<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Passenger 1: Full name"/> <field type="text" required="true" label="First Name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="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="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Passenger 2: Full Name"/> <field type="text" label="Prefix- Passenger 2" name="prefix-passenger-2" subtype="text" className="form-control"/> <field type="text" label="First Name - Passenger 2" name="first-name-passenger-2" subtype="text" className="form-control"/> <field type="text" label="Middle Name - Passenger 2" name="middle-name-passenger-2" subtype="text" className="form-control"/> <field type="text" label="Last Name - Passenger 2" name="last-name-passenger-2" subtype="text" className="form-control"/> <field type="text" label="Date of Birth" name="date-of-birth" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Your Getaway"/> <field type="text" required="true" label="What are your travel dates?" name="what-are-your-travel-dates" subtype="text" className="form-control"/> <field type="text" required="true" label="Which room category(s) are your interested in?" name="which-room-categorys-are-your-interested-in" subtype="text" className="form-control"/> <field type="select" label="Do you need your flight included?" description="Flight schedules on most airlines will be available to be added after August 20 2023. Southwest schedule will be available in late 2023." name="do-you-need-your-flight-included" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="text" label="If you do need your flight included, what is your preferred departing airport?" description="FYI... Reagan (DCA) has the best prices and schedule" name="if-you-do-need-your-flight-included-what-is-your-preferred-departing-airport" subtype="text" className="form-control"/> <field type="textarea" label="Do you have any questions I can be prepared to answer?" name="do-you-have-any-questions-i-can-be-prepared-to-answer" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Seat preference" description="Cannot guarantee seat assignment - will depend on which airline and class you choose" name="seat-preference"> <option label="Window-Middle" value="windowmiddle">Window-Middle</option> <option label="Aisle-Middle" value="aislemiddle">Aisle-Middle</option> <option label="Opposite Aisle" value="opposite-aisle">Opposite Aisle</option> <option label="Do Not Care" value="do-not-care">Do Not Care</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="checkbox-group" label="Activity preferences" inline="true" name="activity-preferences" other="true"> <option label="Unique Local Experiences" value="unique-local-experiences">Unique Local Experiences</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Bars and Cigars" value="bars-and-cigars">Bars and Cigars</option> <option label="Just Chilling on Beach or Pool at the Resort" value="just-chilling-on-beach-or-pool-at-the-resort">Just Chilling on Beach or Pool at the Resort</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="Wellness" value="wellness">Wellness</option> <option label="Whale Watching Cruise" value="whale-watching-cruise">Whale Watching Cruise</option> <option label="Happy Hour Booze Cruise" value="happy-hour-booze-cruise">Happy Hour Booze Cruise</option> </field> </fields> </form-template> </body> </html>
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