Share your information with Carrie Peterson

Carrie Peterson

ROAD TRIPS WITH A VIEW LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="TRAVEL INQUIRY"/>&#13;
		<field type="radio-group" required="true" label="What type of travel are you interested in?" description="Only choose one" name="what-travel-services-are-you-interested-in">&#13;
			<option label="Road Trip" value="road-trip">Road Trip</option>&#13;
			<option label="National Park Travel" value="national-park-travel">National Park Travel</option>&#13;
			<option label="Family/Couple Travel" value="familycouple-travel">Family/Couple Travel</option>&#13;
			<option label="Adventure Travel" value="adventure-travel">Adventure Travel</option>&#13;
			<option label="Bucket List Travel" value="bucket-list-travel">Bucket List Travel</option>&#13;
			<option label="Camping/Off-the-beaten-path Travel" value="campingoffthebeatenpath-travel">Camping/Off-the-beaten-path Travel</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What level of Travel support are you looking for?" description="Only choose one" name="radio-group-1770824556928">&#13;
			<option label="Full Travel Planning" value="full-travel-planning">Full Travel Planning</option>&#13;
			<option label="Recommendations Only " value="recommendations-only-">Recommendations Only </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="When are you looking to travel?" name="how-many-days-are-you-planning-to-spend-on-vacation" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many days do you plan to spend on vacation?" name="how-many-day-do-you-plan-to-spend-on-vacation" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Destination/s?" name="destinations" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where are you traveling from?" name="where-are-you-traveling-from" subtype="text" className="form-control"/>&#13;
		<field type="text" label="# of people?" name="-of-people" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Anything else you want me to know about this trip?" name="anything-else-you-want-me-to-know-about-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="CLIENT INFORMATION"/>&#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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>