<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Your information:"/> <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="Preferred name" name="preferred-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="date" required="true" label="Birth Date" name="birthday" className="form-control"/> <field type="text" required="true" label="Address line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Province" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Postal Code" name="address-zip" subtype="text" className="form-control"/> <field type="date" label="Wedding or Anniversary Date" name="wedding-anniversary" value="YYYY-MM-DD" className="form-control"/> <field type="header" subtype="h1" label="Your Travel Details:"/> <field type="text" required="true" label="Where would you like to go?" description="The destination you're considering." placeholder="ex: Tahiti" name="destination" 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" label="Children's ages at time of travel?" description="ex. infant 2 7 12" name="childrens-ages-at-time-of-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure &amp; return city?" description="Preferred Airport" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Length of Trip (Number of nights)" description="7 nights 8 night cruise, etc." name="length-of-trip-number-of-nights" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="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="A general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="No" value="no">No</option> <option label="Yes - flexible a few days before or after" value="yes-days">Yes - flexible a few days before or after</option> <option label="Yes - flexible week before or after " value="yes-week">Yes - flexible week before or after </option> <option label="Yes - flexible within the same month" value="yes-month">Yes - flexible within the same month</option> </field> <field type="checkbox-group" required="true" label="Do all travellers have a valid passport?" description="Check the appropriate description" name="do-all-travellers-have-a-valid-passport"> <option label="Yes, and does not expire within the next year" value="yes-and-does-not-expire-within-the-next-year">Yes, and does not expire within the next year</option> <option label="Yes, but expires soon and need to renew" value="yes-but-expires-soon-and-need-to-renew">Yes, but expires soon and need to renew</option> <option label="No, need to renew or apply" value="no-need-to-renew-or-apply">No, need to renew or apply</option> </field> <field type="radio-group" required="true" label="Type of Trip" description="What type of trip are you looking for?" name="type-of-trip"> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Ocean Cruise" value="oceancruise">Ocean Cruise</option> <option label="River Cruise" value="rivercruise">River Cruise</option> <option label="Guided Tour" value="guidedtour">Guided Tour</option> <option label="Independent Tour / Cityscape" value="independent-tour-cityscape">Independent Tour / Cityscape</option> <option label="Group Trip" value="group">Group Trip</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Proposal Planning" value="proposal">Proposal Planning</option> <option label="Travel Insurance" value="insurance">Travel Insurance</option> </field> <field type="radio-group" required="true" label="What is your trip budget per person?" description="Ideal spend per person" name="budget"> <option label="$1,800 to $2,500" value="1800-to-2500">$1,800 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="Accommodation Preference" name="hotel-preference"> <option label="Economy (3 Star)" value="economy-3-star">Economy (3 Star)</option> <option label="Moderate (4 Star)" value="moderate-4-star">Moderate (4 Star)</option> <option label="Luxury (5 Star)" value="luxury-5-star">Luxury (5 Star)</option> </field> <field type="checkbox-group" required="true" label="Flight Preference" name="flight-preference"> <option label="Direct Flight" value="direct">Direct Flight</option> <option label="Connecting if direct not available" value="connecting-if-direct-not-available">Connecting if direct not available</option> </field> <field type="checkbox-group" required="true" label="What activities/amenties are you interested in?" description="Check all that apply" name="activity-preferences"> <option label="I am more of a beach person" value="beach">I am more of a beach person</option> <option label="I am more of a pool person" value="pool">I am more of a pool person</option> <option label="Preferred or Upgraded Amenities" value="preferred-or-upgraded-amenities">Preferred or Upgraded Amenities</option> <option label="Adults-Only " value="adultsonly">Adults-Only </option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Kids Club" value="kids-club">Kids Club</option> <option label="Waterpark" value="waterpark">Waterpark</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Golf" value="golf">Golf</option> <option label="Scuba Diving" value="scuba">Scuba Diving</option> <option label="Resort Room - Tropical/Gardenview Room" value="resortroom-tropicalgardenview">Resort Room - Tropical/Gardenview Room</option> <option label="Resort Room - Swim Up Room" value="resortoom-swimup">Resort Room - Swim Up Room</option> <option label="Resort Room - Oceanfront Room" value="resortroom-oceanfron">Resort Room - Oceanfront Room</option> <option label="Resort Room - Oceanview Room" value="resortroom-oceanview">Resort Room - Oceanview Room</option> <option label="Resort Size - Small or Medium" value="resortsize-smallmedium">Resort Size - Small or Medium</option> <option label="Resort Size - Large" value="resortsize-large">Resort Size - Large</option> <option label="Cruise - Inside Stateroom" value="cruise-inside-stateroom">Cruise - Inside Stateroom</option> <option label="Cruise - Window Stateroom" value="cruisestateroom-window">Cruise - Window Stateroom</option> <option label="Cruise - Balcony Stateroom" value="cruisestateroom-balcony">Cruise - Balcony Stateroom</option> <option label="Cruise - Suite Stateroom" value="cruisestateroom-suite">Cruise - Suite Stateroom</option> <option label="Tour - Easy Paced" value="touractivity-easy">Tour - Easy Paced</option> <option label="Tour - Aventure/Active" value="touractivity-aventure">Tour - Aventure/Active</option> <option label="Tour - Small Guided Group" value="toursize-smallgroup">Tour - Small Guided Group</option> </field> <field type="textarea" label="Are you travelling for a special occasion? If so, what?" description="Honeymoon Anniversary, Birthday, Family Reunion, etc." name="special-occasion-event" rows="0" className="form-control"/> <field type="textarea" label="Anything else we should know?" description="Include any other details for your request not covered above." name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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