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Melissa Law

A Pair of Ears Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" 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="textarea" required="true" label="Please list name and age (at the time of travel) for ALL guests." name="please-list-name-and-age-at-the-time-of-travel-for-all-guests" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Resort Selection:" name="resort-selection">&#13;
			<option label="Family Friendly " value="family-friendly-">Family Friendly </option>&#13;
			<option label="Adults Only " value="adults-only-">Adults Only </option>&#13;
			<option label="Doesn't Matter" value="doesnt-matter">Doesn't Matter</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Location Preference:" name="location-preference" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a specific resort in mind?" name="do-you-have-a-specific-resort-in-mind" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What specific dates are you interested in traveling?" name="what-specific-dates-are-you-interested-in-traveling" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Vacation Length? (Number of nights)&amp;nbsp;" name="vacation-length-number-of-nights-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Type of Room&amp;nbsp;" name="type-of-room-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="If you want to include flights, which airport do you prefer to fly out of? Flights can only be added within 330 days of travel. Flights are due in full upfront at the time of booking.&amp;nbsp;" name="if-you-want-to-include-flights-which-airport-do-you-prefer-to-fly-out-of-flights-can-only-be-added-within-330-days-of-travel-flights-are-due-in-full-upfront-at-the-time-of-booking-" className="form-control"/>&#13;
		<field type="text" required="true" label="Budget (in US Dollars)&amp;nbsp;" name="budget-in-us-dollars-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How soon are you looking to book?&amp;nbsp;" name="how-soon-are-you-looking-to-book-" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>