Share your information with Laura Kate Tribble

Laura Kate Tribble

Pixie Dust & Passports

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Cruise Vacation Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Fill out the form to receive your personalized cruise quote and start planning your trip."/>&#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" subtype="tel" required="true" label="Phone Number" description="Please enter a valid phone number." name="phone-number" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email Address" placeholder="example@example.com" name="email" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Travelers" placeholder="e.g.  23" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Any Children Traveling?" name="any-children-traveling" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Children Traveling - Please List Ages at Time of Travel" name="children-ages" rows="4" className="form-control"/>&#13;
		<field type="text" label="Travel Dates- Not sure yet? Put a few dates that might work" name="travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Trip Type" name="trip-type" className="checkbox-group">&#13;
			<option label="Cruise Only" value="Cruise Only">Cruise Only</option>&#13;
			<option label="Cruise Tour (combination of cruise + land tour, e.g. Alaska cruisetour, European river + ocean)" value="Cruise Tour (combination of cruise + land tour, e.g. Alaska cruisetour, European river + ocean)">Cruise Tour (combination of cruise + land tour, e.g. Alaska cruisetour, European river + ocean)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Cruise Type" name="cruise-type" className="checkbox-group">&#13;
			<option label="Alaskan Cruise" value="Alaskan Cruise">Alaskan Cruise</option>&#13;
			<option label="European Cruise (Ocean)" value="European Cruise (Ocean)">European Cruise (Ocean)</option>&#13;
			<option label="River Cruise" value="River Cruise">River Cruise</option>&#13;
			<option label="Caribbean Cruise" value="Caribbean Cruise">Caribbean Cruise</option>&#13;
			<option label="Bahamas Cruise" value="Bahamas Cruise">Bahamas Cruise</option>&#13;
			<option label="Mediterranean Cruise" value="Mediterranean Cruise">Mediterranean Cruise</option>&#13;
			<option label="Transatlantic Cruise" value="Transatlantic Cruise">Transatlantic Cruise</option>&#13;
			<option label="Pacific Coast Cruise" value="Pacific Coast Cruise">Pacific Coast Cruise</option>&#13;
			<option label="Australia &amp; New Zealand" value="Australia &amp; New Zealand">Australia &amp; New Zealand</option>&#13;
			<option label="No Preference" value="No Preference">No Preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Cruise Line" name="preferred-cruise-line" className="checkbox-group">&#13;
			<option label="Royal Caribbean" value="Royal Caribbean">Royal Caribbean</option>&#13;
			<option label="Princess Cruises" value="Princess Cruises">Princess Cruises</option>&#13;
			<option label="Viking Ocean Cruises" value="Viking Ocean Cruises">Viking Ocean Cruises</option>&#13;
			<option label="Viking River Cruises" value="Viking River Cruises">Viking River Cruises</option>&#13;
			<option label="Holland America Line" value="Holland America Line">Holland America Line</option>&#13;
			<option label="Celebrity Cruises" value="Celebrity Cruises">Celebrity Cruises</option>&#13;
			<option label="MSC Cruises" value="MSC Cruises">MSC Cruises</option>&#13;
			<option label="Oceania Cruises" value="Oceania Cruises">Oceania Cruises</option>&#13;
			<option label="Regent Seven Seas" value="Regent Seven Seas">Regent Seven Seas</option>&#13;
			<option label="Azamara" value="Azamara">Azamara</option>&#13;
			<option label="Cunard" value="Cunard">Cunard</option>&#13;
			<option label="No Preference" value="No Preference">No Preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Ship Category / Cabin Type" name="preferred-cabin-type" className="checkbox-group">&#13;
			<option label="Inside Cabin" value="Inside Cabin">Inside Cabin</option>&#13;
			<option label="Ocean View Cabin" value="Ocean View Cabin">Ocean View Cabin</option>&#13;
			<option label="Balcony Cabin" value="Balcony Cabin">Balcony Cabin</option>&#13;
			<option label="Mini-Suite" value="Mini-Suite">Mini-Suite</option>&#13;
			<option label="Suite" value="Suite">Suite</option>&#13;
			<option label="No Preference" value="No Preference">No Preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cruise Length" name="cruise-length" className="checkbox-group">&#13;
			<option label="3-5 Nights" value="3-5 Nights">3-5 Nights</option>&#13;
			<option label="6-8 Nights" value="6-8 Nights">6-8 Nights</option>&#13;
			<option label="9-12 Nights" value="9-12 Nights">9-12 Nights</option>&#13;
			<option label="13-16 Nights" value="13-16 Nights">13-16 Nights</option>&#13;
			<option label="17+ Nights" value="17+ Nights">17+ Nights</option>&#13;
		</field>&#13;
		<field type="select" label="Overall Budget" name="budget" className="form-control">&#13;
			<option label="Please Select" value="" selected="selected">Please Select</option>&#13;
			<option label="Under $1,500" value="Under $1,500">Under $1,500</option>&#13;
			<option label="$1,500 - $3,000" value="$1,500 - $3,000">$1,500 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="$3,000 - $5,000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,500" value="$5,000 - $7,500">$5,000 - $7,500</option>&#13;
			<option label="$7,500+" value="$7,500+">$7,500+</option>&#13;
			<option label="Still figuring it out" value="Still figuring it out">Still figuring it out</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need airfare?" name="need-airfare" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="text" label="Departure City (for airfare or closest major airport)" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Would you like to include travel protection?" name="include-travel-protection" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Have You Cruised Before?" name="have-cruised-before" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="text" label="Which cruise line(s) have you sailed with?" name="cruise-lines-sailed-with" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do Any of These Apply to You?" name="special-statuses" other="true" className="checkbox-group">&#13;
			<option label="Active or Retired Military" value="Active or Retired Military">Active or Retired Military</option>&#13;
			<option label="First Responder" value="First Responder">First Responder</option>&#13;
			<option label="Past Guest of a Cruise Line" value="Past Guest of a Cruise Line">Past Guest of a Cruise Line</option>&#13;
			<option label="Senior (55+)" value="Senior (55+)">Senior (55+)</option>&#13;
			<option label="AAA Member" value="AAA Member">AAA Member</option>&#13;
			<option label="None of the Above" value="None of the Above">None of the Above</option>&#13;
		</field>&#13;
		<field type="textarea" label="Celebrating Anything Special?" name="celebrating-special" rows="4" className="form-control"/>&#13;
		<field type="textarea" label="Additional Comments or Questions" name="additional-comments" rows="4" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>