Brittany Hagan

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Sharpe Travel Quote Request Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing Sharpe Travel to plan your next adventure! After you submit the quote form, we will reach out via your preferred contact method to confirm key details if necessary—please note, we cannot provide a proposal until we receive your response to that initial contact."/>&#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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Method of Contact" name="preferred-method-of-contact">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text Message" value="text-message">Text Message</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Where are you interested in traveling ?" description="Select a max of two options from the menu" name="destination">&#13;
			<option label="Disney World" value="disney-world">Disney World</option>&#13;
			<option label="Disneyland" value="disneyland">Disneyland</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Aulani" value="aulani">Aulani</option>&#13;
			<option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Universal Hollywood" value="universal-hollywood">Universal Hollywood</option>&#13;
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>&#13;
		</field>&#13;
		<field type="date" label="Arrival Date" name="arrival-date" className="form-control"/>&#13;
		<field type="date" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="How many adults?&amp;nbsp;" name="how-many-adults-" className="form-control">&#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;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9" value="9">9</option>&#13;
			<option label="10" value="10">10</option>&#13;
			<option label="More than 10" value="more-than-10">More than 10</option>&#13;
		</field>&#13;
		<field type="select" label="How many children?&amp;nbsp;" name="how-many-children" className="form-control">&#13;
			<option label="0" value="0">0</option>&#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;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9" value="9">9</option>&#13;
			<option label="10" value="10">10</option>&#13;
			<option label="More than 10" value="more-than-10">More than 10</option>&#13;
		</field>&#13;
		<field type="text" label="Budget" name="budget-excluding-airfare" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="If there are children in your group, what will their ages be at time of travel?&amp;nbsp;" name="textarea-1728493246297" rows="5" className="form-control"/>&#13;
		<field type="textarea" label="Please list any other important details to consider (i.e. hotel preferences,&amp;nbsp; any celebrations, etc.)" placeholder="Example: It is our honeymoon  we love to hike  we are foodies, etc." name="please-list-any-other-important-details-to-consider" rows="5" className="form-control"/>&#13;
		<field type="textarea" label="How did you hear about us?&amp;nbsp;" name="textarea-1728493300127" rows="1" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>