Share your information with Tiffany Lewis

Tiffany Lewis

Legendary Travel’s

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Legendary Travel&#39;s Cruise Quote Form"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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 Address" 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="DOB" name="dob" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="F" value="f">F</option>&#13;
			<option label="M" value="m">M</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cruise Line" name="cruise-line">&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Royal Carribean " value="royal-carribean-">Royal Carribean </option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Departure Port" name="departure-port">&#13;
			<option label="Mobile" value="mobile">Mobile</option>&#13;
			<option label="New Orleans" value="new-orleans">New Orleans</option>&#13;
			<option label="Miami" value="miami">Miami</option>&#13;
			<option label="Orlando" value="orlando">Orlando</option>&#13;
			<option label="Ft. Lauderdale" value="ft-lauderdale">Ft. Lauderdale</option>&#13;
			<option label="Tampa" value="tampa">Tampa</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Number of Travelers" name="number-of-travelers">&#13;
			<option label="1-5" value="15">1-5</option>&#13;
			<option label="6-10" value="610">6-10</option>&#13;
			<option label="More than 10" value="more-than-10">More than 10</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Departure Date (list dates 1-2 weeks of what your looking for)" name="departure-date-list-dates-12-weeks-of-what-your-looking-for" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date (list dates 1-2 weeks of what your looking for)" name="return-date-list-dates-12-weeks-of-what-your-looking-for" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Budget Per Person" name="budget-per-person">&#13;
			<option label="$1,000-$1,500" value="10001500">$1,000-$1,500</option>&#13;
			<option label="$1,500-$1,900" value="15001900">$1,500-$1,900</option>&#13;
			<option label="$1,900-$2,500" value="19002500">$1,900-$2,500</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cabin Type" name="cabin-type">&#13;
			<option label="Inside" value="inside">Inside</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to include travel insurance?" name="would-you-like-to-include-travel-insurance">&#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="Please list any additional information here." name="please-list-any-additional-information-here" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Research Fees" name="research-fees">&#13;
			<option label="1-2 cruise options $20" value="12-cruise-options-20">1-2 cruise options $20</option>&#13;
			<option label="3-4 cruise options $45" value="34-cruise-options-45">3-4 cruise options $45</option>&#13;
			<option label="1 option both cruiselines$50" value="1-option-both-cruiselines50">1 option both cruiselines$50</option>&#13;
			<option label="2 options both cruiselines $65" value="2-options-both-cruiselines-65">2 options both cruiselines $65</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How will you be paying the research fee?" name="how-will-you-be-paying-the-research-fee">&#13;
			<option label="Cashapp ($TiffDillard)" value="cashapp-tiffdillard">Cashapp ($TiffDillard)</option>&#13;
			<option label="Please send an invoice" value="please-send-an-invoice">Please send an invoice</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="It is the assumption that you are bookings within 2 weeks of being quoted! Please note that all pricing is subject to change until booking is secure..!! The current turn around time is 5 Business days. **Weekends are not included in the 5 business days. You will receive a confirmation email after submitting your form, that means we have received your inquiry. All Communication for your trip prior to travel will be via email."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>