TravelJoy

Bali Luxe Escape

Bali, Indonesia

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Getting To Know You"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to join our email list?" description="We value your privacy and never send spam." name="would-you-like-to-join-our-email-list">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="Are you seriously interested in joining this trip?&amp;nbsp;" name="what-type-of-trip-are-you-thinking-of-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
			<option label="Just curious" value="just-curious">Just curious</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Travel Dates" name="do-you-prefer-nonstop-flights-">&#13;
			<option label="June 01 - 08, 2026" value="june-01-08-2026">June 01 - 08, 2026</option>&#13;
			<option label="June 08 - 15, 2026" value="june-08-15-2026">June 08 - 15, 2026</option>&#13;
			<option label="June 15 - June 22, 2026" value="june-15-june-22-2026">June 15 - June 22, 2026</option>&#13;
			<option label="June 22 - June 29, 2026" value="june-22-june-29-2026">June 22 - June 29, 2026</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you planning to travel solo or with a companion?&amp;nbsp;" name="are-you-looking-to-pay-over-time">&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="With a Friend/Partner" value="with-a-friendpartner">With a Friend/Partner</option>&#13;
			<option label="Open to sharing accommodations with another traveler" value="open-to-sharing-accommodations-with-another-traveler">Open to sharing accommodations with another traveler</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What price range feels comfortable for you?" name="what-price-range-feels-comfortable-for-you">&#13;
			<option label="$2,000 - $3,000" value="2000-3000">$2,000 - $3,000</option>&#13;
			<option label="$3,000-$4,000" value="30004000">$3,000-$4,000</option>&#13;
			<option label="$4,000+" value="4000">$4,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything you&#39;d like us to know?" description="No detail is too small." name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>