Share your information with Eve Carter

Eve Carter

ECTC Travel Agency

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Cruise Planning Form"/>&#13;
		<field type="header" subtype="h3" label="Destination Details"/>&#13;
		<field type="text" required="true" label="Ports you would like to visit." description="Country  City  Landmark  Specific Destination" name="where-would-you-like-to-visit" 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="travel-dates-" 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 return home; it can be changed later." name="travel-end-date" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are Travel Dates Flexible?" toggle="true" inline="true" name="are-travel-dates-flexible">&#13;
			<option label="Yes " value="Please enter alternative dates below">Yes </option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="text" label="Alternative Dates (if yes)" name="alternative-dates-if-yes" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where will you be departing from?" description="List airport you plan to fly out of. If flights are not needed  please type &quot;No Flights&quot;" name="where-will-you-be-departing-from" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Traveler Information&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Number of Travelers" description="This should include yourself. if more than 4 travelers please enter addtional information below in the notes section." inline="true" name="number-of-travelers" other="true">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="text" label="Traveler Full name as it appears on passport" description="Must Match Passport Exactly" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Traveler Birthdate (needed for age verification)" description="Required to book flights and for international travel" name="traveler-2-birthdate" className="form-control"/>&#13;
		<field type="text" label="Traveler Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Traveler Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your total trip budget?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-total-trip-budget" other="true">&#13;
			<option label="Less than $1500 " value="less-than-1500-">Less than $1500 </option>&#13;
			<option label="$1500 to $3000" value="1500-to-3000">$1500 to $3000</option>&#13;
			<option label="$3000 to $4500" value="3000-to-4500">$3000 to $4500</option>&#13;
			<option label="$4500 to $6000" value="4500-to-6000">$4500 to $6000</option>&#13;
			<option label="$6000 to $7500" value="6000-to-7500">$6000 to $7500</option>&#13;
			<option label="$7500 to 10000" value="7500-to-10000">$7500 to 10000</option>&#13;
			<option label="$10000+" value="10000">$10000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Cruise Line Preference" name="hotel-preference" other="true">&#13;
			<option label="Carnival " value="carnival-">Carnival </option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Holland America " value="holland-america-">Holland America </option>&#13;
			<option label="MSC " value="msc-">MSC </option>&#13;
			<option label="Norweigian" value="norweigian">Norweigian</option>&#13;
			<option label="Princess " value="princess-">Princess </option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What things are most important to you?" name="activity-preferences" other="true">&#13;
			<option label="Destinations/Ports" value="destinationsports">Destinations/Ports</option>&#13;
			<option label="Budget" value="budget">Budget</option>&#13;
			<option label="On Board-Activities" value="on-boardactivities">On Board-Activities</option>&#13;
			<option label="Casino" value="casino">Casino</option>&#13;
			<option label="Food " value="food-">Food </option>&#13;
			<option label="Excursions offered" value="excursions-offered">Excursions offered</option>&#13;
			<option label="Entertainment/Shows" value="entertainmentshows">Entertainment/Shows</option>&#13;
			<option label="Kids Club/Activities" value="kids-clubactivities">Kids Club/Activities</option>&#13;
			<option label="Spa/Thermal Suite" value="spathermal-suite">Spa/Thermal Suite</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Ship Vibe&amp;nbsp;" 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/Nightlife" value="partynightlife">Party/Nightlife</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Adults-Only" value="adultsonly">Adults-Only</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What would you like your booking to include?" name="what-would-you-like-your-booking-to-include" other="true">&#13;
			<option label="Hotel (before or after)" value="hotel-before-or-after">Hotel (before or after)</option>&#13;
			<option label="Air Fare" value="air-fare">Air Fare</option>&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="Excursions" value="excursions">Excursions</option>&#13;
			<option label="Drink Packages " value="drink-packages-">Drink Packages </option>&#13;
			<option label="Pre-paid Gratuities" value="prepaid-gratuities">Pre-paid Gratuities</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything you absolutely must do, or see?&amp;nbsp;" name="anything-you-absolutely-must-do-or-see-" className="form-control"/>&#13;
		<field type="textarea" label="Are there any activities you want to avoid?" name="are-there-any-activities-you-want-to-avoid" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Seat preference (If flights included)" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cabin Prefrences&amp;nbsp;" name="cabin-prefrences-" other="true">&#13;
			<option label="Interior " value="interior-">Interior </option>&#13;
			<option label="Oceanview " value="oceanview-">Oceanview </option>&#13;
			<option label="Balcony " value="balcony-">Balcony </option>&#13;
			<option label="Club/Deluxe Balcony" value="clubdeluxe-balcony">Club/Deluxe Balcony</option>&#13;
			<option label="Suites" value="suites">Suites</option>&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Twins" value="2-twins">2 Twins</option>&#13;
			<option label="King + Sleeper sofa and/or Pullman" value="king-sleeper-sofa-andor-pullman">King + Sleeper sofa and/or Pullman</option>&#13;
			<option label="2 Twins + Sleeper Sofa and/or Pullman" value="2-twins-sleeper-sofa-andor-pullman">2 Twins + Sleeper Sofa and/or Pullman</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="radio-group" required="true" label="Will you be purchasing Ship Protection Plan?" name="will-you-be-purchasing-ship-protection-plan">&#13;
			<option label="Yes- Definitely" value="yes-definitely">Yes- Definitely</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Unsure-I would like quotes" value="unsurei-would-like-quotes">Unsure-I would like quotes</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>