Share your information with Kayla Brackett

Kayla Brackett

Brackett Travel LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let&#39;s start planning the trip of your dreams!"/>&#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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" 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: Mexico, Europe, Asia" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" 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="When would you like to 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?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How soon are you looking to book?&amp;nbsp;" name="how-soon-are-you-looking-to-book-" className="form-control">&#13;
			<option label="ASAP!" value="asap">ASAP!</option>&#13;
			<option label="Within the next 7-10 days" value="within-the-next-710-days">Within the next 7-10 days</option>&#13;
			<option label="In a few months" value="in-a-few-months">In a few months</option>&#13;
			<option label="Just considering options" value="just-considering-options">Just considering options</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?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Birthdates for any traveler under 18" name="ages-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What kind of vacation are you looking for?" name="what-kind-of-vacation-are-you-looking-for" multiple="multiple" className="form-control">&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary trip" value="anniversary-trip">Anniversary trip</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Bachelorette/Bachelor Party" value="bachelorettebachelor-party">Bachelorette/Bachelor Party</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Africa" value="africa">Africa</option>&#13;
			<option label="Asia" value="asia">Asia</option>&#13;
			<option label="Domestic" value="domestic">Domestic</option>&#13;
			<option label="I'm not sure!" value="im-not-sure">I'm not sure!</option>&#13;
		</field>&#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="Budget: up to $4k (short stay for international)" value="budget-up-to-4k-short-stay-for-international">Budget: up to $4k (short stay for international)</option>&#13;
			<option label="Moderate: $4-6k" value="moderate-46k">Moderate: $4-6k</option>&#13;
			<option label="Little Splurge: $6-8k" value="little-splurge-68k">Little Splurge: $6-8k</option>&#13;
			<option label="Luxury: $8-10K" value="luxury-810k">Luxury: $8-10K</option>&#13;
			<option label="Let's go big: $10k +" value="lets-go-big-10k-">Let's go big: $10k +</option>&#13;
		</field>&#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;
		</field>&#13;
		<field type="checkbox-group" required="true" 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="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">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;
			<option label="Casinos" value="casinos">Casinos</option>&#13;
		</field>&#13;
		<field type="text" label="What are some must haves on this trip?" placeholder="ex: king bed  ocean view  excursions  rental car to explore  ect!" name="must-dos" subtype="text" 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="select" required="true" label="Will you need me to include flights in your quote?" name="will-you-need-me-to-include-flights-in-your-quote" className="form-control">&#13;
			<option label="Yes!" value="yes">Yes!</option>&#13;
			<option label="No, I’m using points/miles" value="no-im-using-pointsmiles">No, I’m using points/miles</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What payment style do you prefer?" name="select-1736603566045" className="form-control">&#13;
			<option label="Pay in full" value="pay-in-full">Pay in full</option>&#13;
			<option label="Deposit " value="deposit-">Deposit </option>&#13;
		</field>&#13;
		<field type="text" label="Have you taken a trip like this before?" placeholder="First time traveling internationally? First time to Disney? First cruise?" name="have-you-taken-a-trip-like-this-before" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="My current turnaround can be 2-3 business days. IS that OK with you? (I sometimes take weekends off, we all deserve a break!)" name="my-current-turnaround-can-be-34-business-days-is-that-ok-with-you-i-sometimes-take-weekends-off-we-all-deserve-a-break" className="form-control">&#13;
			<option label="Yes, of course!" value="yes-of-course">Yes, of course!</option>&#13;
			<option label="No, I need to book ASAP!" value="no-i-need-to-book-asap">No, I need to book ASAP!</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>