Ashley Broders

AE Travelers

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    <form-template>&#13;
	<fields>&#13;
		<field type="text" label="PROMO CODE:" description="Insert Promo Code here to get special discount for your next hotel booking" name="promo-code" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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="Phone number" description="ex: 999-999-9999" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred method of contact" name="preferred-method-of-contact">&#13;
			<option label="Call" value="call">Call</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Best time to contact" name="best-time-to-contact">&#13;
			<option label="9am - 12pm" value="9am-12pm">9am - 12pm</option>&#13;
			<option label="12pm - 4pm" value="12pm-4pm">12pm - 4pm</option>&#13;
			<option label="5pm - 8pm" value="5pm-8pm">5pm - 8pm</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Information"/>&#13;
		<field type="radio-group" required="true" label="Would you like a Travel Insurance quote?" name="would-you-like-a-travel-insurance-quote">&#13;
			<option label="YES" value="yes">YES</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
			<option label="Unsure - I would like to know prices" value="unsure-i-would-like-to-know-prices">Unsure - I would like to know prices</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If traveling with children, please provide ages (while on travel dates)" name="if-traveling-with-children-please-provide-ages" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" 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="When would you like to return?" 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="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#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="Flight Information"/>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Flight Preference (seating location not guaranteed)" name="flight-preference-seating-location-not-guaranteed" other="true">&#13;
			<option label="DON'T NEED FLIGHT" value="dont-need-flight">DON'T NEED FLIGHT</option>&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Isle" value="isle">Isle</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
			<option label="Any seat, just get me on the plane" value="any-seat-just-get-me-on-the-plane">Any seat, just get me on the plane</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do ALL travelers have a valid passport?" description="Required for international travel" name="do-all-travelers-have-a-valid-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="N/A - Not traveling internationally" value="na-not-traveling-internationally">N/A - Not traveling internationally</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Room Type"/>&#13;
		<field type="checkbox-group" required="true" label="Room View/Type (check all that you prefer)" name="room-view" other="true">&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Pool View" value="pool-view">Pool View</option>&#13;
			<option label="Tropical/Garden View" value="tropicalgarden-view">Tropical/Garden View</option>&#13;
			<option label="Unique Club Garden View" value="unique-club-garden-view">Unique Club Garden View</option>&#13;
			<option label="Unique Club Ocean View" value="unique-club-ocean-view">Unique Club Ocean View</option>&#13;
			<option label="Adults Only Pool View" value="adults-only-pool-view">Adults Only Pool View</option>&#13;
			<option label="Adults Only Tropical" value="adults-only-tropical">Adults Only Tropical</option>&#13;
			<option label="Swim Up Suite" value="swim-up-suite">Swim Up Suite</option>&#13;
			<option label="Corner Suite" value="corner-suite">Corner Suite</option>&#13;
			<option label="No Preference - ANY" value="no-preference-any">No Preference - ANY</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many rooms do you need?" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many beds?" description="One King  Two Queens etc" name="how-many-beds" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your budget for ALL Travelers?" name="what-is-your-budget-for-all-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be ready to pay the deposit within 48 hours of receipt of proposal?" name="will-you-be-ready-to-pay-the-deposit-within-48-hours-of-receipt-of-proposal" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you interested in our Reduced Deposit Plan? (If Available)" description="Dependent on your trip  there may be an option for reduced deposit. Would you be interested if available?" name="are-you-interested-in-our-reduced-deposit-plan-if-available">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Fishing" value="fishing">Fishing</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="YouTube" value="youtube">YouTube</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="From a friend" value="from-a-friend">From a friend</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Want to be notified when we announce new travel destination, new group trips, &amp;amp; new blog posts? (Choose all that apply)" name="want-to-be-notified-when-we-announce-new-travel-destination-new-group-trips-new-blog-posts-choose-all-that-apply">&#13;
			<option label="Opt-in To Text Alerts" value="optin-to-text-alerts">Opt-in To Text Alerts</option>&#13;
			<option label="Opt-in To Travel Destination Emails" value="optin-to-travel-destination-emails">Opt-in To Travel Destination Emails</option>&#13;
			<option label="None At This Time" value="none-at-this-time">None At This Time</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Celebrating anything special?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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