Share your information with Fritzi Alexander

Fritzi Alexander

Fritzi Jaye Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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="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="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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#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 gives me a general idea of when you would like to go; it can be changed later." name="date-1742402508199" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This gives me a general idea of when you would like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" 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="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" description="If children will be going  please list age(s) at time of travel." name="text-1742402510005" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" 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="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="select" required="true" label="What is your lodging preference?" name="what-is-your-lodging-preference" multiple="multiple" className="form-control">&#13;
			<option label="Adult only" value="adult-only">Adult only</option>&#13;
			<option label="Disney Resort" value="disney-resort">Disney Resort</option>&#13;
			<option label="All inclusive" value="all-inclusive">All inclusive</option>&#13;
			<option label="Family oriented" value="family-oriented">Family oriented</option>&#13;
			<option label="Private Home" value="private-home">Private Home</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="select" label="If this is a cruise vacation, do you have a cruise line in mind?" name="if-this-is-a-cruise-vacation-do-you-have-a-cruise-line-in-mind" className="form-control">&#13;
			<option label="Carnival" value="carnival" selected="selected">Carnival</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your ideal 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;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Ocean Front" value="ocean-front">Ocean Front</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Over the water bungalow" value="over-the-water-bungalow">Over the water bungalow</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Will this be for a special occasion? If so, please share." description="Example: Birthday  Anniversary, Honeymoon, Family Vacation, Couples&#39; Getaway, Girls&#39; Trip, Guys&#39; Trip, etc" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you wanting a certain &#39;Vibe&#39; to your vacation?" name="are-you-wanting-a-certain-vibe-to-your-vacation" other="true">&#13;
			<option label="Relaxation" value="relaxation">Relaxation</option>&#13;
			<option label="Romance" value="romance">Romance</option>&#13;
			<option label="Party Scene" value="party-scene">Party Scene</option>&#13;
			<option label="LGBTQ+ Friendly" value="lgbtq-friendly">LGBTQ+ Friendly</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Is there anything else you would like me to know?" description="What else would you like me to know in regards to your travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Airline Preference" description="If you have a specific airline preference, please list." 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;
	</fields>&#13;
</form-template>
  </body>
</html>