Share your information with Johanna Ross

Johanna Ross

Ross Tailored Excursions

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Tell me about you and your plans"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are you celebrating?&amp;nbsp;" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="Anniversary, Honeymoon, Girls trip, Guys trip, I just want to explore.  " name="destination" subtype="text" 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="text" 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" label="How many travelers? What are there ages and Names)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" 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;
			<option label="Bed &amp; Breadkfast" value="bed-breadkfast">Bed &amp; Breadkfast</option>&#13;
			<option label="Verbo house rental " value="verbo-house-rental-">Verbo house rental </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Wellness " value="Body and mind wellness, Yoga, selfimpowerment">Wellness </option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Party (Birthday, Girl's weekend, Batchlor)" value="party-birthday-girls-weekend-batchlor">Party (Birthday, Girl's weekend, Batchlor)</option>&#13;
			<option label="Romance" value="romance">Romance</option>&#13;
			<option label="Local culture/ Off the beaten path" value="local-culture-off-the-beaten-path">Local culture/ Off the beaten path</option>&#13;
			<option label="Family friendly" value="family-friendly, Theme Parks">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Suprise me (Special promotions)" value="suprise-me-special-promotions">Suprise me (Special promotions)</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="Theme parks">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="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Any Special details (food, bedding allergies, Special needs assistance)" 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="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="text" label="How did you hear about us?&amp;nbsp;" placeholder="Facebook. Friend  Family  Travel leaders" name="how-did-you-hear-about-us-" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>