Share your information with Karla Cummins

Karla Cummins

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="text" required="true" label="Phone number" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred method of contact?" name="radio-group-1740806906842">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Call" value="call">Call</option>&#13;
		</field>&#13;
		<field type="text" 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: Tahiti" name="text-1740807013938" subtype="text" className="form-control"/>&#13;
		<field type="date" 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" 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" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</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" required="true" label="How many adults? (18+)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children?" name="text-1740806680664" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are the children&#39;s ages at the time of travel" description="If you are not traveling with children  please leave blank." placeholder="ex: 4 and 9" name="text-1740806337274" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many rooms will you be needing?" name="text-1740806759637" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults and children in each room?" placeholder="ex: Room 1 - 1 adult  2 children age 6 and 10 Room 2: 2 adults, 1 child age 4 Room 3: 2 adults" name="text-1740806792340" subtype="text" className="form-control"/>&#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="radio-group-1740807048603">&#13;
			<option label="Under $3,000" value="under-3000">Under $3,000</option>&#13;
			<option label="$3,000 to $6,000" value="3000-to-6000">$3,000 to $6,000</option>&#13;
			<option label="$6,000 to $9,000" value="6000-to-9000">$6,000 to $9,000</option>&#13;
			<option label="$10,000 to $12,000" value="10000-to-12000">$10,000 to $12,000</option>&#13;
			<option label="$12,000 to $15,000" value="12000-to-15000">$12,000 to $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" 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="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vacation are you envisioning?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Cruising" value="cruising">Cruising</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Theme Parks" value="theme-parks">Theme Parks</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Mountains" value="mountains">Mountains</option>&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How soon are you looking to book?" description="Choose one" name="activity-preferences" other="true">&#13;
			<option label="I'm ready now" value="im-ready-now">I'm ready now</option>&#13;
			<option label="Within a few weeks" value="within-a-few-weeks">Within a few weeks</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" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Have you ever been to this destination, or is it your first time cruising?" placeholder="ex: No  this is my first time cruising" name="text-1740806127940" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How did you hear about me?" placeholder="ex: My friend Sally Smith" name="text-1740806474180" subtype="text" className="form-control"/>&#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>