Share your information with Katie Smith

Katie Smith

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your cruise"/>&#13;
		<field type="text" required="true" label="Where would you like to start your cruise? (City and/or State)&amp;nbsp;" name="where-would-you-like-to-start-your-cruise-city-andor-state-" 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;
		</field>&#13;
		<field type="text" required="true" label="Are there ports you definitely want to stop at on your cruise?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are the names and ages of all travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms will you need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Has anyone in the group gone on a cruise before?" name="has-anyone-in-the-group-gone-on-a-cruise-before">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If you selected &quot;yes&quot; above, that traveler likely has a loyalty number with the cruise line they previously sailed with. Please list that cruise line and number below so that any loyalty perks can be added to your quote." name="if-you-selected-yes-above-that-traveler-likely-has-a-loyalty-number-with-the-cruise-line-they-previously-sailed-with-please-list-that-cruise-line-and-number-below-so-that-any-loyalty-perks-can-be-added-to-your-quote" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a specific cruise line you would like to use for this vacation? If yes, please let me know which one." name="do-you-have-a-specific-cruise-line-you-would-like-to-use-for-this-vacation-if-yes-please-let-me-know-which-one" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers (including flights if needed)?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Less than $1,500" value="less-than-1500">Less than $1,500</option>&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Will you need me to book flights for you?" name="will-you-need-me-to-book-flights-for-you">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference? We may need to book hotel stays on either end of the trip, depending on timing." 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" required="true" label="What kind of vibe are you looking for on the boat?" description="Check all that apply." name="vibe-preference">&#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="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Epicurean" value="epicurean">Epicurean</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of shore excursions are you interested in?" name="what-kind-of-shore-excursions-are-you-interested-in">&#13;
			<option label="Adventure (zip-lining, ATVs, snorkling)" value="adventure-ziplining-atvs-snorkling">Adventure (zip-lining, ATVs, snorkling)</option>&#13;
			<option label="Animal Encounters" value="animal-encounters">Animal Encounters</option>&#13;
			<option label="Beach Trips" value="beach-trips">Beach Trips</option>&#13;
			<option label="Historical/Cultural Tours" value="historicalcultural-tours">Historical/Cultural Tours</option>&#13;
			<option label="Food Tours" value="food-tours">Food Tours</option>&#13;
			<option label="Hiking/Nature Trails" value="hikingnature-trails">Hiking/Nature Trails</option>&#13;
			<option label="Scuba Diving" value="scuba-diving">Scuba Diving</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="Does anyone in your group have special needs or require special accommodations?&amp;nbsp;" name="does-anyone-in-your-group-have-special-needs-or-require-special-accommodations-" 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;
		<field type="header" subtype="h2" label="Your Information"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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