">Jet Blue</option>&#13;
			<option label="Southwest" value="southwest">Southwest</option>&#13;
		</field>&#13;
		<field type="select" label="What is your cruise line preference? (If applicable)" placeholder="Select one" name="select-1788111738169" className="form-control">&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="Royal Carribean" value="royal-carribean">Royal Carribean</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
			<option label="Celebrity X" value="celebrity-x">Celebrity X</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Margaritaville" value="margaritaville">Margaritaville</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
		</field>&#13;
		<field type="select" label="What is your hotel preference? (If applicable)" placeholder="Select one" name="select-1788111967979" className="form-control">&#13;
			<option label="Marriott" value="marriott">Marriott</option>&#13;
			<option label="Hilton" value="hilton">Hilton</option>&#13;
			<option label="IHG" value="ihg">IHG</option>&#13;
			<option label="Hyatt" value="hyatt">Hyatt</option>&#13;
		</field>&#13;
		<field type="select" label="What kind of vibes are you looking for?" placeholder="Select one" name="select-1788112250431" className="form-control">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest &amp; relaxation" value="rest-relaxation">Rest &amp; 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 &amp; wine" value="food-wine">Food &amp; wine</option>&#13;
		</field>&#13;
		<field type="select" label="What activities are you interested in?" placeholder="Select one" name="select-1788112131236" className="form-control">&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba diving" value="scuba-diving">Scuba diving</option>&#13;
			<option label="Adventure activities" value="adventure-activities">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts &amp; Theater" value="arts-theater">Arts &amp; Theater</option>&#13;
			<option label="Concerts" value="concerts">Concerts</option>&#13;
		</field>&#13;
		<field type="text" label="Are you celebrating anything special?" placeholder="ex: birthday  anniversary or engagement" name="text-1787608329397" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>