Share your information with Martine Sawyer

Martine Sawyer

MPS Creations Travel Designs

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="MPS Creations Travel Designs Travel Inquiry Form"/>&#13;
		<field type="header" subtype="h3" label="Client Contact Details"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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 (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1771813761725" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h3" label="Tell Me About Your Escape"/>&#13;
		<field type="text" required="true" label="Destination" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Preferred Travel Dates"/>&#13;
		<field type="date" label="Departure" name="departure" className="form-control"/>&#13;
		<field type="date" label="Return" name="return" className="form-control"/>&#13;
		<field type="checkbox-group" label="How are you celebrating? (select all that apply)" name="trip-type" other="true">&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Girls/Fellas Trip" value="girlsfellas-trip">Girls/Fellas Trip</option>&#13;
			<option label="Couples Celebration" value="couples-celebration">Couples Celebration</option>&#13;
			<option label="Signature Vacation" value="signature-vacation">Signature Vacation</option>&#13;
			<option label="Caribbean - Mexico Destination Wedding" value="caribbean-mexico-destination-wedding">Caribbean - Mexico Destination Wedding</option>&#13;
			<option label="Not Sure, need inspiration" value="not-sure-need-inspiration">Not Sure, need inspiration</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What are you celebrating?&amp;nbsp;" name="checkbox-group-1780968237846" other="true">&#13;
			<option label="Self/Us" value="selfus">Self/Us</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1771813768373" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h3" label="Escape Details"/>&#13;
		<field type="text" label="Number of Adults" name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Children (if applicable)&amp;nbsp;" name="number-of-children-if-applicable-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Estimated Investment Range (per person)" name="radio-group-1771813328086">&#13;
			<option label="$1,000 - $2,000" value="1000-2000">$1,000 - $2,000</option>&#13;
			<option label="$2,000 - $3,500" value="2000-3500">$2,000 - $3,500</option>&#13;
			<option label="$3,500 - $5,000" value="3500-5000">$3,500 - $5,000</option>&#13;
			<option label="Open, I want guidance" value="open-i-want-guidance">Open, I want guidance</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What does your ideal escape include? Select all that apply" name="what-does-your-ideal-escape-include-select-all-that-apply" other="true">&#13;
			<option label="Relax &amp; Recharge (spa, poolside, cocktails)" value="relax-recharge-spa-poolside-cocktails">Relax &amp; Recharge (spa, poolside, cocktails)</option>&#13;
			<option label="Adventure &amp; Exploration" value="adventure-exploration">Adventure &amp; Exploration</option>&#13;
			<option label="Cultural Immersion" value="cultural-immersion">Cultural Immersion</option>&#13;
			<option label="VIP Experiences" value="vip-experiences">VIP Experiences</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Fully Guided" value="fully-guided">Fully Guided</option>&#13;
		</field>&#13;
		<field type="radio-group" label="&amp;nbsp;How Did You Hear About MPS Creations Travel Designs?" name="if-outside-of-the-united-states-does-everyone-have-a-passport-that-is-expiring-6-months-or-greater-from-your-return-date">&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Returning Client" value="returning-client">Returning Client</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you ready to move forward within the next 30 days?" name="radio-group-1771813716759">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Just Exploring" value="just-exploring">Just Exploring</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>