Share your information with Day King

Day King

Dream Vacation Travel Agency

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	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Which Destination" description="Simply Let me know the dates and location of the post you saw" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="What is the departure date of the posted package?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="What is the return date of the posted package?&amp;nbsp;" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Most of our posted packages are based on double (two) occupancy. Are there a total two travelers for your trip?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many Adults (18+)?" name="how-many-adults-18" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many Children? (Please provide Ages)&amp;nbsp;" name="how-many-children-please-provide-ages-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What is the purpose of your trip" name="checkbox-group-1737136450337" other="true">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Baecation" value="baecation">Baecation</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Girls Trip" value="girls-trip">Girls Trip</option>&#13;
			<option label="Boys Trip" value="boys-trip">Boys Trip</option>&#13;
			<option label="Family Trip" value="family-trip">Family Trip</option>&#13;
			<option label="Just Beacause" value="just-beacause">Just Beacause</option>&#13;
			<option label="Solo Trip" value="solo-trip">Solo Trip</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Would you like to add travel insurance to your quote (FYI: The cost of insurance will be added to your deposit)" name="would-you-like-to-add-travel-insurance-to-your-quote" className="form-control">&#13;
			<option label="Yes -  (Pricing starts around $79.99 per person &amp; up - Refund is in form of Travel Credit)" value="yes-pricing-starts-around-7999-per-person-up-refund-is-in-form-of-travel-credit">Yes -  (Pricing starts around $79.99 per person &amp; up - Refund is in form of Travel Credit)</option>&#13;
			<option label="No - I would not like to add. I understand that by not doing so, my trip may not be refundable and i am not protected in the event of an emergency" value="no-i-would-not-like-to-add-i-understand-that-by-not-doing-so-my-trip-may-not-be-refundable-and-i-am-not-protected-in-the-event-of-an-emergency">No - I would not like to add. I understand that by not doing so, my trip may not be refundable and i am not protected in the event of an emergency</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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