<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Find the Perfect Vacation Destination for You!"/> <field type="header" subtype="h1" label="FULL LEGAL NAME (Saves us time later when completing the reservation!)"/> <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" name="preferred-name" 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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Where do you want to go?&nbsp;" 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" 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="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="text" required="true" label="Please list FULL names and birthdates of all travelers" name="please-list-names-and-ages-of-all-travellers" subtype="text" className="form-control"/> <field type="checkbox-group" label="What type of travel are you looking for?&nbsp;" description="Is there a particular kind of travel you are interested in?" name="what-type-of-travel-are-you-looking-for-"> <option label="Cruises - Ocean / Alaska / Mediterranean / Hawaii / Other" value="cruises-ocean-alaska-mediterranean-hawaii-other">Cruises - Ocean / Alaska / Mediterranean / Hawaii / Other</option> <option label="Cruises - River/ European or Domestic" value="cruises-river-european-or-domestic">Cruises - River/ European or Domestic</option> <option label="Disney" value="disney">Disney</option> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Beach Resort - Domestic" value="beach-resort-domestic">Beach Resort - Domestic</option> <option label="Beach Resort - International" value="beach-resort-international">Beach Resort - International</option> <option label="Europe - Sightseeing" value="europe-sightseeing">Europe - Sightseeing</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Domestic - Sightseeing " value="domestic-sightseeing-">Domestic - Sightseeing </option> <option label="Alaska" value="alaska">Alaska</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Caribbean" value="caribbean">Caribbean</option> </field> <field type="radio-group" required="true" 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="$3000 to $4000" value="3000-to-4000">$3000 to $4000</option> <option label="$4001 to $6000" value="4001-to-6000">$4001 to $6000</option> <option label="$6001 to $8000" value="6001-to-8000">$6001 to $8000</option> <option label="$8001 - $10,000" value="8001-10000">$8001 - $10,000</option> <option label="$10.001-$12000" value="1000112000">$10.001-$12000</option> <option label="$12,000+" value="12000">$12,000+</option> </field> <field type="radio-group" label="What best describes your hotel 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" required="true" label="Do you need a rental car?" name="do-you-need-a-rental-car"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="More than one" value="more-than-one">More than one</option> </field> <field type="radio-group" label="Rental Car Preference" name="rental-car-preference"> <option label="Economy" value="economy">Economy</option> <option label="Standard" value="standard">Standard</option> <option label="Mid-Size" value="midsize">Mid-Size</option> <option label="Premium" value="premium">Premium</option> <option label="SUV " value="suv-">SUV </option> <option label="Truck" value="truck">Truck</option> <option label="Sportscar" value="sportscar">Sportscar</option> <option label="Mini Van" value="mini-van">Mini Van</option> <option label="Full Sized Passenger Van" value="full-sized-passenger-van">Full Sized Passenger Van</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Multi-Generational" value="multigenerational">Multi-Generational</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Adventure" value="adventure">Adventure</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="LGBT" value="lgbt">LGBT</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="Family-Oriented" value="familyoriented">Family-Oriented</option> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Gambling" value="gambling">Gambling</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <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"/> </fields> </form-template> </body> </html>
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