Share your information with Nasir Lloyd

Nasir Lloyd

The Habitual Traveler

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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="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="When are you hoping to travel?" name="when-are-you-planning-to-travel">&#13;
			<option label="Within the next 3 months" value="within-the-next-3-months">Within the next 3 months</option>&#13;
			<option label="3-6 months from now" value="36-months-from-now">3-6 months from now</option>&#13;
			<option label="6-12 months from now" value="612-months-from-now">6-12 months from now</option>&#13;
			<option label="More than 12 months from now" value="more-than-12-months-from-now">More than 12 months from now</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What total budget range feels right for this trip?&amp;nbsp;" name="radio-group-1775667739591">&#13;
			<option label="Under $5,000" value="under-5000">Under $5,000</option>&#13;
			<option label="$5,000 - $10,000" value="5000-10000">$5,000 - $10,000</option>&#13;
			<option label="$10,000 - $20,000" value="10000-20000">$10,000 - $20,000</option>&#13;
			<option label="$20,000 - $50,000" value="20000-50000">$20,000 - $50,000</option>&#13;
			<option label="$50,000+" value="50000">$50,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Who is traveling?" name="radio-group-1775668231057">&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="Couple" value="couple">Couple</option>&#13;
			<option label="Group of Adults" value="group-of-adults">Group of Adults</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Is this trip tied to a special occasion?" name="radio-group-1775668291942" other="true">&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Babymoon" value="babymoon">Babymoon</option>&#13;
			<option label="Family Celebration" value="family-celebration">Family Celebration</option>&#13;
			<option label="No Special Occasion" value="no-special-occasion">No Special Occasion</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What style of stay do you usually gravitate toward?" name="radio-group-1775668467283">&#13;
			<option label="Boutique hotel" value="boutique-hotel">Boutique hotel</option>&#13;
			<option label="Villa" value="villa">Villa</option>&#13;
			<option label="All Inclusive resort" value="all-inclusive-resort">All Inclusive resort</option>&#13;
			<option label="Adults Only Cruise" value="adults-only-cruise">Adults Only Cruise</option>&#13;
			<option label="Open to the right fit" value="open-to-the-right-fit">Open to the right fit</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Where are you in the decision process?" name="radio-group-1775668793839">&#13;
			<option label="Ready to decide and book soon" value="ready-to-decide-and-book-soon">Ready to decide and book soon</option>&#13;
			<option label="Ready to narrow choices, but not ready to book" value="ready-to-narrow-choices-but-not-ready-to-book">Ready to narrow choices, but not ready to book</option>&#13;
			<option label="I'll decide but need alignment with others" value="ill-decide-but-need-alignment-with-others">I'll decide but need alignment with others</option>&#13;
			<option label="I'm helping plan for someone else" value="im-helping-plan-for-someone-else">I'm helping plan for someone else</option>&#13;
			<option label="Just exploring ideas" value="just-exploring-ideas">Just exploring ideas</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Anything else we should know?" name="textarea-1774806012213" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>