Jessica Gray

Superbly Justifiable Travel Services (SJ-Travels)

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="TRAVELER INFORMATION"/>&#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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a Valid Passport / Expiration Date" description="If none type No" placeholder="Yes MM/YY" name="do-you-have-a-valid-passport-expiration-date" 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 Method of Communication after One on One?" inline="true" name="preferred-method-of-communication" other="true">&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Best Time to Contact?" inline="true" name="best-time-to-contact" other="true">&#13;
			<option label="Morning (9am-12am)" value="morning-9am12am">Morning (9am-12am)</option>&#13;
			<option label="Afternoon (12am-3pm)" value="afternoon-12am3pm">Afternoon (12am-3pm)</option>&#13;
			<option label="Evening (3pm-6pm)" value="evening-3pm6pm">Evening (3pm-6pm)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Other Travelers"/>&#13;
		<field type="textarea" required="true" label="Legal Full Names / DOB / Gender / Valid Passport&amp;nbsp;" description="If none type N/A" placeholder="FIRST  MIDDLE  LAST    /    MM/DD/YR    /    M/F    /    Y/N" name="legal-full-names-gender-dob" rows="10" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Details"/>&#13;
		<field type="textarea" required="true" label="Desired Destination(s)" name="desired-destinations" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Have you traveled to this destination before?" inline="true" name="have-you-traveled-to-this-destination-before" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Preferred Travel Dates?" name="text-1732552764284" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Length of Stay?" name="text-1732552785939" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Alternate Travel Dates? (If Flexible)" name="text-1732554195301" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="OCCASION &amp;amp; EXPERIENCE"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Any Special Occasions Being Celebrated? / Any mobility or special requirements?" description="If none type N/A" name="notes" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How did you hear about Superbly Justifiable Travel Services?" name="how-did-you-hear-about-superbly-justifiable-travel-services" other="true">&#13;
			<option label="Friend" value="friend">Friend</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="TikToc" value="tiktoc">TikToc</option>&#13;
			<option label="LinkedIn" value="linkedin">LinkedIn</option>&#13;
			<option label="Twitter X" value="twitter-x">Twitter X</option>&#13;
			<option label="Yelp" value="yelp">Yelp</option>&#13;
			<option label="Pinterest" value="pinterest">Pinterest</option>&#13;
			<option label="SnapChat" value="snapchat">SnapChat</option>&#13;
			<option label="Threads" value="threads">Threads</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Next Steps"/>&#13;
		<field type="header" subtype="h2" label="Visit https://sj-travels.com/step-2%3A-one-on-one to complete &quot;Step 2&quot; and schedule a video consultation at a time that's most convenient for you.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h3" label="Thank you for choosing Superbly Justifiable Travel Services!"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>