<html> <body> <form-template> <fields> <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" 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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" label="Travel Start Date" name="travel-start-date" className="form-control"/> <field type="date" label="Travel End Date" name="travel-end-date" className="form-control"/> <field type="radio-group" label="Type of Vacation Inquiry" name="type-of-vacation-inquiry"> <option label="Cruise Ship Travel" value="cruise-ship-travel">Cruise Ship Travel</option> <option label="Theme Park Vacation" value="theme-park-vacation">Theme Park Vacation</option> <option label="Tour Package" value="tour-package">Tour Package</option> <option label="Airline Tickets" value="airline-tickets">Airline Tickets</option> <option label="Transportation" value="transportation">Transportation</option> <option label="Group Travel" value="group-travel">Group Travel</option> <option label="Corporate Travel" value="corporate-travel">Corporate Travel</option> <option label="Wedding/Honeymoon" value="weddinghoneymoon">Wedding/Honeymoon</option> <option label="International Travel" value="international-travel">International Travel</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="General Information" name="general-information" className="form-control"/> <field type="text" label="How did you hear about&nbsp; PKD Travel Pro?" name="how-did-you-hear-about-pkd-travel-pro" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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