Share your information with Chris Logan

Chris Logan

Travelmation - Chris Logan

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Your 2026/ 2027 Vacation Starts Here"/>&#13;
		<field type="header" subtype="h3" label="Basic Contact"/>&#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" label="Preferred name" name="middle-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;
		<field type="text" label="Best Time to Reach You" name="text-1780365571481" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="The Trip Vision"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" 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" 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="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What type of experience are you looking for?&amp;nbsp;" name="radio-group-1780365756983" other="true">&#13;
			<option label="Family Time" value="family-time">Family Time</option>&#13;
			<option label="Anniversary trip" value="anniversary-trip">Anniversary trip</option>&#13;
			<option label="River or Ocean Cruise" value="river-or-ocean-cruise">River or Ocean Cruise</option>&#13;
			<option label="Cultural Immersion" value="cultural-immersion">Cultural Immersion</option>&#13;
			<option label="Food &amp; Wine" value="food-wine">Food &amp; Wine</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Budget Expectations"/>&#13;
		<field type="radio-group" label="What investment range are you comfortable with for this trip?" name="radio-group-1780366292221" other="true">&#13;
			<option label="$1,000 - $5,000" value="1000-5000">$1,000 - $5,000</option>&#13;
			<option label="$5,001 - 10,000 " value="5001-10000-">$5,001 - 10,000 </option>&#13;
			<option label="$10,001 - $15,000" value="10001-15000">$10,001 - $15,000</option>&#13;
			<option label="$15,001 - $20,000" value="15001-20000">$15,001 - $20,000</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Important Details"/>&#13;
		<field type="text" label="Is there anything important you&#39;d like me to know?&amp;nbsp;" placeholder="Are you celebrating a birthday or anniversary? Do you have a passport question? Do you have accessibility needs?" name="must-dos" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>