<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Contact Information for EurWay Tours&nbsp;"/> <field type="text" required="true" label="Travel Destination" description="Where would you like to travel to?" name="travel-destination" subtype="text" className="form-control"/> <field type="text" label="How many will be traveling ?" description="How many people in total will be traveling ?" name="how-many-will-be-traveling-" subtype="text" className="form-control"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Passport Information"/> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of birth" name="birthday" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="file" label="Passport photo" name="passport_photo" subtype="file" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="date" label="Date to begin travel" name="dates-to-travel" className="form-control"/> <field type="date" label="Date to end travel" name="date-to-end-travel" className="form-control"/> <field type="header" subtype="h2" label="Additional Info"/> <field type="textarea" required="true" label="Departure Airport" description="Where you preffer to fly from" name="departure-airport" className="form-control"/> <field type="textarea" label="Handicap / Disabilities" description="List any handicaps that might hinder certain portions of a tour or Travel" name="handicap-disabilities" className="form-control"/> <field type="text" label="TSA Security Number (PreCheck)" description="Optional if you have TSA" name="tsa-security-number-precheck" subtype="text" 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="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> <option label="Business Class " value="business-class-">Business Class </option> </field> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> <option label="Single" value="single">Single</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference"> <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="checkbox-group" label="Travel Request for:" description="Choose what type of tour or travel you are requesting to register for." name="travel-request-for" other="true"> <option label="Plane Tickets ONLY" value="Plane-tickets-only">Plane Tickets ONLY</option> <option label="Customized Tour" value="customized-tour">Customized Tour</option> <option label="EVENT TICKETS ONLY" value="event-tickets-only">EVENT TICKETS ONLY</option> <option label="Southern Germany - Guided Tour" value="southern-germany-guided-tour">Southern Germany - Guided Tour</option> <option label="Central Germany - Guided Tour" value="central-germany-guided-tour">Central Germany - Guided Tour</option> <option label="Christmas Market Tour" value="christmas-market-tour">Christmas Market Tour</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Resort Vacation" value="resort-vacation">Resort Vacation</option> <option label="Castle Stay / Castle Tours" value="castle-stay-castle-tours">Castle Stay / Castle Tours</option> <option label="Christmas Market Cruise" value="christmas-market-cruise">Christmas Market Cruise</option> <option label="Anniversary Tour" value="anniversary-tour">Anniversary Tour</option> <option label="Middle East Vacation" value="middle-east-vacation">Middle East Vacation</option> <option label="African Tour" value="african-tour">African Tour</option> <option label="Religious Tour" value="religious-tour">Religious Tour</option> <option label="USA Tour" value="usa-tour">USA Tour</option> <option label="Beach Vacation" value="beach-vacation">Beach Vacation</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</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 theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Do you have a Budget?" description="How much money per person where you looking to spend?" name="do-you-have-a-budget" subtype="text" className="form-control"/> <field type="text" label="Notes / Roommate Name / Group Name / Dietary Requests, etc." name="notes-roommate-name-dietary-requests-etc" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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