Lisa Carthern

Trips of a Lifetime Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Note: If you have chosen to purchase your own airfare, please complete the section below. It is important that any updates to your flight details are communicated to your travel advisor as soon as they are received. Once you are in-travel, it is the client’s responsibility to communicate any changes to the flight information directly to any relevant transportation companies."/>&#13;
		<field type="header" subtype="h1" label="Guest 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Arrival Day Details"/>&#13;
		<field type="date" required="true" label="Departure flight date/ final leg into destination (start of trip)" name="departure-flight-date-final-leg-into-destination-start-of-trip" className="form-control"/>&#13;
		<field type="text" required="true" label="Airline confirmation&amp;nbsp;" name="text-1674449369197" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Airline" name="text-field" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Flight number/ final leg into destination (start of trip)" name="flight-number-final-leg-into-destination-start-of-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Arrival time into destination/ landing time of the final leg of trip" name="arrival-time-into-destination-landing-time-of-the-final-leg-of-trip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Departure Day Details"/>&#13;
		<field type="text" required="true" label="Return flight date/ first leg from destination (end of trip)" name="text-1674449574974" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Airline confirmation" name="airline-confirmation" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Departure airline" name="departure-airline" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Departure flight number/ first leg from destination (end of trip)" name="text-1674449662252" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Confirmation" name="confirmation">&#13;
			<option label="By checking the confirm box, you are confirming that all information is correct" value="by-checking-the-confirm-box-you-are-confirming-that-all-information-is-correct">By checking the confirm box, you are confirming that all information is correct</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>