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Alesia Hawkins
Peacock Travel Agency
Your Amazing Vacation
<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field> <field type="header" subtype="h1" label="Peacock Membership"/> <field type="paragraph" subtype="p" label="Vacation often?&nbsp; Well, a Peacock Membership is for you!"/> <field type="paragraph" subtype="p" label="_____________________________________________________________________________________________"/> <field type="paragraph" subtype="p" label="A Peacock Membership is like having your very own Vacation&nbsp; Concierge Genie.&nbsp; Your wish for easy, smooth vacation planning services is our command.&nbsp; Our Membership not only includes extensive research that yields great vacation options, but also added benefits such as making reservations, researching and booking excursions, and much more!&nbsp; &nbsp;Let's get started booking your vacations for the next 12 months!&nbsp; You deserve it!&nbsp;"/> <field type="paragraph" subtype="p" label="___________________________________________________________________________________________"/> <field type="paragraph" subtype="p" label="Give us a call at 844-3-PEACOCK so we can gather a few details. Or, complete this quick questionnaire and we will follow up with a Meet &amp; Greet at a time convenient for your.&nbsp;Whichever is easier for you.&nbsp; We are all about making planning your vacation as easy and stress-free as possible!&nbsp;&nbsp;"/> <field type="text" label="What's the best time to contact you?" name="whats-the-best-time-to-contact-you" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Peacock Memberships"/> <field type="radio-group" required="true" label="How many vacations will take within the next 12-month period?&nbsp;" name="select-your-peacock-membership"> <option label="Silver Peacock Membership: Two Vacations ($200)" value="silver-peacock-membership-two-vacations-200">Silver Peacock Membership: Two Vacations ($200)</option> <option label="Bronze Peacock Membership: Three Vacations ($275)" value="bronze-peacock-membership-three-vacations-275">Bronze Peacock Membership: Three Vacations ($275)</option> <option label="Gold Peacock Membership: Four Vacations ($325)" value="gold-peacock-membership-four-vacations-325">Gold Peacock Membership: Four Vacations ($325)</option> </field> <field type="header" subtype="h1" label="Contact Person's Information"/> <field type="text" required="true" label="First Name" name="first-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="header" subtype="h1" label="General Information"/> <field type="text" label="Where would you like to go?&nbsp;" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="When would like to go on your vacations?" name="when-would-like-to-go-on-your-vacations" subtype="text" className="form-control"/> <field type="checkbox-group" label="Type of vacation experiences" name="type-of-vacation-experiences"> <option label="cruise" value="cruise">cruise</option> <option label="Disney World" value="disney-world">Disney World</option> <option label="Disneyland" value="disneyland">Disneyland</option> <option label="Adults-Only, All-Inclusive Resort" value="adultsonly-allinclusive-resort">Adults-Only, All-Inclusive Resort</option> <option label="Adults-Only Resort" value="adultsonly-resort">Adults-Only Resort</option> <option label="Family-Friendly, All-Inclusive Resort" value="familyfriendly-allinclusive-resort">Family-Friendly, All-Inclusive Resort</option> <option label="Family-Friendly Resort" value="familyfriendly-resort">Family-Friendly Resort</option> <option label="Hotel and Flight" value="hotel-and-flight">Hotel and Flight</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Preferred resort/hotel or cruise line?&nbsp; Enter your preference in "Other"." inline="true" name="whats-your-preferred-resorthotel-or-cruise-line-enter-your-preference-in-other" other="true"> <option label="I'm flexible" value="im-flexible">I'm flexible</option> </field> <field type="text" label="How many rooms will you need?&nbsp; Enter "Unknown" if this hasn't been determined for ALL vacations." name="how-many-roomsstaterooms-are-needed" subtype="text" className="form-control"/> <field type="text" label="How many people per room?&nbsp; Enter "Unknown" if this hasn't been determined for ALL vacations." name="how-many-people-per-room" subtype="text" className="form-control"/> <field type="text" label="Please list the ages of travelers under 18 years old" name="how-many-travelers-will-be-at-least-18-years-old-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="RESORTS/HOTELS"/> <field type="radio-group" label="What best describes your resort/hotel preference?&nbsp; Or, enter your preferred Resort/Hotel Star Rating (i.e., 4 Star, 5 Star) in "Other"." name="hotel-preference" other="true"> <option label="N/A" value="na">N/A</option> <option label="Economy" value="economy">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="header" subtype="h1" label="Airfare"/> <field type="radio-group" label="Would you need airline tickets?&nbsp;" inline="true" name="for-cruises-would-like-cruisearranged-airfare"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Enter your preferred airline?&nbsp; Enter "flexible" if you are open to all major&nbsp; carriers.&nbsp; Note: We do not include Spirit Airlines or Frontier Airlines as options unless requested." name="enter-your-preferred-airline-enter-flexible-if-you-are-open-to-all-major-carriers-note-we-do-not-include-spirit-airlines-or-frontier-airlines-as-options-unless-requested" subtype="text" className="form-control"/> <field type="text" label="What time would you prefer to leave on your outbound flights?&nbsp; Enter "N/A" if airline tickets aren't needed.&nbsp;&nbsp;" name="preferred-time-of-flight-departure" subtype="text" className="form-control"/> <field type="text" label="What time would you prefer to leave on your return flights? Enter "N/A" if airline tickets aren't needed." name="what-time-would-you-prefer-to-leave-on-your-return-flight-enter-na-if-airline-tickets-arent-needed" subtype="text" className="form-control"/> <field type="text" label="What's your preferred departure airport?&nbsp; &nbsp;Enter "N/A" if airline tickets are not needed.&nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Budget"/> <field type="text" label="What's the maximum amount of your budget per vacation?" name="whats-the-maximum-amount-of-your-budget-per-person" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like Peacock Travel Agency to know?" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="Thank you for considering Peacock Travel Agency!&nbsp; We look forward to building or continuing to build a relationship with you."/> </fields> </form-template> </body> </html>
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