Share your information with Tongela Curry

Tongela Curry

The Bucket List Travel Plug

<html>
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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" 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="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="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adult travelers? How many children?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget per travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Under $500" value="under-500">Under $500</option>&#13;
			<option label="$500 to $1,000" value="500-to-1000">$500 to $1,000</option>&#13;
			<option label="$1,000 to $2,000" value="1000-to-2000">$1,000 to $2,000</option>&#13;
			<option label="$2,000 to $3,000" value="2000-to-3000">$2,000 to $3,000</option>&#13;
			<option label="$3,000 to $4,000" value="3000-to-4000">$3,000 to $4,000</option>&#13;
			<option label="$5,000+" value="5000">$5,000+</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Any special celebrations, etc?" 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="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" label="Airline Preference" description="Do you prefer any airline over others?" name="airline-preference" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle (two travelers)" value="opposite-aisle-two-travelers">Opposite aisle (two travelers)</option>&#13;
			<option label="Seated Together (multiple travelers)" value="seated-together-multiple-travelers">Seated Together (multiple travelers)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#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" required="true" label="Vibe preferences" 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="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;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" 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="Shopping" value="shopping">Shopping</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 theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What all would you like your trip to include:" name="what-all-would-you-like-your-trip-to-include" multiple="multiple" className="form-control">&#13;
			<option label="Flight" value="flight">Flight</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Travel insurance" value="travel-insurance">Travel insurance</option>&#13;
			<option label="All inclusive (Room, meals, drinks) this option is for MEXICO/CARIBBEAN ONLY" value="all-inclusive-room-meals-drinks-this-option-is-for-mexicocaribbean-only">All inclusive (Room, meals, drinks) this option is for MEXICO/CARIBBEAN ONLY</option>&#13;
			<option label="Excursions/activities" value="excursionsactivities">Excursions/activities</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="If destination requires passport, do you and each traveler have current/valid passport?" name="if-destination-requires-passport-do-you-and-each-traveler-have-currentvalid-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Hotel/Resort Room category preference" name="hotelresort-room-category-preference" other="true">&#13;
			<option label="Standard" value="standard">Standard</option>&#13;
			<option label="Garden view/City View" value="garden-viewcity-view">Garden view/City View</option>&#13;
			<option label="Ocean view/front" value="ocean-viewfront">Ocean view/front</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How ready are you to book your vacation?" name="how-ready-are-you-to-book-your-vacation" other="true">&#13;
			<option label="ASAP (Ready to secure rates with a deposit)" value="asap-ready-to-secure-rates-with-a-deposit">ASAP (Ready to secure rates with a deposit)</option>&#13;
			<option label="ASAP with full payment" value="asap-with-full-payment">ASAP with full payment</option>&#13;
			<option label="Within the next 2 weeks, I should be ready to secure with a deposit" value="within-the-next-2-weeks-i-should-be-ready-to-secure-with-a-deposit">Within the next 2 weeks, I should be ready to secure with a deposit</option>&#13;
			<option label="Just seeking information" value="just-seeking-information">Just seeking information</option>&#13;
		</field>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>