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Tamarian Maddox
Opulence Travel Services
3D Dream Travel Social Media/Upcoming Deals Form
<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="PLEASE NOTE PRICES ARE NOT GUARANTEED AND SUBJECT TO CHANGE, UNTIL THE DEPOSIT IS RECEIVED OR THE TRIP IS PAID IN FULL. A PLANNING FEE IS REQUIRED TO ADD FLIGHTS TO HOTEL ONLY DEALS. A PLANNING FEE IS REQUIRED TO CHANGE DEPARTURE CITIES."/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="What is your phone number?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers total?" name="how-many-travelers-total" subtype="text" className="form-control"/> <field type="text" label="How many rooms will you need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Which travel deal do you desire to book? Check post for the special code." name="special-travel-request" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="textarea" label="Questions&nbsp;" name="questions-" className="form-control"/> <field type="select" label="Are you ready to pay the deposit?" name="are-you-ready-to-pay-the-deposit" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I have questions " value="i-have-questions-">I have questions </option> </field> <field type="checkbox-group" label="Which cabin would you like? (Cruises)" name="which-cabin-would-you-like-cruises"> <option label="Interior " value="interior-" selected="selected">Interior </option> <option label="Ocean View " value="ocean-view-">Ocean View </option> <option label="Balcony " value="balcony-">Balcony </option> <option label="Suite" value="suite">Suite</option> </field> </fields> </form-template> </body> </html>
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