Danielle Roach

The Pampered Passport

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="text" required="true" label="What is your reason for travel" name="what-is-your-reason-for-travel" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What is your preferred method of communication?" name="what-is-your-preferred-method-of-communication">&#13;
			<option label="Email" value="email" selected="selected">Email</option>&#13;
			<option label="Phone - Voice" value="phone-voice">Phone - Voice</option>&#13;
			<option label="Phone - Text" value="phone-text">Phone - Text</option>&#13;
			<option label="Zoom/Google Meeting" value="zoomgoogle-meeting">Zoom/Google Meeting</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="About You"/>&#13;
		<field type="text" required="true" label="First name" description="as listed on your identification" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" description="as listed on your identification" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Would you be interested in a cruise?" name="would-you-be-interested-in-a-cruise">&#13;
			<option label="Yes, Vivacious, Adult-only Cruise" value="yes-vivacious-adultonly-cruise">Yes, Vivacious, Adult-only Cruise</option>&#13;
			<option label="Yes, Fun, Family-friendly Cruise" value="yes-fun-familyfriendly-cruise">Yes, Fun, Family-friendly Cruise</option>&#13;
			<option label="Yes, Lively cruise full of celebration" value="yes-lively-cruise-full-of-celebration">Yes, Lively cruise full of celebration</option>&#13;
			<option label="Yes, Quiet, Relaxing Cruise" value="yes-quiet-relaxing-cruise">Yes, Quiet, Relaxing Cruise</option>&#13;
			<option label="Yes, Cruise and Explore Exotic Excursions" value="yes-cruise-and-explore-exotic-excursions">Yes, Cruise and Explore Exotic Excursions</option>&#13;
			<option label="No, Thank You!" value="no-thank-you">No, Thank You!</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="text" required="true" label="What is your maximum expenditure per person for this vacation?" description="Input your maximum budget per person" name="what-is-your-maximum-expenditure-per-person-for-this-vacation" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where will you be traveling from?" name="where-will-you-be-traveling-from" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Preferred Date(s) of Departure?" description="If your dates of vacation are specific, please detail here." name="preferred-dates-of-departure" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is the ideal duration of your vacation?" name="what-is-the-ideal-duration-of-your-vacation" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Adults?" name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Children?" name="number-of-children" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Dates of Birth of persons under 18?" name="dates-of-birth-of-persons-under-18" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you prefer adult-only?" name="do-you-prefer-adultonly">&#13;
			<option label="Yes, Please" value="yes-please">Yes, Please</option>&#13;
			<option label="Yes, and &quot;clothing optional&quot; if available" value="yes-and-clothing-optional-if-available">Yes, and "clothing optional" if available</option>&#13;
			<option label="No, Thanks" value="no-thanks">No, Thanks</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you prefer All-Inclusive?" name="do-you-prefer-allinclusive">&#13;
			<option label="Yes, Please" value="yes-please">Yes, Please</option>&#13;
			<option label="No, Thanks" value="no-thanks">No, Thanks</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a preferred room type?" description="Example: King beds, Double beds, Suite, Oceanview, Villa, etc." name="do-you-have-a-preferred-room-type" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What kind of payment arrangement would you prefer?" name="what-kind-of-payment-arrangement-would-you-prefer">&#13;
			<option label="Book Now, Pay Now" value="book-now-pay-now">Book Now, Pay Now</option>&#13;
			<option label="Deposit Now, Pay Later" value="deposit-now-pay-later">Deposit Now, Pay Later</option>&#13;
			<option label="6-24 Month Extended Payment Plan (Travel Now, Pay over time) " value="624-month-extended-payment-plan-travel-now-pay-over-time-">6-24 Month Extended Payment Plan (Travel Now, Pay over time) </option>&#13;
		</field>&#13;
		<field type="textarea" label="Any Special Requests/Details?" name="any-special-requestsdetails" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>