Cheryl Cooper

Travel with SIG

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Cruise Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for contacting Travel with SIG Travel Agency for your cruise adventure. I look forward to collaborating with you to create your dream cruise vacation.&amp;nbsp; So that I can provide a quote for a vacation with the best value for you, please complete this form, and I will reach out within three business days. For additional questions, please contact me at: cheryl@travelwithsig.com."/>&#13;
		<field type="paragraph" subtype="p" label="Paragraph"/>&#13;
		<field type="header" subtype="h2" label="Profile Information"/>&#13;
		<field type="text" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Special Age Groups" description="What age groups need to be considered?" inline="true" name="age-groups">&#13;
			<option label="6 months to 3 years" value="6-months-to-3-years">6 months to 3 years</option>&#13;
			<option label="4  - 12 years" value="4-12-years">4  - 12 years</option>&#13;
			<option label="13 - 18 years" value="13-18-years">13 - 18 years</option>&#13;
			<option label="19-20" value="1920">19-20</option>&#13;
			<option label="55+" value="55">55+</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="textarea" label="Please list additional cruisers and their birthdates" name="please-list-additional-cruisers-and-their-birthdates" className="form-control"/>&#13;
		<field type="text" required="true" label="State of Residence" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="date" required="true" label="What is the timeframe for your earliest departure?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="What is the timeframe for your latest return?" description="This just gives me a general idea of when you 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?" inline="true" 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="Where would you like to go?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Travel Documents" description="Select what travel documents  you will use for your trip" inline="true" name="travel-documents" other="true">&#13;
			<option label="Passport expiring 6+ months after trip" value="passport-expiring-6-months-after-trip">Passport expiring 6+ months after trip</option>&#13;
			<option label="Birth Certificate" value="birth-certificate">Birth Certificate</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is the budget per traveler?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget" other="true">&#13;
			<option label="Below $500" value="below-500">Below $500</option>&#13;
			<option label="$501 to $1000" value="501-to-1000">$501 to $1000</option>&#13;
			<option label="$1001 to $1500" value="1001-to-1500">$1001 to $1500</option>&#13;
			<option label="$1,501 to $2,500" value="1501-to-2500">$1,501 to $2,500</option>&#13;
			<option label="$2,501 to $4,500" value="2501-to-4500">$2,501 to $4,500</option>&#13;
			<option label="$4,501 to $6,500" value="4501-to-6500">$4,501 to $6,500</option>&#13;
			<option label="$6,501 to $8,500" value="6501-to-8500">$6,501 to $8,500</option>&#13;
			<option label="$8,501 to $10,000" value="8501-to-10000">$8,501 to $10,000</option>&#13;
			<option label="$10,001+" value="10001">$10,001+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Military?" inline="true" name="military">&#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="Special Accommodations" description="Will dietary or medical accommodations be needed for anyone in your party?" inline="true" name="special-accommodations">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Cruise Preferences"/>&#13;
		<field type="radio-group" required="true" label="Cruise Type" inline="true" name="cruise-type">&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="Family" value="family">Family</option>&#13;
			<option label="Group" value="group">Group</option>&#13;
		</field>&#13;
		<field type="text" label="Cruise Line Loyalty Numbers" description="If you have sailed before, please list the cruise line and any loyalty program numbers" name="any-preferred-cruise-line" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Cruise Ship Style" description="If you do not have a preferred line/ship  what type of atmosphere do you prefer in a cruise ship?" inline="true" name="cruise-ship-style">&#13;
			<option label="Family Friendly, Fun and Affordable" value="family-friendly-fun-and-affordable">Family Friendly, Fun and Affordable</option>&#13;
			<option label="Family Friendly Moderate" value="family-friendly-moderate">Family Friendly Moderate</option>&#13;
			<option label="Premium" value="premium">Premium</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Adult Only" value="adult-only">Adult Only</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Accessible Cabin" description="Wheelchair/scooter, limited mobility, hearing/vision impaired?" inline="true" name="accessible-cabin">&#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="Cabin Preference" inline="true" name="cabin-preference">&#13;
			<option label="Solo Studio (if available)" value="solo-studio-if-available">Solo Studio (if available)</option>&#13;
			<option label="Solo Interior (if available)" value="solo-interior-if-available">Solo Interior (if available)</option>&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Solo Oceanview (if available)" value="solo-oceanview-if-available">Solo Oceanview (if available)</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Solo Balcony (if available)" value="solo-balcony-if-available">Solo Balcony (if available)</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" inline="true" 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="Adventure activities" value="adventure">Adventure activities</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="radio-group" required="true" label="Preferred Cruise Dining Time" name="seat-preference">&#13;
			<option label="6:00 PM" value="600-pm">6:00 PM</option>&#13;
			<option label="8:00 PM" value="800-pm">8:00 PM</option>&#13;
			<option label="Anytime Dining" value="anytime-dining">Anytime Dining</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Include Gratuities in Quote (if optionable)" description="With some cruise lines  you can add gratuities in quote now or pay as late as onboard the ship" name="include-gratuities-in-quote-if-optionable">&#13;
			<option label="Include Gratuities in Quote" value="include-gratuities-in-quote">Include Gratuities in Quote</option>&#13;
			<option label="Do not Include Gratuities in Quote" value="do-not-include-gratuities-in-quote">Do not Include Gratuities in Quote</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Will You Require Any of the Following" description="If you would like quotes or recommendations for pre/post cruise accommodations  please select a preference" inline="true" name="hotel-preference">&#13;
			<option label="Wheelchair/Scooter" value="wheelchairscooter">Wheelchair/Scooter</option>&#13;
			<option label="Pre/Post Hotel Accommodations" value="prepost-hotel-accommodations">Pre/Post Hotel Accommodations</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</option>&#13;
			<option label="Transportation to/from Port" value="transportation-tofrom-port">Transportation to/from Port</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="text" required="true" label="How much research have you done regarding this trip?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="Special events  accessibility needs  food allergies  etc." name="notes" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you find me (FB, IG, friend/family member, online search, etc.)?" name="how-did-you-find-me-fb-ig-friendfamily-member-online-search-etc" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="The information provided will be used to create a quote only. Please note that prices and promotions are subject to change until a deposit is processed to secure a booking."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>