Teressa Short

Teressa's Dream Destinations

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Group Leaders full name as shown on passport"/>&#13;
		<field type="text" required="true" 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" 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="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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" 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="text" required="true" label="Phone number" name="phone-number" 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="Destination/Location" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Event Name" name="text-1742848479654" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Check In Date" name="check-in-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Check Out Date" name="check-out-date" className="form-control"/>&#13;
		<field type="text" required="true" label="Total number of travelers" name="total-number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Total number of Rooms Needed" name="text-1742244644715" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Rooming Preferences (Shared or Single Occupancy)" description="Will all travelers be double occupancy or will have you any single room occupancy travelers? For example if you have 12 Travelers at double occupancy that would be 6 rooms needed. or 12 people with 10 double occupancy and 2 single so 7 rooms would be needed." name="rooming-preferences-shared-or-single-occupancy" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Budget (Per Person)" description="Please be as accurate as possible here. If the budget is flexible you can enter a range. For Example $2500-$3000 Per Person." name="budget-per-person" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are there any children from the total # from above?&amp;nbsp;" description="Please list number of children and their ages." name="are-there-any-children-from-the-total-from-above-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are there any special requests?&amp;nbsp;" description="(Accesibility  Dietary needs etc)" name="are-there-any-special-requests-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are you celebrating anything?" description="Birthday  Anniversary etc." name="are-you-celebrating-anything" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Villa Features (Select All that apply)" name="villa-features-select-all-that-apply">&#13;
			<option label="Oceanfront" value="oceanfront">Oceanfront</option>&#13;
			<option label="Beachfront" value="beachfront">Beachfront</option>&#13;
			<option label="Private Pool" value="private-pool">Private Pool</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Chef" value="chef">Chef</option>&#13;
			<option label="Housekeeping" value="housekeeping">Housekeeping</option>&#13;
			<option label="Laundry In-Villa" value="laundry-invilla">Laundry In-Villa</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Jacuzzi" value="jacuzzi">Jacuzzi</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything else that I need to know?" description="If you selected &quot;Other&quot; on What are you looking to book  please provide that information here as well as any other helpful info." name="is-there-anything-else-that-i-need-to-know" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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