Share your information with Sara Skinner

Sara Skinner

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Interest Form: Valentine&#39;s Weekend Cruise - Feb 2027&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="February 13-15, 2027 on Utopia of the Seas out of Port Canaveral"/>&#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="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you interested in joining us? If so, I will contact you personally!&amp;nbsp;" name="radio-group-1788284325911">&#13;
			<option label="Yes, very interested" value="yes-very-interested">Yes, very interested</option>&#13;
			<option label="Might want to come" value="might-want-to-come">Might want to come</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>