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Nneka Crayton Turner

AGAPE Excursions “Unlock Your Travel Passions!”

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="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 required="true"  type="text" label="Email" name="email" 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="Travel Preferences"/>&#13;
		<field type="paragraph" subtype="p" label="Please Briefly Explain Travel Request and Budget"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
		<field type="text" label="Text Field" name="text-1748551494062" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Do you have a passport?" inline="true" name="do-you-have-a-passport">&#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="Do you have a passport?" name="checkbox-group-1748551702925">&#13;
			<option label="Will you have a passport before your vacation?" value="will-you-have-a-passport-before-your-vacation">Will you have a passport before your vacation?</option>&#13;
			<option label="Do you have a RightId?" value="do-you-have-a-rightid">Do you have a RightId?</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="If, no will you have a passport before your vacation?&amp;nbsp;" name="if-no-will-you-have-a-passport-before-your-vacation-">&#13;
			<option label="Yes " value="yes-" selected="selected">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="N/A, I have a Passport" value="na-i-have-a-passport">N/A, I have a Passport</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do You Have A Right Id? (For Domestic Travel)" name="do-you-have-a-right-id-for-domestic-travel">&#13;
			<option label="Yes " value="yes-" selected="selected">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>