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Michael Goines
MD Luxury Travel
Vacation Form
<html> <body> <form-template> <fields> <field type="header" subtype="h3" label="Welcome to MD Luxury Travel Vacation Request Form. At MD Luxury Travel we understand that every journey is unique, and we are dedicated to curating exceptional experiences tailored to your preferences. Please take a few moments to fill out the following form, providing us with essential details about your desired vacation or destination wedding. The more information you provide, the better we can customize your itinerary and ensure an unforgettable trip."/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="checkbox-group" required="true" label="Occasion of Travel&nbsp;&nbsp;" name="occasion-of-travel-"> <option label="All-Inclusive Vacation" value="allinclusive-vacation">All-Inclusive Vacation</option> <option label="Destination Wedding " value="destination-wedding-">Destination Wedding </option> <option label="Vow Renewal" value="vow-renewal">Vow Renewal</option> <option label="Milestone Birthday " value="milestone-birthday-">Milestone Birthday </option> <option label="Conference / Retreat " value="conference-retreat-">Conference / Retreat </option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="text" required="true" label="Departing Airport" name="preferred-airport" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Destination" name="destination" className="form-control"/> <field type="text" required="true" label="Number of Adults&nbsp;" name="number-of-guests" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Children&nbsp;" name="number-of-children-" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Rooms" name="number-of-rooms" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="date" required="true" label="Arrive Home" name="date-1628010741694" className="form-control"/> <field type="date" required="true" label="Depart Home" name="date-1628010739430" className="form-control"/> <field type="radio-group" required="true" label="Bed preference" name="bed-preference"> <option label="King Suite" value="king-suite">King Suite</option> <option label="2 Double/Queen Suite " value="2-doublequeen-suite-">2 Double/Queen Suite </option> <option label="1- Bedroom Suite" value="1-bedroom-suite">1- Bedroom Suite</option> <option label="2-Bedroom Suite " value="2bedroom-suite-">2-Bedroom Suite </option> <option label="3-Bedroom Suite " value="3bedroom-suite-">3-Bedroom Suite </option> </field> <field type="radio-group" required="true" label="Hotel preference" name="hotel-preference"> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Moderate " value="moderate-">Moderate </option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="Vibe Preferences" name="vibe-preference"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Party" value="party">Party</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Group" value="group">Group</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Ziplines" value="ziplines">Ziplines</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="ATV" value="atv">ATV</option> <option label="Horseback Riding" value="horseback-riding">Horseback Riding</option> <option label="Full body Massages" value="full-body-massages">Full body Massages</option> </field> <field type="textarea" required="true" label="Budget Per Person" name="textarea-1628011818000" className="form-control"/> </fields> </form-template> </body> </html>
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AtlasGlobal (AtlasMiles)
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Braathens Regional Airlines (BRA Friends )
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TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
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Air Arabia (Airewards)
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Leonardo Hotels (AdvantageCLUB)
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