<html> <body> <form-template xmlns="http://www.w3.org/1999/xhtml"> <fields> <field type="header" subtype="h2" label="Contact 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="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="What state do you reside in?" name="address-state" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="About Your Trip"/> <field type="text" required="true" label="Where would you like to go?" description="It's okay if your not quite sure yet, just give us a general idea" placeholder="ex: Tahiti" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your approximate travel dates? How long would you like your trip to be?" name="what-are-your-approximate-travel-dates-how-long-would-you-like-your-trip-to-be" subtype="text" className="form-control"/> <field type="text" label="Tell us about who's coming?" description="Please list names and ages" name="tell-us-about-whos-coming" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="About Your Travel Style"/> <field type="checkbox-group" label="Your ideal trip includes:" inline="true" name="vibe-preference" other="true"><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="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views & landscapes" value="dramatic-views-landscapes">Dramatic views & landscapes</option> <option label="Wildlife viewing" value="wildlife-viewing">Wildlife viewing</option></field> <field type="radio-group" label="What best describes your desired accommodation style?" inline="true" name="hotel-preference" other="true"><option label="Luxury & Exclusive" value="5-star-luxury">Luxury & Exclusive</option> <option label="Boutique & Charming" value="boutique">Boutique & Charming</option> <option label="Centrally Located & Functional" value="centrally-located-functional">Centrally Located & Functional</option> <option label="Private Villas" value="private-villas">Private Villas</option></field> <field type="textarea" label="Are there any specific experiences you would like to include in your trip?" name="are-there-any-specific-experiences-you-would-like-to-include-in-your-trip" className="form-control"/> <field type="header" subtype="h2" label="Practical Information"/> <field type="radio-group" required="true" label="How much are you willing to invest (including air, accommodations, transportation, experiences) for your group?" inline="true" name="how-much-are-you-willing-to-invest-including-air-accommodations-transportation-experiences-for-your-group"><option label="$100,000+" value="100000">$100,000+</option> <option label="$50,000+" value="50000">$50,000+</option> <option label="$15,000+" value="15000">$15,000+</option> <option label="$10,000+ (minimum for international trips)" value="10000-minimum-for-international-trips">$10,000+ (minimum for international trips)</option> <option label="$5,000 (minimum for domestic trips)" value="5000-minimum-for-domestic-trips">$5,000 (minimum for domestic trips)</option> <option label="Whatever it takes to create the experience I'm looking for" value="whatever-it-takes-to-create-the-experience-im-looking-for">Whatever it takes to create the experience I'm looking for</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option></field> <field type="text" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else you'd like us to know?" name="is-there-anything-else-youd-like-us-to-know" className="form-control"/> <field type="radio-group" label="Would you like to be subscribed to our company newsletter?" name="would-you-like-to-be-subscribed-to-our-company-newsletter"><option label="Yes - sign me up!" value="yes-sign-me-up" selected="selected">Yes - sign me up!</option> <option label="No, I get too many emails" value="no-i-get-too-many-emails">No, I get too many emails</option></field> </fields> </form-template> </body> </html>
Let the adventure begin!
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