Share your information with Joy Williams

Joy Williams

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Full Name &amp;amp; Phone Number"/>&#13;
		<field type="text" label="Prefix:" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name (as it appears on your passport):" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name&amp;nbsp; (as it appears on your passport):" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name&amp;nbsp; (as it appears on your passport):" 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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" required="true" label="Birthday:" name="birthday" 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="header" subtype="h1" label="Let&#39;s Cruise!"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="Ship Location Preference:" inline="true" name="seat-preference">&#13;
			<option label="Forward" value="forward">Forward</option>&#13;
			<option label="Middle " value="middle-">Middle </option>&#13;
			<option label="Aft (back)" value="aft-back">Aft (back)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Location Preference:" inline="true" name="location-preference">&#13;
			<option label="Lower Decks" value="lower-decks">Lower Decks</option>&#13;
			<option label="Middle Decks" value="middle-decks">Middle Decks</option>&#13;
			<option label="Higher Decks" value="higher-decks">Higher Decks</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Stateroom Preference:" inline="true" name="radio-group-1777472640175">&#13;
			<option label="Concierge Stateroom" value="concierge-stateroom">Concierge Stateroom</option>&#13;
			<option label="Deluxe Family Oceanview Stateroom with Verandah (sleeps 5)" value="deluxe-family-oceanview-stateroom-with-verandah-sleeps-5">Deluxe Family Oceanview Stateroom with Verandah (sleeps 5)</option>&#13;
			<option label="Deluxe Oceanview Stateroom with Verandah" value="deluxe-oceanview-stateroom-with-verandah">Deluxe Oceanview Stateroom with Verandah</option>&#13;
			<option label="Deluxe Family Oceanview Stateroom (sleeps 5)" value="deluxe-family-oceanview-stateroom-sleeps-5">Deluxe Family Oceanview Stateroom (sleeps 5)</option>&#13;
			<option label="Deluxe Oceanview Stateroom" value="deluxe-oceanview-stateroom">Deluxe Oceanview Stateroom</option>&#13;
			<option label="Deluxe Inside Stateroom" value="deluxe-inside-stateroom">Deluxe Inside Stateroom</option>&#13;
			<option label="Standard Inside Stateroom" value="standard-inside-stateroom">Standard Inside Stateroom</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Dining Preference:" inline="true" name="radio-group-1777472585289">&#13;
			<option label="Early Dining" value="early-dining">Early Dining</option>&#13;
			<option label="Late Dining" value="late-dining">Late Dining</option>&#13;
		</field>&#13;
		<field type="text" label="If applicable, your CASTAWAY NUMBER:" name="if-applicable-your-celebrity-captain-club-number-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Anything you&#39;d like me to know?" name="anything-youd-like-me-to-know" className="form-control"/>&#13;
		<field type="text" label="GUEST 2" name="text-1777473530926" subtype="text" className="form-control"/>&#13;
		<field type="text" label="FIRST NAME" name="text-1777473574385" subtype="text" className="form-control"/>&#13;
		<field type="text" label="MIDDLE NAME" name="text-1777473598493" subtype="text" className="form-control"/>&#13;
		<field type="text" label="LAST NAME" name="text-1777473551486" subtype="text" className="form-control"/>&#13;
		<field type="date" label="BIRTHDAY" name="date-1777473542641" className="form-control"/>&#13;
		<field type="text" label="GUEST 3 (if applicable)" name="text-1777473627448" subtype="text" className="form-control"/>&#13;
		<field type="text" label="FIRST NAME" name="text-1777473555234" subtype="text" className="form-control"/>&#13;
		<field type="text" label="MIDDLE NAME" name="text-1777473556142" subtype="text" className="form-control"/>&#13;
		<field type="text" label="LAST NAME" name="text-1777473649464" subtype="text" className="form-control"/>&#13;
		<field type="date" label="BIRTHDAY" name="date-1777473559695" className="form-control"/>&#13;
		<field type="text" label="GUEST 4 (if applicable)" name="text-1777473562029" subtype="text" className="form-control"/>&#13;
		<field type="text" label="FIRST NAME" name="text-1777473562461" subtype="text" className="form-control"/>&#13;
		<field type="text" label="MIDDLE NAME" name="text-1777473706947" subtype="text" className="form-control"/>&#13;
		<field type="text" label="LAST NAME" name="text-1777473706308" subtype="text" className="form-control"/>&#13;
		<field type="date" label="BIRTHDAY" name="date-1777473563444" className="form-control"/>&#13;
		<field type="text" label="GUEST 5 (if applicable)" name="text-1777473564390" subtype="text" className="form-control"/>&#13;
		<field type="text" label="FIRST NAME" name="text-1777473564604" subtype="text" className="form-control"/>&#13;
		<field type="text" label="MIDDLE NAME" name="text-1777473773831" subtype="text" className="form-control"/>&#13;
		<field type="text" label="LAST NAME" name="text-1777473773637" subtype="text" className="form-control"/>&#13;
		<field type="date" label="BIRTHDAY" name="date-1777473565434" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>