<html> <body> <form-template> <fields> <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" 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="Travel Dates"/> <field type="checkbox-group" required="true" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If your dates are flexible, list your options below." name="if-your-dates-are-flexible-list-a-few-options-below" subtype="text" className="form-control"/> <field type="date" required="true" label="Sailing Date" name="check-in-date" className="form-control"/> <field type="checkbox-group" required="true" label="How many nights would you like to sail?" name="how-many-nights-would-you-like-to-sail" other="true"> <option label="3-4 nights" value="34-nights">3-4 nights</option> <option label="5 nights" value="5-nights">5 nights</option> <option label="7+ nights" value="7-nights">7+ nights</option> </field> <field type="header" subtype="h1" label="Your Trip and Accommodations&nbsp;"/> <field type="text" required="true" label="What is your budget (not including airfare)?" name="do-you-have-a-specific-resort-in-mind" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do oyu have a stateroom prefernce?" name="resort-type"> <option label="Verandah or Balcony" value="verandah-or-balcony">Verandah or Balcony</option> <option label="Oceanview (with window - no balcony)" value="oceanview-with-window-no-balcony">Oceanview (with window - no balcony)</option> <option label="Suite" value="suite">Suite</option> <option label="Interior Stateroom (no window or balcony)" value="interior-stateroom-no-window-or-balcony">Interior Stateroom (no window or balcony)</option> </field> <field type="checkbox-group" required="true" label="Do you have a preference in stateroom location?" name="when-choosing-a-resort-what-is-most-important-to-you-" other="true"> <option label="Aft (back of ship)" value="aft-back-of-ship">Aft (back of ship)</option> <option label="Mid-ship" value="midship">Mid-ship</option> <option label="Forward (front of ship)" value="forward-front-of-ship">Forward (front of ship)</option> <option label="Higher Deck Floor" value="higher-deck-floor">Higher Deck Floor</option> <option label="Middle Deck Floor" value="middle-deck-floor">Middle Deck Floor</option> </field> <field type="checkbox-group" label="Which Cruise Line are you interested in?" name="do-any-of-these-apply-to-you" other="true"> <option label="Disney Cruise LIne" value="disney-cruise-line">Disney Cruise LIne</option> <option label="Royal Caribbean " value="royal-caribbean-">Royal Caribbean </option> <option label="Carnival" value="carnival">Carnival</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> <option label="Princess " value="princess-">Princess </option> <option label="River Cruises (AmaWaterways, Viking)" value="river-cruises-amawaterways-viking">River Cruises (AmaWaterways, Viking)</option> </field> <field type="checkbox-group" label="Are you celebrating while on vacation?" name="are-you-celebrating-while-on-vacation"> <option label="Birthday" value="birthday">Birthday</option> <option label="First Visit" value="first-visit">First Visit</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Personal Triumph" value="personal-triumph">Personal Triumph</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Reunion" value="reunion">Reunion</option> <option label="Graduation" value="graduation">Graduation</option> </field> <field type="text" label="Do you have a specific Port of Call you're interested in visiting?" name="do-you-have-a-specific-port-of-call-youre-interested-in-visiting" subtype="text" className="form-control"/> <field type="checkbox-group" label="Which port would you like to depart from?" name="which-port-would-you-like-to-depart-from" other="true"> <option label="Port Canaveral" value="port-canaveral">Port Canaveral</option> <option label="Miami" value="miami">Miami</option> <option label="Ft. Lauderdale" value="ft-lauderdale">Ft. Lauderdale</option> <option label="Galveston" value="galveston">Galveston</option> <option label="Mobile" value="mobile">Mobile</option> <option label="New Orleans" value="new-orleans">New Orleans</option> <option label="Seattle (Alaskan Cruises)" value="seattle-alaskan-cruises">Seattle (Alaskan Cruises)</option> <option label="Canada (Alaskan Cruises)" value="canada-alaskan-cruises">Canada (Alaskan Cruises)</option> <option label="California " value="california-">California </option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> </field> <field type="header" subtype="h1" label="Guest Information"/> <field type="text" required="true" label="Total number of adults traveling" name="total-number-of-adults-traveling" subtype="text" className="form-control"/> <field type="text" required="true" label="Total number of children traveling" name="total-number-of-kids-traveling" subtype="text" className="form-control"/> <field type="text" label="What ages will each child be at time of travel?" name="ages-of-kids-at-time-of-travel" subtype="text" className="form-control"/> <field type="textarea" label="If you anticipate needing more than one room, please specify how you would like the rooms to be divided." placeholder="Example: Room 1: 2 adults 2 kids (12 15) Room 2: 1 adult 3 kids (4 6 9)" name="if-you-will-need-more-than-one-room-list-how-the-rooms-will-be-split" className="form-control"/> <field type="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true"> <option label="Friend or Family" value="friend-or-family">Friend or Family</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Google" value="google">Google</option> </field> <field type="text" label="If you chose family or friend, who can we thank?" name="if-you-chose-familyfriend-who-can-we-thank" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="When are you planning to book?" name="when-are-you-planning-to-book"> <option label="Ready to book" value="ready-to-book">Ready to book</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="Reasearching" value="reasearching">Reasearching</option> </field> <field type="radio-group" label="How would you like to be contacted?" name="how-would-you-like-to-be-contacted"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> </fields> </form-template> </body> </html>
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