Share your information with Tasia Ducksworth

Tasia Ducksworth

Next Level Travel

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Tell me about your trip!"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your preferred airport? (If departing for multiple cities, please list all preferred airports)" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your ideal budget per person? (Please Note: International, all-Inclusive, airfare packages start at $1,500 per person)*?" name="what-is-your-ideal-budget-per-person-please-note-international-allinclusive-airfare-packages-start-at-1500-per-person" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are you celebrating?" description="Birthday? Anniversary?" name="what-are-you-celebrating" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers are you expecting?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What type of things are you looking to do on your vacation?" description="Is there a specific event? A specific restaurant or club? ect." name="what-type-of-things-are-you-looking-to-do-on-your-vacation" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>