Share your information with BOUGIE TRAVEL

BOUGIE TRAVEL

<html>
  <body>
    <form-template>&#13;
	<fields>&#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="DOB" description="MM/DD/YYYY" name="dob" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" 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="header" subtype="h2" label="Crete Greece Trip October 15,2026-10/22/2026"/>&#13;
		<field type="checkbox-group" required="true" label="Are you deposit ready? Deposits range from $50-$500 per person&amp;nbsp; for land only" name="are-you-deposit-ready-deposits-range-from-100500-per-person-for-land-only">&#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="How many Adult travelers ?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children travelers?" name="text-1735763621070" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Children ages at the time of travel" name="children-ages" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Package Options"/>&#13;
		<field type="checkbox-group" required="true" label="Select all that apply" name="select-all-that-apply">&#13;
			<option label="Hotel " value="hotel-">Hotel </option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What room type would&amp;nbsp; you like?&amp;nbsp;" description="Rooms are listed in the order of cost  starting with the least expensive  option" name="budget">&#13;
			<option label=" Double Guestroom Garden/Mountain View- MAX 3 PPL" value="-double-guestroom-gardenmountain-view-max-3-ppl"> Double Guestroom Garden/Mountain View- MAX 3 PPL</option>&#13;
			<option label="Double Guestroom Sea View - MAX 2 PPL" value="double-guestroom-sea-view-max-2-ppl">Double Guestroom Sea View - MAX 2 PPL</option>&#13;
			<option label=" Superior Guestroom Sea View - MAX 2 PPL" value="-superior-guestroom-sea-view-max-2-ppl"> Superior Guestroom Sea View - MAX 2 PPL</option>&#13;
			<option label=" Swim Up White Room -  MAX 2 PPL" value="-swim-up-white-room-max-2-ppl"> Swim Up White Room -  MAX 2 PPL</option>&#13;
			<option label=" Prestige Guestroom Sea View with Garden -MAX 3 PPL" value="-prestige-guestroom-sea-view-with-garden-max-3-ppl"> Prestige Guestroom Sea View with Garden -MAX 3 PPL</option>&#13;
			<option label="Junior Suite Sea View - MAX 3 PPL" value="junior-suite-sea-view-max-3-ppl">Junior Suite Sea View - MAX 3 PPL</option>&#13;
			<option label="Open Plan Suite Sea View-MAX 3 PPL" value="open-plan-suite-sea-viewmax-3-ppl">Open Plan Suite Sea View-MAX 3 PPL</option>&#13;
			<option label="Swim-Up Guestroom Sea View with Garden -MAX 3 PPL" value="swimup-guestroom-sea-view-with-garden-max-3-ppl">Swim-Up Guestroom Sea View with Garden -MAX 3 PPL</option>&#13;
			<option label="Family Apartment, Garden View -MAX 5 PPL" value="family-apartment-garden-view-max-5-ppl">Family Apartment, Garden View -MAX 5 PPL</option>&#13;
			<option label="Swim Up Family Guestroom - MAX 4 PPL" value="swim-up-family-guestroom-max-4-ppl">Swim Up Family Guestroom - MAX 4 PPL</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Insurance Options"/>&#13;
		<field type="checkbox-group" required="true" label="Select one" description="The most cost efficient insurance with be the travel credit option" name="select-one">&#13;
			<option label="Travel Credit" value="travel-credit">Travel Credit</option>&#13;
			<option label="Travel Refund" value="travel-refund">Travel Refund</option>&#13;
			<option label="I decline Insurance" value="i-decline-insurance">I decline Insurance</option>&#13;
		</field>&#13;
		<field type="textarea" label="Name and DOB(s) of additional guest(s)" name="name-and-dobs-of-additional-guests" 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>