Share your information with Brooke McGill

Brooke McGill

OK Girl Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Trip Request Form"/>&#13;
		<field type="select" required="true" label="Let us know the AGENT you wish to work with?" name="let-us-know-the-agent-you-wish-to-work-with" className="form-control">&#13;
			<option label="Brooke McGill" value="brooke-mcgill">Brooke McGill</option>&#13;
			<option label="Lacey Tamez" value="lacey-tamez">Lacey Tamez</option>&#13;
			<option label="Heather Pearson" value="heather-pearson">Heather Pearson</option>&#13;
			<option label="Tiffany Bowen" value="tiffany-bowen">Tiffany Bowen</option>&#13;
			<option label="Holly Reynolds" value="holly-reynolds">Holly Reynolds</option>&#13;
			<option label="Patricia Robinson" value="patricia-robinson">Patricia Robinson</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Traveler Details"/>&#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="select" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control">&#13;
			<option label="I've worked with OK Girl Travel before" value="ive-worked-with-ok-girl-travel-before">I've worked with OK Girl Travel before</option>&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
			<option label="Paper Ad" value="paper-ad">Paper Ad</option>&#13;
			<option label="From a Friend" value="from-a-friend">From a Friend</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Referral source (if any)" description="Please indicate the person who referred you or how you learned about us if you selected &quot;other&quot; above." name="text-1739387256393" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Contact Information"/>&#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="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="text" label="Where would you like to go? Include Destination(s) and or Hotel?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many nights?" name="text-1739387651581" subtype="text" className="form-control"/>&#13;
		<field type="date" 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" 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="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Where are you wanting to go?" name="where-are-you-wanting-to-go">&#13;
			<option label="Mexico" value="mexico">Mexico</option>&#13;
			<option label="Hawaii" value="hawaii">Hawaii</option>&#13;
			<option label="Costa Rica" value="costa-rica">Costa Rica</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Caribbean" value="caribbean">Caribbean</option>&#13;
			<option label="Jamaica" value="jamaica">Jamaica</option>&#13;
			<option label="Dominic Republic" value="dominic-republic">Dominic Republic</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Room Type Preference&amp;nbsp;" name="room-type-preference-">&#13;
			<option label="Entry Level" value="entry-level">Entry Level</option>&#13;
			<option label="Garden View" value="garden-view">Garden View</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Ocean Front" value="ocean-front">Ocean Front</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in">&#13;
			<option label="Not a thing - HELP!" value="not-a-thing-help">Not a thing - HELP!</option>&#13;
			<option label="We have dates, but we need everything else." value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else.</option>&#13;
			<option label="Flights are all booked...now help us fill in the blanks." value="flights-are-all-bookednow-help-us-fill-in-the-blanks">Flights are all booked...now help us fill in the blanks.</option>&#13;
			<option label="We have hotels and flights already booked." value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked.</option>&#13;
		</field>&#13;
		<field type="text" label="Is this vacation to celebrate anything special?" name="text-1671213507521" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="How many ADULTS will be traveling with you?" name="how-many-adults-will-be-traveling-with-you">&#13;
			<option label="1-2" value="12">1-2</option>&#13;
			<option label="3-7" value="37">3-7</option>&#13;
			<option label="8-19" value="819">8-19</option>&#13;
			<option label="20+" value="20">20+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How many CHILDREN will be traveling with you?&amp;nbsp;" name="how-many-children-will-be-traveling-with-you-">&#13;
			<option label="0" value="0">0</option>&#13;
			<option label="1-2" value="12">1-2</option>&#13;
			<option label="3-5" value="35">3-5</option>&#13;
			<option label="6-8" value="68">6-8</option>&#13;
			<option label="9+" value="9">9+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Who all will be traveling with you? Please list all full names (including middle) and birth dates, as listed on passport." name="who-all-will-be-traveling-with-you-please-list-all-full-names-including-middle-and-birth-dates-as-listed-on-passport" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What travel components would you like us to assist you with? Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply">&#13;
			<option label="Accommodations" value="accommodations">Accommodations</option>&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Transportation (car rental, trains, etc.)" value="transportation-car-rental-trains-etc">Transportation (car rental, trains, etc.)</option>&#13;
			<option label="Excursions &amp; tours" value="excursions-tours">Excursions &amp; tours</option>&#13;
			<option label="Insurance" value="insurance">Insurance</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="textarea" 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;
	</fields>&#13;
</form-template>
  </body>
</html>