Jamie VanAmeyden

Moms At Sea Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Cruise Planning"/>&#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="Email" name="email" 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="radio-group" label="What features would you like?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Diapered Splashpad" value="diapered-splashpad">Diapered Splashpad</option>&#13;
			<option label="Onboard waterpark" value="onboard-waterpark">Onboard waterpark</option>&#13;
			<option label="Nursery for children under 3" value="nursery-for-children-under-3">Nursery for children under 3</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What type of stateroom are you interested in?" name="hotel-preference" other="true">&#13;
			<option label="Connecting" value="connecting">Connecting</option>&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Oceanview Balcony" value="oceanview-balcony">Oceanview Balcony</option>&#13;
			<option label="Neighborhood Balcony" value="neighborhood-balcony">Neighborhood Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Staterooms that hold 5+ guests" value="staterooms-that-hold-5-guests">Staterooms that hold 5+ guests</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#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="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>