Janice Greer

Jay’s Tropical Escapes

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		<field type="header" subtype="h1" label="Please Fill Out All Fields"/>&#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" required="true" label="Preferred name" name="preferred-name" 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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to go? Please Choose One Destination." description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#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"/>&#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"/>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your preferred time of travel? (Morning/Afternoon/Night)" name="what-is-your-preferred-time-of-travel-morningafternoonnight" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are any travelers children? If so, please list age at time of trip or D.O.B." name="are-any-travelers-children-if-so-please-list-age-at-time-of-trip-or-dob" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your target budget for EACH TRAVELER? This is just an estimate and can be changed." name="what-is-your-target-budget-for-each-traveler-this-is-just-an-estimate-and-can-be-changed" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Exotic" value="exotic">Exotic</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Fun In The Sun" value="fun-in-the-sun">Fun In The Sun</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="Theme Parks" value="theme-parks">Theme Parks</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What type of trip would you like?" name="what-type-of-trip-do-you-prefer" other="true">&#13;
			<option label="All Inclusive Package International (Resort/Flight)" value="all-inclusive-package-international-resortflight">All Inclusive Package International (Resort/Flight)</option>&#13;
			<option label="Hotel/Resort Only" value="hotelresort-only">Hotel/Resort Only</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Hotel/Flight/Car" value="hotelflightcar">Hotel/Flight/Car</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Is this a special occasion? Please check the appropriate box." name="is-this-a-special-occasion-please-check-the-appropriate-box">&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Bachelor" value="bachelor">Bachelor</option>&#13;
			<option label="Bachelorette" value="bachelorette">Bachelorette</option>&#13;
			<option label="Baecation" value="baecation">Baecation</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Girl's Trip" value="">Girl's Trip</option>&#13;
			<option label="Group Trip" value="group-trip">Group Trip</option>&#13;
			<option label="Guy's Trip" value="guys-trip">Guy's Trip</option>&#13;
			<option label="Holiday" value="holiday">Holiday</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Leisure" value="leisure">Leisure</option>&#13;
			<option label="Proposal" value="proposal">Proposal</option>&#13;
			<option label="Wedding" value="wedding">Wedding</option>&#13;
			<option label="Work Trip" value="work-trip">Work Trip</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many rooms will you need? Single or Double Occupancy" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you deposit ready?" name="are-you-deposit-ready" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do you need a payment plan?&amp;nbsp;" name="do-you-need-a-payment-plan-" other="true">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="text" label="Please NOTE:" name="please-note" value="Prices are Subject to Change until a Deposit is Made. Please allow 3-5 business days to receive your completed quote." subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
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