Share your information with Morgan Perry

Morgan Perry

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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="textarea" required="true" label="Please list names, ages at time of travel, and date of birth for everyone traveling:&amp;nbsp;" name="please-list-names-ages-at-time-of-travel-and-date-of-birth-for-everyone-traveling-" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="date" required="true" label="When do you want to leave?&amp;nbsp;" name="when-do-you-want-to-leave-" className="form-control"/>&#13;
		<field type="date" required="true" label="When do you want to return home?&amp;nbsp;" name="when-do-you-want-to-return-home-" className="form-control"/>&#13;
		<field type="text" required="true" label="Where do you want to go? Be specific as you want!&amp;nbsp;" name="text-1774622500122" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How will you be getting to your destination?&amp;nbsp;" name="select-1774622541752" className="form-control">&#13;
			<option label="Flying " value="flying-">Flying </option>&#13;
			<option label="Driving " value="driving-">Driving </option>&#13;
		</field>&#13;
		<field type="text" label="If you&#39;re flying what airport would you like to fly out of?&amp;nbsp;" name="text-1774622595353" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please list what you want to do and see:&amp;nbsp;" name="textarea-1774622693754" className="form-control"/>&#13;
		<field type="textarea" label="Is there any food restrictions or requirements? Please list them below.&amp;nbsp;" name="textarea-1774622730068" className="form-control"/>&#13;
		<field type="textarea" label="Any medical equipment/needs/adaptive equipment/etc" name="any-medical-equipmentneedsadaptive-equipmentetc" className="form-control"/>&#13;
		<field type="textarea" label="What else do I need to know?&amp;nbsp;" name="textarea-1774622733868" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>