Share your information with Tomi Johnson, CTA

Tomi Johnson, CTA

Tomi Johnson Cruises & Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for the opportunity to assist you with your next journey."/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="radio-group" label="What type of vacation can we assist with?" name="what-type-of-vacation-can-we-assist-with">&#13;
			<option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option>&#13;
			<option label="River Cruise" value="river-cruise">River Cruise</option>&#13;
			<option label="Expedition Cruise" value="expedition-cruise">Expedition Cruise</option>&#13;
			<option label="All-Inclusive Vacation" value="allinclusive-vacation">All-Inclusive Vacation</option>&#13;
			<option label="Talk about a Group Cruise" value="talk-about-a-group-cruise">Talk about a Group Cruise</option>&#13;
			<option label="Talk about a Group All-Inclusive" value="talk-about-a-group-allinclusive">Talk about a Group All-Inclusive</option>&#13;
		</field>&#13;
		<field type="text" label="Or is there a specific cruise, river cruise or land tour you know you want?&amp;nbsp; (Please put in text field below.)" name="or-is-there-a-specific-cruise-river-cruise-or-land-tour-you-know-you-want-please-put-in-text-field-below" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Name"/>&#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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" 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="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please let us know how we can best assist you and include as much detail as possible.&amp;nbsp; &amp;nbsp;Are you looking for a specific cruise line, state room category, or all-inclusive travel? How many people will be traveling and how many staterooms/rooms will you need?&amp;nbsp;" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>