Share your information with Ronald McAdams

Ronald McAdams

Q&R Travel, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Crossmen Travel Request"/>&#13;
		<field type="checkbox-group" required="true" label="What travel components are required?&amp;nbsp;" toggle="true" inline="true" name="what-travel-components-are-required-">&#13;
			<option label="Flight" value="flight">Flight</option>&#13;
			<option label="Shuttle" value="shuttle">Shuttle</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Full Name as it Appears on your State Issued ID"/>&#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="radio-group" required="true" label="Gender" inline="true" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Birthdate" name="birthday" 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="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1792432014266" rule="eyJ3aGVuRmllbGQiOiJ3aGF0LXRyYXZlbC1jb21wb25lbnRzLWFyZS1yZXF1aXJlZC0iLCJ3aGVuQ29uZGl0aW9uIjoiY29udGFpbnMiLCJ3aGVuVmFsdWUiOiJzaHV0dGxlIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbImhlYWRlci0zIiwicmFkaW8tZ3JvdXAtMTc5MjQzMTkxMzg2OCJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6ImhlYWRlci0zIiwibGFiZWwiOiJTaHV0dGxlIFJlcXVlc3QifSx7Im5hbWUiOiJyYWRpby1ncm91cC0xNzkyNDMxOTEzODY4IiwibGFiZWwiOiJTaHV0dGxlIE9wdGlvbnMifV19"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1767046192395" rule="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"/>&#13;
		<field type="pageBreak" name="pageBreak-1763080575315" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Shuttle Request"/>&#13;
		<field type="radio-group" required="true" label="Shuttle Options" inline="true" name="radio-group-1792431913868" className="field-hidden">&#13;
			<option label="To and From Event" value="to-and-from-event">To and From Event</option>&#13;
			<option label="To Event Only" value="to-event-only">To Event Only</option>&#13;
			<option label="From Event Only" value="from-event-only">From Event Only</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Flight Details" className="field-hidden"/>&#13;
		<field type="radio-group" required="true" label="Flight Type" inline="true" name="flight-type" className="field-hidden">&#13;
			<option label="Round Trip" value="round-trip">Round Trip</option>&#13;
			<option label="One-Way" value="oneway">One-Way</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Flying from and returning to the Same Airport?&amp;nbsp;" inline="true" name="flying-from-and-to-the-same-airport-" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your from airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="What is your to airport?" description="Where will you be flying to?" name="text-1767047157216" subtype="text" className="form-control field-hidden"/>&#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 field-hidden"/>&#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 field-hidden"/>&#13;
		<field type="textarea" label="List any time constraints that would impact your departure times to/from Crossmen event." name="list-any-time-constraints-that-would-impact-your-departure-times-tofrom-camp" className="form-control"/>&#13;
		<field type="radio-group" label="Seat preference" inline="true" name="seat-preference" className="field-hidden">&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Aisle-Pilot Side" value="aislepilot-side">Aisle-Pilot Side</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
			<option label="Window" value="window">Window</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Airline Reward Programs" className="field-hidden"/>&#13;
		<field type="paragraph" subtype="p" label="If you&#39;ve previously provided your Airline Reward Program number there is no need to enter it again. It has been saved to your client profile.&amp;nbsp;"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1767050196604" rule="eyJ3aGVuRmllbGQiOiJmbHlpbmctZnJvbS1hbmQtdG8tdGhlLXNhbWUtYWlycG9ydC0iLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6ImhpZGUiLCJ0aGVuRmllbGRzIjpbInRleHQtMTc2NzA0NzE1NzIxNiJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6InRleHQtMTc2NzA0NzE1NzIxNiIsImxhYmVsIjoiV2hhdCBpcyB5b3VyIHJldHVybiBhaXJwb3J0PyJ9XX0="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1767050514220" rule="eyJ3aGVuRmllbGQiOiJmbGlnaHQtdHlwZSIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJvbmV3YXkiLCJ0aGVuQWN0aW9uIjoiaGlkZSIsInRoZW5GaWVsZHMiOlsiZmx5aW5nLWZyb20tYW5kLXRvLXRoZS1zYW1lLWFpcnBvcnQtIiwiZW5kaW5nLWF0Il0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiZmx5aW5nLWZyb20tYW5kLXRvLXRoZS1zYW1lLWFpcnBvcnQtIiwibGFiZWwiOiJGbHlpbmcgZnJvbSBhbmQgcmV0dXJuaW5nIHRvIHRoZSBTYW1lIEFpcnBvcnQ/Jm5ic3A7In0seyJuYW1lIjoiZW5kaW5nLWF0IiwibGFiZWwiOiJXaGVuIHdvdWxkIHlvdSBsaWtlIHRvIHJldHVybj8ifV19"/>&#13;
		<field type="pageBreak" name="pageBreak-1763080621111" next="Next" previous="Previous"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>