Share your information with Anthony Jones

Anthony Jones

TravelRANT

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Primary Traveler Information"/>&#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="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions About Your Trip"/>&#13;
		<field type="text" required="true" label="Where would you like to travel?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" 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="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are you traveling with children?" name="checkbox-group-1743795090986">&#13;
			<option label="Yes" value="">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If yes, provide the age(s) of the children at the time of travel." name="if-yes-provide-the-ages-of-the-children-at-the-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please list names and birthdates as shown on passport for all travelers." name="please-list-names-and-birthdates-as-shown-on-passport-for-all-travelers" className="form-control"/>&#13;
		<field type="textarea" label="If needing 2 rooms or more, please list out who will be in what room?" name="if-needing-2-rooms-or-more-please-list-out-who-will-be-in-what-room" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What Airport would you like to leave from?" name="checkbox-group-1743780588026" other="true">&#13;
			<option label="MKE - Milwaukee Mitchell International Airport" value="mke-milwaukee-mitchell-international-airport">MKE - Milwaukee Mitchell International Airport</option>&#13;
			<option label="ORD -Chicago O'Hare International Airport" value="ord-chicago-ohare-international-airport">ORD -Chicago O'Hare International Airport</option>&#13;
			<option label="MDW - Chicago Midway International Airport" value="mdw-chicago-midway-international-airport">MDW - Chicago Midway International Airport</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget (per room) for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,600 to $3,500" value="2600-to-3500">$2,600 to $3,500</option>&#13;
			<option label="$3,600 to $4,500" value="3600-to-4500">$3,600 to $4,500</option>&#13;
			<option label="$5,600 to $6,500" value="5600-to-6500">$5,600 to $6,500</option>&#13;
			<option label="$6,600 to $7,500" value="6600-to-7500">$6,600 to $7,500</option>&#13;
			<option label="$7,600 to $8,500" value="7600-to-8500">$7,600 to $8,500</option>&#13;
			<option label="$8,600 +" value="8600-">$8,600 +</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="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your preferred Hotel/Resort type?" name="dates-flexible">&#13;
			<option label="Adult Only" value="adult-only">Adult Only</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Both (No Preference)" value="both-no-preference">Both (No Preference)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="checkbox-group-1743795622705">&#13;
			<option label="Yes" value="">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Which travel services are needed?" name="checkbox-group-1743795757471" other="true">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option>&#13;
			<option label="Excursions &amp; Tours" value="excursions-tours">Excursions &amp; Tours</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</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;
		<field type="paragraph" subtype="p" label="Advisor Statement: My quotes are not just about finding you a great deal, but it&#39;s about creating a memorable travel experience that leaves you satisfied and eager to travel more. I take pride in my work and the happiness and satisfaction of my clients is of the utmost importance to me."/>&#13;
		<field type="paragraph" subtype="p" label="Please be advised that pricing is subject to change at anytime until your deposit is paid. We highly suggest that you lock in your rate with a deposit to ensure the rate of the original quote. Our current turnaround time for quotes is 3-5 business days.&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>