Megan Hess

Vacations By Bri

<html>
  <body>
    <form-template>&#13;
	<fields>&#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" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Departing Airport? (NA if not needed*)" name="departing-airport-na-if-not-needed" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many People / Rooms?" name="desired-room-type-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are you celebrating anything?" name="are-you-celebrating-anything" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Dates?" name="travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What is your total budget range?" name="what-is-your-total-budget-range" className="form-control">&#13;
			<option label="4-5k" value="45k">4-5k</option>&#13;
			<option label="5-6k" value="56k">5-6k</option>&#13;
			<option label="6-8k" value="68k">6-8k</option>&#13;
			<option label="8-10k" value="810k">8-10k</option>&#13;
			<option label="10-15k" value="1015k">10-15k</option>&#13;
			<option label="15k+" value="15k">15k+</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Any destinations you&#39;re interested in?" name="where-are-you-interested-in" subtype="text" className="form-control"/>&#13;
		<field type="select" label="What is important for you to have?" name="what-is-important-for-you-to-have" multiple="multiple" className="form-control">&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
			<option label="Boutique Style" value="boutique-style">Boutique Style</option>&#13;
			<option label="Resort Style" value="resort-style">Resort Style</option>&#13;
			<option label="Cruise (med)" value="cruise-med">Cruise (med)</option>&#13;
			<option label="Cruise (caribbean)" value="cruise-caribbean">Cruise (caribbean)</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>