Share your information with Tanisha King

Tanisha King

Travel With Nisha

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Client Inquiry Form"/>&#13;
		<field type="header" subtype="h2" label="Full name (as it appears on your passport or ID)"/>&#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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Date of Birth" name="date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Cell Phone#" name="cellphone" className="form-control"/>&#13;
		<field type="textarea" label="How many adults? (18 &amp;amp; over)" name="how-many-adults-18-over" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="travel-start-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many kids? (17 &amp;amp; younger)" name="how-many-kids-17-younger" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Bed Preferences" name="bed-preferences">&#13;
			<option label="2 beds" value="2-beds">2 beds</option>&#13;
			<option label="1 King Bed" value="1-king-bed">1 King Bed</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How Many Rooms? (Based off Double occupancy)" name="how-many-rooms-based-off-double-occupancy" other="true">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Reason for trip? ie Wedding. R&amp;amp;R etc." name="reason-for-trip-ie-wedding-rr-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Desired Destination" name="text-1675740658758" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Departure City" name="departure-city" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Type of Accomodations needed:" name="type-of-accomodations-needed" other="true">&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Flight &amp; Hotel" value="flight-hotel">Flight &amp; Hotel</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Vacation Home Rental" value="vacation-home-rental">Vacation Home Rental</option>&#13;
			<option label="Cabin" value="cabin">Cabin</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Type of Rental" inline="true" name="type-of-rental">&#13;
			<option label="Car" value="car">Car</option>&#13;
			<option label="Truck" value="truck">Truck</option>&#13;
			<option label="Suv" value="suv">Suv</option>&#13;
			<option label="Van" value="van">Van</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like travelers insurance in your quote?" name="would-you-like-travelers-insurance-in-your-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you able to pay immediately if the deal is a steal?" name="are-you-able-to-pay-immediately-if-the-deal-is-a-steal">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Will consider Uplift" value="will-consider-uplift">Will consider Uplift</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need a payment plan? (Payment plan is not available for trips that are less than 60 days away.)" name="do-you-need-a-payment-plan-payment-plan-is-not-available-for-trips-that-are-less-than-60-days-away">&#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="Budget: What price would you like to stay under for this trip per person?&amp;nbsp;(Not putting a realistic amount and/or N/A will cause the inquiry to be a null &amp;amp; void.)" name="budget-what-price-would-you-like-to-stay-under-for-this-trip-per-person-not-putting-a-realistic-amount-andor-na-will-cause-the-inquiry-to-be-a-null-void" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any additional information that you would like to share? ie All inclusive, adults only , age of kids traveling etc. Transportation to and from airport? Excursion? Hotel preference? Activites?" name="any-additional-information-that-you-would-like-to-share-ie-all-inclusive-adults-only-age-of-kids-traveling-etc" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>