Share your information with Kevonna Atkins

Kevonna Atkins

Lavishé Travel LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h1" label="Personal Information"/>&#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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred Communication Style" name="preferred-communication-style">&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Email (Please check spam for future emails)" value="email-please-check-spam-for-future-emails">Email (Please check spam for future emails)</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How did you hear about us? (if referred, please provide the persons&amp;nbsp; name)" name="how-did-you-hear-about-us-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Planning Information"/>&#13;
		<field type="checkbox-group" required="true" label="Type of Travel&amp;nbsp;" name="type-of-travel-" other="true">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All-Inclusive Resort with Flights" value="allinclusive-resort-with-flights">All-Inclusive Resort with Flights</option>&#13;
			<option label="All-Inclusive Resort (Hotel Only)" value="allinclusive-resort-hotel-only">All-Inclusive Resort (Hotel Only)</option>&#13;
			<option label="Domestic Travel (Hotel Only)" value="domestic-travel-hotel-only">Domestic Travel (Hotel Only)</option>&#13;
			<option label="Domestic Travel (Hotel and Flights)" value="domestic-travel-hotel-and-flights">Domestic Travel (Hotel and Flights)</option>&#13;
			<option label="International Travel (Hotel Only)" value="international-travel-hotel-only">International Travel (Hotel Only)</option>&#13;
			<option label="International Travel (Hotel, Tours, and Flights)" value="international-travel-hotel-tours-and-flights">International Travel (Hotel, Tours, and Flights)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure give me the top two destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of Departure" 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="Date of 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="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please list number of adults and children&#39;s ages by room (if applicable)&amp;nbsp;" name="please-list-full-names-and-dob-of-all-adults-and-children-by-room" 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="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference (For Packages with Flights)" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="What is your budget for all travelers?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-" className="form-control"/>&#13;
		<field type="radio-group" label="What kind of payment arrangement would you like?" name="radio-group-1578965333902">&#13;
			<option label="Payment Plan " value="payment-plan-">Payment Plan </option>&#13;
			<option label="Pay in Full" value="pay-in-full">Pay in Full</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="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Food and wine" value="food-and-wine">Food and wine</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you want Travel Insurance added to your quote?" name="radio-group-1578965338628">&#13;
			<option label="Yes, please add it." value="yes-please-add-it">Yes, please add it.</option>&#13;
			<option label="No, I will get travel insurance on my own." value="no-i-will-get-travel-insurance-on-my-own">No, I will get travel insurance on my own.</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please enter all notes and special requests here" 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>