Missy Hudgens

Travel Connection

<html>
  <body>
    <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="h1" label="Meetings, Incentives, Conference and Event Inquiry Form"/>&#13;
		<field type="text" required="true" label="Company Name:" name="company-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Street Address:" name="street-address" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City / State / Zip:" name="city-state-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Phone Number:" name="phone-number" className="form-control"/>&#13;
		<field type="text" required="true" label="Email Address:" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How would you prefer to be contacted?" name="how-would-you-prefer-to-be-contacted">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Event Information&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Event Details:" name="event-details" other="true">&#13;
			<option label="Conference" value="conference">Conference</option>&#13;
			<option label="Meeting" value="meeting">Meeting</option>&#13;
			<option label="Incentive" value="incentive">Incentive</option>&#13;
			<option label="Incentive Travel " value="incentive-travel-">Incentive Travel </option>&#13;
			<option label="Trade Show" value="trade-show">Trade Show</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Is there a Date/Time Frame for your Event? &amp;nbsp; If yes, please provide dates below." name="is-there-a-datetime-frame-for-your-event-if-yes-please-provide-dates-below" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a desired location for your event? &amp;nbsp;If so, please state below." name="do-you-have-a-desired-location-for-your-event-if-so-please-state-below" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Event Requirements:" name="event-requirements" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Budget Range;" name="budget-range" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Approximate Number of Attendees:" name="approximate-number-of-attendees" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="_________________________________________________"/>&#13;
		<field type="text" required="true" label="How did you hear about Travel Connection?" name="how-did-you-hear-about-travel-connection" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>