Share your information with Grace Bulin

Grace Bulin

Dune Travel Group

<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="E-Mail 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="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your Instagram handle?" name="what-is-your-instagram-handle" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are you traveling solo or with a friend? If so, what is their name? (Both must apply)" name="are-you-traveling-solo-or-with-a-friend-if-so-what-is-their-name-both-must-apply" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When does your passport expire?" name="when-does-your-passport-expire" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Have you ever been to Portugal before?" name="have-you-ever-been-to-portugal-before" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Why do you want to attend this trip?" name="why-do-you-want-to-attend-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are you hoping to gain from this experience?" name="what-are-you-hoping-to-gain-from-this-experience" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Have you ever worked with Dune Travel Group?" name="have-you-ever-worked-with-dune-travel-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us">&#13;
			<option label="Through Instagram" value="through-instagram">Through Instagram</option>&#13;
			<option label="Through Facebook" value="through-facebook">Through Facebook</option>&#13;
			<option label="A friend mentioned it to me" value="a-friend-mentioned-it-to-me">A friend mentioned it to me</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>