Share your information with Nia Nicole

Nia Nicole

Lavish Adventures by Nia Nicole LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Adventurer Details:"/>&#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="Preferred name" name="preferred-name" subtype="text" 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="date" required="true" label="Birthdate" name="birthdate" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1769720050244" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Create Your Lavish Adventure"/>&#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: 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="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="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="radio-group" required="true" label="Will you be traveling with others?" name="will-you-be-traveling-with-others">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769733144810" rule="eyJ3aGVuRmllbGQiOiJ3aWxsLXlvdS1iZS10cmF2ZWxpbmctd2l0aC1vdGhlcnMiLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbImhvdy1tYW55LWFkdmVudHVyZXJzIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiaG93LW1hbnktYWR2ZW50dXJlcnMiLCJsYWJlbCI6IkhvdyBtYW55IGFkdmVudHVyZXJzPyJ9XX0="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769732814222" rule="eyJ3aGVuRmllbGQiOiJ3aWxsLXlvdS1iZS10cmF2ZWxpbmctd2l0aC1vdGhlcnMiLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbIndpbGwtYWxsLWFkdmVudHVyZXJzLWRlcGFydC1mcm9tLXRoZS1zYW1lLWxvY2F0aW9uLSJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6IndpbGwtYWxsLWFkdmVudHVyZXJzLWRlcGFydC1mcm9tLXRoZS1zYW1lLWxvY2F0aW9uLSIsImxhYmVsIjoiV2lsbCBhbGwgYWR2ZW50dXJlcnMgZGVwYXJ0IGZyb20gdGhlIHNhbWUgbG9jYXRpb24/Jm5ic3A7In1dfQ=="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769733031649" rule="eyJ3aGVuRmllbGQiOiJ3aWxsLXlvdS1iZS10cmF2ZWxpbmctd2l0aC1vdGhlcnMiLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbImhvdy1tYW55LXJvb21zLWFyZS1uZWVkZWQiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJob3ctbWFueS1yb29tcy1hcmUtbmVlZGVkIiwibGFiZWwiOiJIb3cgbWFueSByb29tcyBhcmUgbmVlZGVkPyJ9XX0="/>&#13;
		<field type="text" label="How many adventurers?" name="how-many-adventurers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Will all adventurers depart from the same location?&amp;nbsp;" name="will-all-adventurers-depart-from-the-same-location-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769732891333" rule="eyJ3aGVuRmllbGQiOiJ3aWxsLWFsbC1hZHZlbnR1cmVycy1kZXBhcnQtZnJvbS10aGUtc2FtZS1sb2NhdGlvbi0iLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoibm8iLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsid2hlcmUtd2lsbC10aGUtb3RoZXItYWR2ZW50dXJlcnMtZGVwYXJ0LWZyb20iXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJ3aGVyZS13aWxsLXRoZS1vdGhlci1hZHZlbnR1cmVycy1kZXBhcnQtZnJvbSIsImxhYmVsIjoiV2hlcmUgd2lsbCB0aGUgb3RoZXIgYWR2ZW50dXJlcnMgZGVwYXJ0IGZyb20/In1dfQ=="/>&#13;
		<field type="text" label="Where will the other adventurers depart from?" name="where-will-the-other-adventurers-depart-from" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms are needed?" name="how-many-rooms-are-needed" 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="budget">&#13;
			<option label="$1000 or less" value="1000-or-less">$1000 or less</option>&#13;
			<option label="$1000 -$2500" value="1000-2500">$1000 -$2500</option>&#13;
			<option label="$2500-$5000" value="25005000">$2500-$5000</option>&#13;
			<option label="$5000+" value="5000">$5000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What are your travel needs?&amp;nbsp;" name="hotel-preference" other="true">&#13;
			<option label="Hotel/Resort Accomodations Only " value="hotelresort-accomodations-only-">Hotel/Resort Accomodations Only </option>&#13;
			<option label="Accommodations &amp; Roundtrip Flights" value="accommodations-roundtrip-flights">Accommodations &amp; Roundtrip Flights</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</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="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>