<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your quote"/> <field type="paragraph" subtype="p" label="The more you tell us about what you're longing for in your travel experience, the better we can tailor our services to fit your vision perfectly."/> <field type="header" subtype="h2" label="Full name"/> <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="date" required="true" label="Date Of Birth" name="date-of-birth" 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="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us"> <option label="Facebook/Instagram" value="facebookinstagram">Facebook/Instagram</option> <option label="Google Search" value="google-search">Google Search</option> </field> <field type="text" label="If from a referral, please let us know who to thank" name="if-from-a-referral-please-let-us-know-who-to-thank" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to travel to?" 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" 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"/> <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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="radio-group" required="true" label="Is your passport valid for your dates of travel?" name="is-your-passport-valid-for-your-dates-of-travel"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms?" name="how-many-rooms" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred Bedding?" name="preferred-room-category"> <option label="King" value="king">King</option> <option label="Double" value="double">Double</option> </field> <field type="text" label="If you are traveling with children, please list each of their ages." name="if-you-are-traveling-with-children-please-list-each-of-their-ages" subtype="text" className="form-control"/> <field type="text" required="true" label="Which airport will you be flying from?" description="What is your departure city?" name="which-airport-will-you-be-flying-from" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your ideal per person budget?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$2,500 to $4,500" value="2500-to-4500" selected="selected">$2,500 to $4,500</option> <option label="$4,500 - $6,500" value="4500-6500">$4,500 - $6,500</option> <option label="$6,500 -$8,500" value="6500-8500">$6,500 -$8,500</option> <option label="$8,500 - $10,000" value="8500-10000">$8,500 - $10,000</option> <option label="$10,000 +" value="10000-">$10,000 +</option> </field> <field type="radio-group" required="true" label="What type of accommodations would you like?" name="what-type-of-accommodations-would-you-like"> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Boutique Hotel" value="boutique-hotel">Boutique Hotel</option> <option label="Private Villa" value="private-villa">Private Villa</option> </field> <field type="checkbox-group" required="true" label="What kind of travel are you interested in?" description="Check all that apply." inline="true" name="vibe-preference" other="true"> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="All-Inclusive Resort - Adult Only" value="allinclusive-resort-adult-only">All-Inclusive Resort - Adult Only</option> <option label="All-Inclusive Resort - Family Friendly" value="allinclusive-resort-family-friendly">All-Inclusive Resort - Family Friendly</option> <option label="Wellness Vacation" value="wellness-vacation">Wellness Vacation</option> <option label="Honeymoon/Anniversary Travel" value="honeymoonanniversary-travel">Honeymoon/Anniversary Travel</option> <option label="Birthday Celebration" value="birthday-celebration">Birthday Celebration</option> <option label="Group Vacation (6 or more rooms)" value="group-vacation-6-or-more-rooms">Group Vacation (6 or more rooms)</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Girlfriends Getaway" value="girlfriends-getaway">Girlfriends Getaway</option> <option label="Mancation/Bachelor Party - Men only" value="mancationbachelor-party-men-only">Mancation/Bachelor Party - Men only</option> <option label="Solo Travel" value="solo-travel">Solo Travel</option> <option label="Just need to getaway" value="just-need-to-getaway">Just need to getaway</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Pickel Ball" value="pickel-ball">Pickel Ball</option> <option label="Golf" value="golf">Golf</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Watersports" value="watersports">Watersports</option> <option label="Night Life" value="night-life">Night Life</option> <option label="Tennis" value="tennis">Tennis</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Do you have any allergies or mobility challenges?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="radio-group" required="true" label="A vacation specialist will contact you within 24 hours. Are you prepared to make a deposit IF the quote is acceptable?&nbsp;" name="a-vacation-specialist-will-contact-you-within-24-hours-are-you-prepared-to-make-a-deposit-if-the-quote-is-acceptable-"> <option label="ASAP Ready to book" value="asap-ready-to-book">ASAP Ready to book</option> <option label="Within 1 week" value="within-1-week">Within 1 week</option> <option label="Just looking at options" value="just-looking-at-options">Just looking at options</option> </field> </fields> </form-template> </body> </html>
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