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<html> <body> <form-template> <fields> <field type="text" required="true" label="Reference Number from Social Media? i.e. D101" description="Example: D101 D102 D103" name="reference-number-from-social-media-ie-d101" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How many Guests?" name="how-many-guests"> <option label="Solo Trip (1)" value="solo-trip-1">Solo Trip (1)</option> <option label="2 Travelers" value="2-travelers">2 Travelers</option> <option label="3 Travelers" value="3-travelers">3 Travelers</option> <option label="4 Travelers" value="4-travelers">4 Travelers</option> <option label="5 Travelers" value="5-travelers">5 Travelers</option> </field> <field type="radio-group" required="true" label="Are you deposit ready?" name="deposits-range-from-100300-per-person-on-average-deposits-are-only-available-for-vacations-45-days-out-will-you-be-making-a-deposit-or-full-payment-today-"> <option label=" Yes, I'm ready to book!" value="-yes-im-ready-to-book"> Yes, I'm ready to book!</option> <option label=" No" value="-no"> No</option> </field> <field type="checkbox-group" required="true" label="Would you like travel insurance to protect your vacation? (Added to Deposit)" name="would-you-like-travel-insurance-to-protect-your-vacation"> <option label=" Yes, cheapest option (travel credit)" value="-yes-cheapest-option-travel-credit"> Yes, cheapest option (travel credit)</option> <option label="Yes, cash back option" value="yes-cash-back-option">Yes, cash back option</option> <option label="No insurance or I will get my own" value="no-insurance-or-i-will-get-my-own">No insurance or I will get my own</option> </field> <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" label="Social Media Name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" description="MM-DD-YYYY" placeholder="MM-DD-YYYY" name="date-of-birth" 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="text" required="true" label="Other Travelers (Name and DOB for all other travelers)" name="other-travelers-name-and-dob-for-all-other-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Trip Information"/> <field type="radio-group" required="true" label="Dates" name="dates"> <option label="Go with random dates for best price" value="go-with-random-dates-for-best-price">Go with random dates for best price</option> <option label="I want specific dates & understand prices may change" value="i-want-specific-dates-understand-prices-may-change">I want specific dates & understand prices may change</option> </field> <field type="text" label="If different dates, what dates?" name="if-different-dates-what-dates" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How many nights?" name="how-many-nights"> <option label="Just a weekend (Fri-Sun)" value="just-a-weekend-frisun">Just a weekend (Fri-Sun)</option> <option label="4 nights" value="4-nights">4 nights</option> <option label="5 nights" value="5-nights">5 nights</option> </field> <field type="radio-group" label="Do you and your guest have a passport? (if applicable)" name="do-you-and-your-guest-have-a-passport-if-applicable"> <option label="NA" value="na">NA</option> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Applied for, Will before travel" value="applied-for-will-before-travel">Applied for, Will before travel</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know? Any special request or details left out?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="radio-group" required="true" label="I have read and understand ALL the terms/conditions below." name="i-have-read-and-understand-all-the-termsconditions-below"> <option label="Read and understood. I agree." value="read-and-understood-i-agree">Read and understood. I agree.</option> <option label=" I have questions. I do not agree" value="-i-have-questions-i-do-not-agree"> I have questions. I do not agree</option> </field> <field type="paragraph" subtype="p" label="This was a posted social media deal. Please understand all vacations are based upon availability. Prices and availability are subject to change at any moment. Travel is in high demand and prices have increased. Tour operators have their own contact number for tours and/or activities. Please contact them during your vacation for specific questions."/> <field type="paragraph" subtype="p" label="** Extra fees may apply to any changes made 24 hours after a completed booking."/> </fields> </form-template> </body> </html>
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