Share your information with Sabrina Spurgeon

Sabrina Spurgeon

Goldgell Getaways

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#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" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" className="form-control">&#13;
			<option label="Disney World in Florida" value="disney-world-in-florida">Disney World in Florida</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Universal Hollywood" value="universal-hollywood">Universal Hollywood</option>&#13;
			<option label="Cruise Vacation" value="cruise-vacation">Cruise Vacation</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Universal/Disney Tickets Only" value="universaldisney-tickets-only">Universal/Disney Tickets Only</option>&#13;
			<option label="Beach, Hawai'i, Other" value="beach-hawaii-other">Beach, Hawai'i, Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If cruising, which cruise line(s) do you prefer?" name="if-cruising-which-cruise-lines-do-you-prefer">&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Date you&#39;d like vacation to begin?" name="date-youd-like-vacation-to-begin" className="form-control"/>&#13;
		<field type="date" required="true" label="Date you&#39;d like vacation to end?" name="date-youd-like-vacation-to-end" className="form-control"/>&#13;
		<field type="select" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Who will be traveling with you? (Adults, Children with ages)" name="who-will-be-traveling-with-you-adults-children-with-ages" className="form-control"/>&#13;
		<field type="text" label="If flying please let me know which airport you prefer to fly from." name="if-flying-please-let-me-know-which-airport-you-prefer-to-fly-from" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else should I know before putting your quote together? (Celebrations, First time?)" name="what-else-should-i-know-before-putting-your-quote-together-celebrations-first-time" className="form-control"/>&#13;
		<field type="textarea" label="How did you find me? (Online, Referral if so who?)" name="how-did-you-find-me-online-referral-if-so-who" className="form-control"/>&#13;
		<field type="textarea" label="Budget" description="What is your spending limit?" name="budget" className="form-control"/>&#13;
		<field type="paragraph" subtype="output" label="Please allow 24-48 hours for your custom vacation quote. I look forward to working with you! Thank you!"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>