Share your information with Zandrea Batiste

Zandrea Batiste

Batiste Wheelin Adventures

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="✨ Join the VIP Travel List"/>&#13;
		<field type="paragraph" subtype="p" label="Join our private VIP travel list for early access to exclusive cruise and resort promotions, curated group trips, and special travel offers. At Batiste Wheelin Adventures, our VIP travelers get the best deals first."/>&#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" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" 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="Birthday (Month &amp;amp; Day)&amp;nbsp;" description="So we can celebrate you with special travel deals and surprises 🎉" name="birthday-month-day-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anniversary (Month &amp;amp; Day) – Optional" description="For couples trips and anniversary getaways 💍" name="anniversary-month-day-optional" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What travel deals interest you?" name="what-travel-deals-interest-you">&#13;
			<option label="Cruises 🚢" value="cruises-">Cruises 🚢</option>&#13;
			<option label="All-Inclusive Resorts 🌴" value="allinclusive-resorts-">All-Inclusive Resorts 🌴</option>&#13;
			<option label="Group Trips 🛳️" value="group-trips-">Group Trips 🛳️</option>&#13;
			<option label="Accessible Travel ♿" value="accessible-travel-">Accessible Travel ♿</option>&#13;
			<option label="Family Vacations 👨‍👩‍👧" value="family-vacations-">Family Vacations 👨‍👩‍👧</option>&#13;
			<option label="Luxury Travel ✨" value="luxury-travel-">Luxury Travel ✨</option>&#13;
			<option label="Any good deal you find me 😎" value="any-good-deal-you-find-me-">Any good deal you find me 😎</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="When are you most likely to travel?" name="checkbox-group-1773606999729">&#13;
			<option label="Spring" value="spring">Spring</option>&#13;
			<option label="Summer" value="summer">Summer</option>&#13;
			<option label="Fall" value="fall">Fall</option>&#13;
			<option label="Winter" value="winter">Winter</option>&#13;
			<option label="Anytime" value="anytime">Anytime</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Will anyone in your travel group need accessibility accommodations?&amp;nbsp;" name="checkbox-group-1773607081163">&#13;
			<option label="Wheelchair accessible room" value="wheelchair-accessible-room">Wheelchair accessible room</option>&#13;
			<option label="Mobility assistance" value="mobility-assistance">Mobility assistance</option>&#13;
			<option label="Traveling with wheelchair user" value="traveling-with-wheelchair-user">Traveling with wheelchair user</option>&#13;
			<option label="No accessibility needs" value="no-accessibility-needs">No accessibility needs</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="You’ll receive:"/>&#13;
		<field type="paragraph" subtype="p" label="• Cruise deals"/>&#13;
		<field type="paragraph" subtype="p" label="• Resort promotions"/>&#13;
		<field type="paragraph" subtype="p" label="• Group trip invites"/>&#13;
		<field type="paragraph" subtype="p" label="• Accessible travel tips"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>