<html> <body> <form-template> <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> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" label="Where would you like to go?" 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="date" 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"/> <field type="date" 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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="radio-group" label="What duration cruise are you interested in?" name="what-duration-cruise-are-you-interested-in"> <option label="3-5 Days" value="35-days">3-5 Days</option> <option label="6-9 Days" value="69-days">6-9 Days</option> <option label="10-14 Days" value="1014-days">10-14 Days</option> <option label="15+ Days" value="15-days">15+ Days</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Names and Birthdates of Each Passenger" description="This information is required in order to hold or book any cruise reservation" placeholder="Provide Names exactly as they appear on travel documents such as Passports or Birth Certificates" name="names-and-birthdates-of-each-passenger" rows="8" className="form-control"/> <field type="checkbox-group" label="What trip components do you require?" name="what-trip-components-do-you-require" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Car" value="car">Car</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="checkbox-group" label="Do you want to add a Land Tour before or after your trip" description="Land Tours are sightseeing trips around your port city or beyond (Ex. Denali National Park European Cities Tour Etc.)" name="do-you-want-to-add-a-land-tour-before-or-after-your-trip"> <option label="Yes" value="yes">Yes</option> </field> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$8,000 to $10,000" value="8000-to-10000">$8,000 to $10,000</option> <option label="10,000 to $17,000" value="10000-to-17000">10,000 to $17,000</option> <option label="$17,000 to $25,000" value="17000-to-25000">$17,000 to $25,000</option> <option label="$25,000+" value="25000">$25,000+</option> </field> <field type="checkbox-group" required="true" label="Are you interested in purchasing Travel Insurance?" name="are-you-interested-in-purchasing-travel-insurance"> <option label="Yes, I am interested. Please provide me with pricing details." value="yes-i-am-interested-please-provide-me-with-pricing-details">Yes, I am interested. Please provide me with pricing details.</option> <option label="No, I decline Travel Insurance coverage for this trip." value="no-i-decline-travel-insurance-coverage-for-this-trip">No, I decline Travel Insurance coverage for this trip.</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="checkbox-group" label="Promotions you may qualify for:" name="promotions-you-may-qualify-for"> <option label="Military (Active, Reserve, Retired)" value="military-active-reserve-retired">Military (Active, Reserve, Retired)</option> <option label="Over 55" value="over-55">Over 55</option> <option label="AAA Member" value="aaa-member">AAA Member</option> <option label="Law Enforcement/First Responder" value="law-enforcementfirst-responder">Law Enforcement/First Responder</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="radio-group" label="What best describes your hotel location preference?" description="Answer if booking a hotel in conjunction with cruise" name="accommodation-preference"> <option label="Closer to airport" value="closer-to-airport">Closer to airport</option> <option label="Closer to family & friends" value="closer-to-family-friends">Closer to family & friends</option> <option label="Closer to Cruise Port" value="closer-to-cruise-port">Closer to Cruise Port</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="What best describes your hotel service-level preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">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="radio-group" label="Cruise Stateroom Preference" name="cruise-stateroom-preference"> <option label="Interior Cabin" value="interior-cabin">Interior Cabin</option> <option label="Oceanview Cabin" value="oceanview-cabin">Oceanview Cabin</option> <option label="Balcony Cabin" value="balcony-cabin">Balcony Cabin</option> <option label="Junior Suite" value="junior-suite">Junior Suite</option> <option label=" Suite Class" value="-suite-class"> Suite Class</option> <option label="Multi-bedroom Suite" value="multibedroom-suite">Multi-bedroom Suite</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> <option label="Family Activities " value="family-activities-">Family Activities </option> <option label="History and culture" value="history-and-culture">History and culture</option> <option label="Architecture and design" value="architecture-and-design">Architecture and design</option> </field> <field type="textarea" label="Contact information for anyone that may like to take this trip with you" description="Name Email & Phone number" name="contact-information-for-anyone-that-may-like-to-take-this-trip-with-you" rows="4" className="form-control"/> </fields> </form-template> </body> </html>
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