Share your information with Spencer Aronstein

Spencer Aronstein

Peaks & Palms Travel Consultants

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Your info"/>&#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="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" 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="header" subtype="h2" label="Booking Details"/>&#13;
		<field type="text" required="true" label="What would you like to book? Please list the specific hotel/cruise/tour/etc. you are interested in.&amp;nbsp;" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What room category or cabin type would you like? If you don&#39;t know, please list desired preferences (bedding, view, separate sleeping space, club level, etc.)." name="text-1766428695814" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are your travel dates? If there is a range, please list the range and desired length of stay.&amp;nbsp;" name="when-do-you-want-to-travel-approximately-how-long-do-you-want-to-travel-for" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If you need help with airfare, where are you flying from? Do you have a preferred airline? What class of service would you like? Do you have preferred flight times?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Please list full names, genders, and DOBs of all travelers. This is required to hold space and rates when that option is available. Pricing and inventory is always subject to change until held and deposited.&amp;nbsp;" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Is there anything else would you like us to know about you or your trip? Do you have any questions for us?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>