<html> <body> <form-template> <fields> <field label="Questions for your trip" subtype="h2" type="header"/> <field label="Full name" subtype="h2" type="header"/> <field label="First name (exactly as shown on your passport)" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Middle name or maiden name&nbsp;(exactly as shown on your passport)" name="middle-name" subtype="text" type="text" className="form-control"/> <field label="Last name&nbsp;&nbsp;(exactly as shown on your passport)" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Suffix (Jr, Sr, III. Please state if it is listed after your middle name or after your last name on your passport)" name="suffix" subtype="text" type="text" className="form-control"/> <field label="Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field label="Instagram profile" name="instagram-profile" subtype="text" type="text" className="form-control"/> <field label="Important Dates" subtype="h2" type="header"/> <field label="Birthday" name="birthday" type="date" className="form-control"/> <field label="Wedding anniversary" name="wedding-anniversary" type="date" className="form-control"/> <field description="If you're not sure just give us a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" required="true" subtype="text" type="text" className="form-control"/> <field description="This just gives us a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" required="true" type="date" className="form-control"/> <field description="This just gives us a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" required="true" type="date" className="form-control"/> <field label="Are your dates flexible by a few days?" name="dates-flexible" required="true" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field description="Do you have an airport preference?" label="Where will you be flying from?" name="departure-city" required="true" subtype="text" type="text" className="form-control"/> <field label="How many adult travelers?" name="number-of-travelers" required="true" type="text" className="form-control"/> <field label="Will any children be traveling with you?&nbsp;If so,&nbsp; how old will they be at time of travel?" name="will-any-children-be-traveling-with-you" required="true" subtype="text" type="text" className="form-control"/> <field label="Please list additional travelers' names exactly as shown on their passports. Include dates of birth is you have them." name="prefix" required="true" subtype="text" type="text" className="form-control"/> <field description="Required for international travel" label="Do you currently have passports?" name="do-you-currently-have-passports" required="true" type="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Already applied" value="already-applied">Already applied</option> </field> <field description="This just gives me a general starting point and can always be changed later." label="What is your budget for all travelers?" name="budget" required="true" type="radio-group"> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000-$20,000" value="1000020000">$10,000-$20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field label="What best describes your hotel preference?" name="hotel-preference" other="true" required="true" type="radio-group"> <option label="Moderate ex. Hilton" value="moderate-ex-hilton">Moderate ex. Hilton</option> <option label="Luxury ex. Four Seasons" value="luxury-ex-four-seasons">Luxury ex. Four Seasons</option> <option label="Unique ex. Villa or Apartment" value="unique-ex-villa-or-apartment">Unique ex. Villa or Apartment</option> </field> <field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" required="true" type="checkbox-group"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field description="Check all that apply" label="What activities are you interested in?" name="activity-preferences" other="true" required="true" type="checkbox-group"> <option label="Beach, pool, sun" value="beach-pool-sun">Beach, pool, sun</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure " value="adventure-">Adventure </option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Foodie/Cooking" value="foodiecooking">Foodie/Cooking</option> <option label="Spa" value="spa">Spa</option> </field> <field label="Travel Preferences" subtype="h2" type="header"/> <field description="We always assign seats adjacent to each other as close to the front of the plane and away from the restrooms by default." label="Do you prefer an aisle or window seat?&nbsp;We always assign seats&nbsp; adjacent to each other&nbsp; as close to the front of the plane, and away from the restrooms by default.&nbsp;" name="seat-preference" type="radio-group"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> </field> <field label="Bed preference" name="bed-preference" required="true" type="radio-group"> <option label="King" value="king">King</option> <option label="2 Double Beds/Queens" value="2-double-bedsqueens">2 Double Beds/Queens</option> </field> <field label="Any dietary restrictions?" name="meal-preference" subtype="text" type="text" className="form-control"/> <field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/> <field label="Tell us a fun fact about yourself. We love getting to know our clients." name="tell-us-a-fun-fact-about-yourself-we-love-getting-to-know-our-clients" required="true" subtype="text" type="text" className="form-control"/> <field description="What else would you like us to know about your travelers budget and/or travel preferences?" label="Is there anything else you would like us to know about this trip?" name="notes" subtype="textarea" type="textarea" className="form-control"/> </fields> </form-template> </body> </html>
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