Share your information with Ashley Bryson

Ashley Bryson

Travelmation

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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 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="h1" label="Questions for your trip&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Where would you like to go?&amp;nbsp;" name="where-would-you-like-to-go-" value="ex. Bahamas " subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?&amp;nbsp;" description="These dates can be changed. " name="when-would-you-like-to-depart-" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?&amp;nbsp;" description="These dates can be changed. " name="when-would-you-like-to-return-" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?&amp;nbsp;" name="are-your-dates-flexible-">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where are you flying from? " name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?&amp;nbsp;" name="how-many-travelers-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="If your group is larger, how would you like the rooms configured?&amp;nbsp;" description="Ex: 2 rooms with 3 in each room " name="if-your-group-is-larger-how-would-you-like-the-rooms-configured-" className="form-control"/>&#13;
		<field type="text" label="If children... please list first name and age at the time of sailing.&amp;nbsp;" name="if-children-please-list-first-name-and-age-at-the-time-of-sailing-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?&amp;nbsp;" description="This just gives me a general starting point. " name="what-is-your-budget-for-all-travelers-">&#13;
			<option label="Under $1,000" value="under-1000">Under $1,000</option>&#13;
			<option label="$1,000 - $1,500" value="1000-1500">$1,000 - $1,500</option>&#13;
			<option label="$1,500- $2,500" value="1500-2500">$1,500- $2,500</option>&#13;
			<option label="$2,500 - $4,500" value="2500-4500">$2,500 - $4,500</option>&#13;
			<option label="$4,500 - $6,500 " value="4500-6500-">$4,500 - $6,500 </option>&#13;
			<option label="$6,500 - $8,500" value="6500-8500">$6,500 - $8,500</option>&#13;
			<option label="$8,500 - $10,000" value="8500-10000">$8,500 - $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What cruise line do you prefer?&amp;nbsp;" name="what-cruise-line-do-you-prefer-">&#13;
			<option label="Royal Caribbean " value="royal-caribbean-" selected="selected">Royal Caribbean </option>&#13;
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>&#13;
			<option label="Virgin Voyages " value="virgin-voyages-">Virgin Voyages </option>&#13;
			<option label="Norwegian Cruise Lines" value="norwegian-cruise-lines">Norwegian Cruise Lines</option>&#13;
			<option label="MSC " value="msc-">MSC </option>&#13;
			<option label="Princess Cruise Lines" value="princess-cruise-lines">Princess Cruise Lines</option>&#13;
			<option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option>&#13;
			<option label="Celebrity Cruise Lines " value="celebrity-cruise-lines-">Celebrity Cruise Lines </option>&#13;
			<option label="AmaWaterways" value="amawaterways">AmaWaterways</option>&#13;
			<option label="Viking " value="viking-">Viking </option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="text" label="Cruise Loyalty Programs&amp;nbsp;" description="If you belong to a loyalty program with a cruise line, you can let me know your number here. This can used to get special discounts " name="cruise-loyalty-programs-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have any specific ships you would like to sail on?&amp;nbsp;" name="do-you-have-any-specific-ships-you-would-like-to-sail-on-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Is there a certain type of stateroom you prefer?&amp;nbsp;" name="is-there-a-certain-type-of-stateroom-you-prefer-" other="true">&#13;
			<option label="Suite " value="suite-">Suite </option>&#13;
			<option label="Balcony " value="balcony-">Balcony </option>&#13;
			<option label="Ocean View " value="ocean-view-">Ocean View </option>&#13;
			<option label="Interior " value="interior-">Interior </option>&#13;
		</field>&#13;
		<field type="select" label="Do you need Pre or Post cruise arrangments?&amp;nbsp;" name="do-you-need-pre-or-post-cruise-arrangments-" multiple="multiple" className="form-control">&#13;
			<option label="Flights " value="flights-" selected="selected">Flights </option>&#13;
			<option label="Hotel " value="hotel-">Hotel </option>&#13;
			<option label="Transfers " value="transfers-">Transfers </option>&#13;
			<option label="No thank you " value="no-thank-you-">No thank you </option>&#13;
		</field>&#13;
		<field type="text" label="Anything you must absolutely see or do?&amp;nbsp;" name="anything-you-must-absolutely-see-or-do-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?&amp;nbsp;" name="what-else-would-you-like-me-to-know-" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>