<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" required="true" label="First name, Last name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" 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" 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> <option label="No" value="no">No</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="radio-group" required="true" label="Time preference for departure" name="time-preference-for-departure"> <option label="Morning departure" value="morning-departure">Morning departure</option> <option label="Afternoon departure" value="afternoon-departure">Afternoon departure</option> <option label="Early evening departure" value="early-evening-departure">Early evening departure</option> <option label="Late evening departure" value="late-evening-departure">Late evening departure</option> </field> <field type="radio-group" required="true" label="Time preference for return" name="time-preference-for-return"> <option label="Morning departure" value="morning-departure">Morning departure</option> <option label="Afternoon departure" value="afternoon-departure">Afternoon departure</option> <option label="Early evening departure" value="early-evening-departure">Early evening departure</option> <option label="Late evening departure" value="late-evening-departure">Late evening departure</option> </field> <field type="text" required="true" label="What is the trip occasion? (Ex. birthday, wedding, family reunion, etc)" name="what-is-the-trip-occasion-ex-birthday-wedding-family-reunion-etc" subtype="text" className="form-control"/> <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="Please select your preferred place to stay during your trip" name="please-select-your-preferred-place-to-stay-during-your-trip"> <option label="Hotel" value="hotel">Hotel</option> <option label="Condo" value="condo">Condo</option> <option label="Resort" value="resort">Resort</option> <option label="Cabin" value="cabin">Cabin</option> <option label="None of this" value="none-of-this">None of this</option> </field> <field type="radio-group" required="true" label="Please select your preferred type of transportation" name="please-select-your-preferred-type-of-transportation"> <option label="Shared" value="shared">Shared</option> <option label="Private" value="private">Private</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <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> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <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> <option label="Theme Parks Tickets" value="theme-parks-tickets">Theme Parks Tickets</option> <option label="Tour Attraction Tickets" value="tour-attraction-tickets">Tour Attraction Tickets</option> <option label="Dinner Reservation" value="dinner-reservation">Dinner Reservation</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="text" required="true" label="Total Passengers" name="total-passengers" subtype="text" className="form-control"/> <field type="text" required="true" label="Please list Total Number of Adults (their names and date of births. (if available)" name="please-list-total-number-of-adults-their-names-and-date-of-births-if-available" subtype="text" className="form-control"/> <field type="text" required="true" label="Total Number of Children. Please list names of children and date of births" name="total-number-of-children-please-list-names-of-children-and-date-of-births" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Estimated trip budget amount per person" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 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="Please select your payment option" name="please-select-your-payment-option"> <option label="One payment in full" value="one-payment-in-full">One payment in full</option> <option label="Payment plan (deposit + plan)" value="payment-plan-deposit-plan">Payment plan (deposit + plan)</option> </field> <field type="radio-group" required="true" label="Will this&nbsp; be in ALL - INCLUSIVE Trips? Including airport transfer all meals beverages" name="will-this-be-in-all-inclusive-trips-including-airport-transfer-all-meals-beverages"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Will you need excursion tickets" name="will-you-need-excursion-tickets"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Will you need rental car?" name="will-you-need-rental-car"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Any additional information you can provide us such as hotel preference, star, rating, airline preference or seat preference?&nbsp;&nbsp;" name="any-additional-information-you-can-provide-us-such-as-hotel-preference-star-rating-transportation-" className="form-control"/> <field type="radio-group" required="true" label="Would you like to order customized shirts,&nbsp; hats or any other item for your vacation?" name="would-you-like-to-order-customized-shirts-hats-or-any-other-item-for-your-vacation"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to include welcome gifts for your group&nbsp; trips?" name="would-you-like-to-include-welcome-gifts-for-your-group-trips"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to custom event planned for your guests before, during, or after the trip?" name="would-you-like-to-custom-event-planned-for-your-guests-before-during-or-after-the-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="What else would you like us to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="Your Trip Is NOT confirmed until deposit/payment is received.&nbsp;You will receive an email with your invoice and/or credit card authorization form."/> <field type="header" subtype="h2" label="Important Dates"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <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> </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> </field> <field type="header" subtype="h2" label="Passport Info"/> <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 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="radio-group" 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="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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