Yvonnon Travels

Yvon Travels

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="College Football National Championships&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Once you have filled this form out please allow Yvon Travels to get back to you within 24hrs with your quote via email&amp;nbsp;"/>&#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="Company (Optional)&amp;nbsp;" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" 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="Ticket Details&amp;nbsp;"/>&#13;
		<field type="select" label="How many tickets&amp;nbsp;" name="how-many-tickets-" 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;
		</field>&#13;
		<field type="select" label="What Section ?" name="what-section-" className="form-control">&#13;
			<option label="300 Level with MollyB's Lounge $1,500 +" value="300-level-with-mollybs-lounge-1500-">300 Level with MollyB's Lounge $1,500 +</option>&#13;
			<option label="200 Level $2,100+" value="200-level-2100">200 Level $2,100+</option>&#13;
			<option label="Lower Level $2,100+" value="lower-level-2100">Lower Level $2,100+</option>&#13;
			<option label="Molly B's Lounge $8,170" value="molly-bs-lounge-8170">Molly B's Lounge $8,170</option>&#13;
			<option label="Gullwing Club $4,445+" value="gullwing-club-4445">Gullwing Club $4,445+</option>&#13;
			<option label="Club $6,135+" value="club-6">Club $6,135+</option>&#13;
			<option label="Suite (1 Left 22people max) $14,000pp" value="suite-1-left-22people-max-14000pp">Suite (1 Left 22people max) $14,000pp</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>