Share your information with Bethany Kiep

Bethany Kiep

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for 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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of vacation are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option>&#13;
			<option label="Universal Resorts" value="universal-resorts">Universal Resorts</option>&#13;
			<option label="All-inclusive (not available in U.S., passports required)" value="allinclusive-not-available-in-us-passports-required">All-inclusive (not available in U.S., passports required)</option>&#13;
			<option label="International trip" value="international-trip">International trip</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="If flying, what is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers? Please include ages at time of travel." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel/resort preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Value - less $1,000 per person" value="value-less-1000-per-person">Value - less $1,000 per person</option>&#13;
			<option label="Moderate - $1,000 - $2,000 per person" value="moderate-1000-2000-per-person">Moderate - $1,000 - $2,000 per person</option>&#13;
			<option label="Deluxe - $2,000+ per person" value="deluxe-2000-per-person">Deluxe - $2,000+ per person</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Do you have any accessibility needs I should be aware of?" 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="paragraph" subtype="p" label="Thank you for reaching out! I’ve received your quote request and will be in touch within 24–48 hours with more information. If it&#39;s the weekend, I’ll follow up with you on Monday. Looking forward to helping you plan such an important investment!&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>