Share your information with Kristine Hannah

Kristine Hannah

Escape the Ordinary Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Client Trip Inquiry"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="date" required="true" label="Birthday" name="birthday" 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="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" 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="radio-group" required="true" label="Preferred Way of Communication" name="preferred-way-of-communication" other="true">&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you any of the following? (Some resorts offer discounts)" name="are-you-any-of-the-following-some-resorts-offer-discounts">&#13;
			<option label="Law Enforcement/First Responder" value="law-enforcementfirst-responder">Law Enforcement/First Responder</option>&#13;
			<option label="Teacher" value="teacher">Teacher</option>&#13;
			<option label="Retired or Active Military" value="retired-or-active-military">Retired or Active Military</option>&#13;
		</field>&#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="header" subtype="h1" label="Questions About Your Trip"/>&#13;
		<field type="text" label="Where would you like to go? (be specific if you have a certain destination in mind.)" placeholder="EX. Cancun vs Costa Rica" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Departure Airport" name="preferred-departure-airport" 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;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Types of Travel" name="types-of-travel" other="true">&#13;
			<option label="All-Inclusive " value="allinclusive-">All-Inclusive </option>&#13;
			<option label="Cruises" value="cruises">Cruises</option>&#13;
			<option label="US Travel (Flight/Hotel/Car)" value="us-travel-flighthotelcar">US Travel (Flight/Hotel/Car)</option>&#13;
			<option label="International Travel" value="international-travel">International Travel</option>&#13;
			<option label="Disney Vacations" value="disney-vacations">Disney Vacations</option>&#13;
			<option label="Vacation Rentals" value="vacation-rentals">Vacation Rentals</option>&#13;
			<option label="Group Travel" value="group-travel">Group Travel</option>&#13;
			<option label="Air Only" value="air-only">Air Only</option>&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>&#13;
		</field>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you/your party have valid passports? (Must be at 6 months from travel date)" name="do-youyour-party-have-valid-passports-must-be-at-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Of the above travelers, are any below the age of 18 years old? (If so, please indicate ages)" name="of-any-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If traveling with more than 2 people, is there a certain room arrangement you would prefer?" name="if-traveling-with-more-than-2-people-is-there-a-certain-room-arrangement-you-would-prefer" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Specific Airline Preference? (I do not book Frontier, Spirit, or other less reputable airlines, unless specifically indicated by the client)" name="specific-airline-preference-i-do-not-book-frontier-spirit-or-other-less-" subtype="text" className="form-control"/>&#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="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 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;
		<field type="header" subtype="h2" label="Additional Client Information&amp;nbsp;"/>&#13;
		<field type="textarea" label="Additional Travelers&amp;nbsp;" description="If you could provide Full Names and Ages  this will help when making proposals." name="additional-travelers-" rows="6" 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" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference" other="true">&#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="radio-group" label="Room Preference" name="room-preference" other="true">&#13;
			<option label="Balcony/Terrace" value="balconyterrace">Balcony/Terrace</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Pool View" value="pool-view">Pool View</option>&#13;
			<option label="Swim-up " value="swimup-">Swim-up </option>&#13;
			<option label="Private pool" value="private-pool">Private pool</option>&#13;
			<option label="Doesn't matter" value="doesnt-matter">Doesn't matter</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>