Reba Sherman

Moms at Sea Travel Dream Vacations Franchise

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let's Plan Your Cruise"/>&#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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Would you like a phone call?" name="would-you-like-a-phone-call" className="form-control">&#13;
			<option label="Yes, I'm ready to cruise" value="yes-im-ready-to-cruise">Yes, I'm ready to cruise</option>&#13;
			<option label="Yes, but I'd like to schedule it" value="yes-but-id-like-to-schedule-it">Yes, but I'd like to schedule it</option>&#13;
			<option label="Not at this time" value="not-at-this-time">Not at this time</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like me to TEXT you after I have sent my initial response? E-mails often get lost in spam and I find this helps let you know I have responded." name="would-you-like-me-to-text-you-after-i-have-sent-my-initial-response-emails-often-get-lost-in-spam-and-i-find-this-helps-let-you-know-i-have-responded">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How many guests total?" name="how-many-guests-total" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If any children what are their ages?" name="if-any-children-what-are-there-ages" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When are you looking to cruise?" name="when-are-you-looking-to-cruise" className="form-control"/>&#13;
		<field type="text" label="What port are you looking to sail from?" name="what-port-are-you-looking-to-sail-from" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What can you tell me about the cruise you are looking for?" name="what-can-you-tell-me-about-the-cruise-you-are-looking-for" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>