Share your information with Cate Tuck

Cate Tuck

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Tell me a little bit about what you are looking for in your All-Inclusive Vacation."/>&#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="select" required="true" label="Travel Destination" description="Select from the list" placeholder="Choose your destination" name="travel-destination" className="form-control">&#13;
			<option label="Sandals (All Inclusive for 2 adults)" value="sandals-all-inclusive-for-2-adults">Sandals (All Inclusive for 2 adults)</option>&#13;
			<option label="Beaches (All Inclusive for families)" value="beaches-all-inclusive-for-families">Beaches (All Inclusive for families)</option>&#13;
			<option label="Something Else" value="something-else">Something Else</option>&#13;
		</field>&#13;
		<field type="date" required="true" 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" required="true" 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="select" required="true" label="What is your total budget range?" placeholder="Select from the list" name="what-is-your-total-budget-range" className="form-control">&#13;
			<option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option>&#13;
			<option label="$5,000-$8,000" value="50008000">$5,000-$8,000</option>&#13;
			<option label="$8,000-$10,000" value="800010000">$8,000-$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="First and Last Name of all adults" name="first-and-last-name-of-all-adults" className="form-control"/>&#13;
		<field type="text" required="true" label="How many child travelers?" name="text-1739413236800" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="First and Last name of children (please include ages at the time of travel)" name="first-and-last-name-of-children-please-include-ages-at-the-time-of-travel" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of All Inclusive" name="what-type-of-all-inclusive">&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have any particular destination/country in mind?" name="do-you-have-any-particular-destinationcountry-in-mind" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have any destination/country you want to avoid?" name="do-you-have-any-destinationcountry-you-want-to-avoid" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is the city and state of your home airport?" name="what-is-the-city-and-state-of-your-home-airport" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Do you qualify for any discounts?" placeholder="Select" name="do-you-qualify-for-any-discounts" className="form-control">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="First Responder" value="first-responder">First Responder</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you celebrating anything?" description="Select any that apply" name="are-you-celebrating-anything">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Personal Milestone" value="personal-milestone">Personal Milestone</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>