Share your information with Rachel Kerr

Rachel Kerr

GLOBE-TREKS CONSULTING, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="You Will Be Invited First Once Our Women’s Literary and Culinary Tour Is Live To Book"/>&#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 required="true"  type="text" 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="header" subtype="h2" label="All Travelers Must Be 18+ At Time Of Travel"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What Type Of Room Do You Expect To Book?" name="checkbox-group-1776783024249">&#13;
			<option label="Double Occupancy-Two Travelers" value="double-occupancytwo-travelers">Double Occupancy-Two Travelers</option>&#13;
			<option label="Solo Travel-NO SHARE. Solo supplemented rate" value="solo-travelno-share-solo-supplemented-rate">Solo Travel-NO SHARE. Solo supplemented rate</option>&#13;
			<option label="Solo Travel-Share (will be paired by GTC with another solo traveler)" value="solo-travelshare-will-be-paired-by-gtc-with-another-solo-traveler">Solo Travel-Share (will be paired by GTC with another solo traveler)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How Did You Learn About The Tour?" name="how-did-you-learn-about-the-tour" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>