Share your information with Jo Ann Guilford

Jo Ann Guilford

JAG Vacations and Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Group Trip Leader Form"/>&#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" 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="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="checkbox-group" required="true" label="Type of Accommodations Needed" name="type-of-accommodations">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Cabin/Villa" value="cabinvilla">Cabin/Villa</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Number&amp;nbsp; of Cabins/Rooms Needed" name="number-of-cabinsrooms-needed">&#13;
			<option label="5 to 10" value="5-to-10">5 to 10</option>&#13;
			<option label="11 to 20" value="11-to-20">11 to 20</option>&#13;
			<option label="20 to 50" value="20-to-50">20 to 50</option>&#13;
			<option label="50 to 100" value="50-to-100">50 to 100</option>&#13;
			<option label="100 or more" value="100-or-more">100 or more</option>&#13;
		</field>&#13;
		<field type="textarea" label="Travel Dates" name="travel-dates" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Trip Occasion" name="trip-occasions">&#13;
			<option label="Church Trip/Retreat" value="church-tripretreat">Church Trip/Retreat</option>&#13;
			<option label="Class Reunion " value="class-reunion-">Class Reunion </option>&#13;
			<option label="Corporate Retreat" value="corporate-retreat">Corporate Retreat</option>&#13;
			<option label="Family Reunion " value="family-reunion-">Family Reunion </option>&#13;
			<option label="Fraternity/Sorority Line or Pledge class Anniversary " value="fraternitysorority-line-or-pledge-class-anniversary-">Fraternity/Sorority Line or Pledge class Anniversary </option>&#13;
			<option label="Girls/Guys/Couples Trip" value="girlsguyscouples-trip">Girls/Guys/Couples Trip</option>&#13;
			<option label="Travel Sports/Dance/ Cheer Teams" value="travel-sportsdance-cheer-teams">Travel Sports/Dance/ Cheer Teams</option>&#13;
			<option label="Wellness Retreat" value="wellness-retreat">Wellness Retreat</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Destination" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What&#39;s a good time and day this week to contact you discuss plans in further detail?" name="whats-a-good-time-and-day-to-contact-to-discuss-plans-in-detail" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Would you be interested to see how your trip could be paid for and earn on others?" name="would-you-be-interested-to-see-how-your-trip-could-be-paid-for-and-earn-on-others">&#13;
			<option label="Yes! Send me the information." value="yes-send-me-the-information">Yes! Send me the information.</option>&#13;
			<option label="No.  I'd rather have you take care of all of the travel arrangements and details" value="no-id-rather-have-you-take-care-of-all-of-the-travel-arrangements-and-details">No.  I'd rather have you take care of all of the travel arrangements and details</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>