Share your information with Natashia Ruiz

Natashia Ruiz

Vacations By Natashia

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Questions about your trip"/>&#13;
		<field type="text" required="true" label="How many travelers in your room? Include the names and DOB for each passenger.&amp;nbsp;" name="text-1738408741466" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="Are you celebrating anything special? Have any special dietary needs or cabin accommodations?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Contact 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="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;
	</fields>&#13;
</form-template>
  </body>
</html>