Share your information with Cheri Smith

Cheri Smith

Wishes and Waves Travel LLC

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Travel Inquiry&amp;nbsp;"/>&#13;
		<field type="header" subtype="h3" label="Your Information&amp;nbsp;"/>&#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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you and all guests currently have a valid, unexpired passport as of today?" name="do-you-and-all-guests-currently-have-a-valid-unexpired-passport-as-of-today">&#13;
			<option label="Yes, we all do" value="yes-we-all-do">Yes, we all do</option>&#13;
			<option label="No, some of us need a passport renewal or 1st-time passport" value="no-some-of-us-need-a-passport-renewal-or-1sttime-passport">No, some of us need a passport renewal or 1st-time passport</option>&#13;
			<option label="None of us do" value="none-of-us-do">None of us do</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Trip Information"/>&#13;
		<field type="checkbox-group" required="true" label="Where are you in the planning process?&amp;nbsp;" name="what-type-of-vacation-are-your-interested-in-">&#13;
			<option label="I'm just getting started" value="im-just-getting-started">I'm just getting started</option>&#13;
			<option label="I have some ideas, but need help with research and planning" value="i-have-some-ideas-but-need-help-with-research-and-planning">I have some ideas, but need help with research and planning</option>&#13;
			<option label="I know just what I want, but need help booking it" value="i-know-just-what-i-want-but-need-help-booking-it">I know just what I want, but need help booking it</option>&#13;
		</field>&#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="text" required="true" label="When would you like to travel" description="This can be specific dates or as generic as &#39;summer&#39;" name="alternative-dates" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Who is traveling with you?" description="Please List Names and Ages For Everyone In Your Party" name="what-type-of-vacation-experience-are-you-hoping-to-have" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What type of vacation experience are you hoping to have? Why did you choose this destination?&amp;nbsp;" name="text-1749569726069" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What was the best vacation you&#39;ve ever been on? What made it so great?&amp;nbsp;" name="what-was-the-best-vacation-youve-ever-been-on-what-make-it-so-great-" className="form-control"/>&#13;
		<field type="textarea" label="What stories would you like to tell about your next trip?&amp;nbsp;" name="what-stories-would-you-like-to-tell-about-your-next-trip-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What is the MOST important part of this trip? What is non-negotiable?" name="what-is-the-most-important-part-of-this-trip-what-is-nonnegotiable" className="form-control"/>&#13;
		<field type="textarea" label="What are your must-don&#39;ts? You absolutely don&#39;t want to . . .&amp;nbsp;" name="what-are-you-mustdonts-you-absolutely-dont-want-to-" className="form-control"/>&#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="radio-group" required="true" label="Would you like to be added to our email list to receive our monthly email packed with travel inspiration and news?&amp;nbsp;" name="would-you-like-to-be-added-to-our-email-list-to-receive-our-monthly-email-packed-with-travel-inspiration-and-news-">&#13;
			<option label="Yes! That sounds great" value="yes-that-sounds-great">Yes! That sounds great</option>&#13;
			<option label="No thanks" value="no-thanks">No thanks</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>