<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="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to return?" name="when-would-you-like-to-return" subtype="text" className="form-control"/> <field type="text" required="true" label="State of Residence:" name="state-of-residence" subtype="text" className="form-control"/> <field type="radio-group" label="What is your preferred accommodation style?" name="what-is-your-preferred-accommodation-style"> <option label="Luxury & exclusive" value="luxury-exclusive">Luxury & exclusive</option> <option label="Boutique & intimate" value="boutique-intimate">Boutique & intimate</option> <option label="Large chain/ big brand" value="large-chain-big-brand">Large chain/ big brand</option> <option label="Moderate & functional" value="moderate-functional">Moderate & functional</option> </field> <field type="textarea" required="true" label="How many travelers? Please provide your legal names as listed on your passports, and birthdate for all travelers (optional)." name="how-many-travelers-please-provide-your-legal-names-as-listed-on-your-passports-and-birthdate-for-all-travelers" className="form-control"/> <field type="radio-group" required="true" label="What is your trip investment for all travelers (NOT including airfare)? For example, custom European trips start at $10,000 for 2 people/7 days.&nbsp;" name="what-is-your-ideal-total-budget-for-all-travelers"> <option label="I am interested in a weekend getaway." value="i-am-interested-in-a-weekend-getaway">I am interested in a weekend getaway.</option> <option label="$7,500-10,000" value="750010000">$7,500-10,000</option> <option label="$10,000-15,000" value="1000015000">$10,000-15,000</option> <option label="$15,000-20,000" value="1500020000">$15,000-20,000</option> <option label="$20,000- 25,000" value="20000-25000">$20,000- 25,000</option> <option label="$30,000+" value="30000">$30,000+</option> </field> <field type="text" label="Will you be using CC reward points for any portion of your vacation?&nbsp; If yes, please explain." name="will-you-be-using-cc-reward-points-for-any-portion-of-your-vacation-if-yes-please-explain" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Please select a preferred Travel Advisor:" name="please-select-a-preferred-travel-advisor"> <option label="Tiffany Cornelius" value="tiffany-cornelius">Tiffany Cornelius</option> <option label="Caitlin Guarisco" value="caitlin-guarisco">Caitlin Guarisco</option> <option label="Carleigh Tully" value="carleigh-tully">Carleigh Tully</option> <option label="Grace Williams" value="grace-williams">Grace Williams</option> <option label="Hannah Sherman" value="hannah-sherman">Hannah Sherman</option> <option label="Sarah Grand" value="sarah-grand">Sarah Grand</option> <option label="Any advisor is great!" value="any-advisor-is-great">Any advisor is great!</option> </field> <field type="textarea" required="true" label="Tell us more about your dream vacation." name="tell-us-more-about-your-dream-vacation-" className="form-control"/> <field type="checkbox-group" required="true" label="Can you confirm that all travelers have a current/ unexpired passport with at least 6 months of eligibility from the end date of your trip?" name="can-you-confirm-that-all-travelers-have-a-current-unexpired-passport-with-at-least-6-months-of-eligibility-from-the-end-date-of-your-trip"> <option label="Yes, I can confirm" value="yes-i-can-confirm">Yes, I can confirm</option> <option label="No, travelers will need to update their passports prior to travel" value="no-travelers-will-need-to-update-their-passports-prior-to-travel">No, travelers will need to update their passports prior to travel</option> </field> <field type="text" required="true" label="Who can we thank for referring you?" name="who-can-we-thank-for-referring-you" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to be subscribed to our newsletter?" name="would-you-like-to-be-subscribed-to-our-newsletter" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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