<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Vanderbilt Vacations Trip Request Form"/> <field type="header" subtype="h2" label="Customer Information"/> <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="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="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h3" 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 type="header" subtype="h2" label="Trip Information"/> <field type="date" label="Desired Departure Date" name="desired-departure-date" className="form-control"/> <field type="date" label="Desired Return Date" name="desired-return-date" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="# of adults:" name="-of-adults" subtype="text" className="form-control"/> <field type="text" label="# of children and ages:" name="-of-children" subtype="text" className="form-control"/> <field type="text" label="Vacation Budget" name="vacation-budget" subtype="text" className="form-control"/> <field type="radio-group" label="Insurance:" inline="true" name="insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Destinations of interest or other helpful information:" name="destinations-of-interest" className="form-control"/> <field type="header" subtype="h2" label="Please complete section(s) below based on travel being requested"/> <field type="header" subtype="h3" label="Air Travel"/> <field type="text" label="Departure City" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Departure City Airport Code:" name="departure-city-airport-code" subtype="text" className="form-control"/> <field type="text" label="Airline Preference (Frequent Flyer Programs):" name="airline-preference-frequent-flyer-programs" subtype="text" className="form-control"/> <field type="radio-group" label="Seat preference" inline="true" 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="Class Preference:" inline="true" name="seat-preference-check-all-that-apply"> <option label="Economy" value="economy">Economy</option> <option label="Extra Leg Room/Premium" value="extra-leg-roompremium">Extra Leg Room/Premium</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> <option label="Bulkhead" value="bulkhead">Bulkhead</option> </field> <field type="header" subtype="h3" label="Cruise Vacation"/> <field type="text" label="Cruise Line Preferences (Frequent Cruiser Programs):" name="cruise-line-preferences-frequent-cruiser-programs" subtype="text" className="form-control"/> <field type="textarea" label="Desired Cruise Itinerary or Ports of Interest" name="desired-cruise-itinerary-or-ports-of-interest" className="form-control"/> <field type="text" label="Cruise Length:" name="cruise-length" subtype="text" className="form-control"/> <field type="radio-group" label="Pre and/or Post Cruise Nights:" inline="true" name="pre-andor-post-cruise-nights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Desired Cabin Type or Location:" name="desired-cabin-type-or-location" subtype="text" className="form-control"/> <field type="radio-group" label="Beverage Plan:" inline="true" name="beverage-plan"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Beverage Plan Type:" name="beverage-plan-type" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Hotel &amp; Resort Vacation"/> <field type="text" label="# of Nights:" name="-of-nights" subtype="text" className="form-control"/> <field type="text" label="# of Rooms/Arrangement:" name="-of-roomsarrangement" subtype="text" className="form-control"/> <field type="radio-group" label="Bed preference" inline="true" 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="radio-group" label="Room Type:" inline="true" name="room" other="true"> <option label="Standard Room" value="standard-room">Standard Room</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="Ocean View/Front" value="ocean-viewfront">Ocean View/Front</option> </field> <field type="radio-group" label="Hotel preference:" inline="true" 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="text" label="Hotel Preferences (Frequent Guest Programs):" name="hotel-preferences-frequent-guest-programs" subtype="text" className="form-control"/> <field type="select" label="Desired Features (select all that apply):" name="features" multiple="multiple" className="form-control"> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Suite/Jr. Suite" value="suitejr-suite">Suite/Jr. Suite</option> <option label="On the Beach" value="on-the-beach">On the Beach</option> <option label="Near City Center" value="near-city-center">Near City Center</option> <option label="Kids Club" value="kids-club">Kids Club</option> <option label="Near Air/Cruise Port" value="near-aircruise-port">Near Air/Cruise Port</option> <option label="Luxury Resort" value="luxury-resort">Luxury Resort</option> <option label="Activities Onsite" value="activities-onsite">Activities Onsite</option> </field> <field type="header" subtype="h3" label="Car Rental"/> <field type="text" label="Car Preferences (Frequent Renter Program):" name="car-preferences-frequent-renter-program" subtype="text" className="form-control"/> <field type="text" label="Add Ons:" name="add-ons" subtype="text" className="form-control"/> <field type="radio-group" label="Car Category:" inline="true" name="car-category" other="true"> <option label="Compact" value="compact">Compact</option> <option label="Mid Size" value="mid-size">Mid Size</option> <option label="Full Size" value="full-size">Full Size</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="header" subtype="h3" label="Package Tour"/> <field type="text" label="Country or Countries of Interest:" name="country-or-countries-of-interest" subtype="text" className="form-control"/> <field type="radio-group" label="Tour Type:" inline="true" name="tour-type" other="true"> <option label="Escorted" value="escorted">Escorted</option> <option label="Independent" value="independent">Independent</option> </field> <field type="text" label="Activity Level" name="activity-level" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Other Information"/> <field type="textarea" label="What hotels have you stayed in and enjoyed?" name="what-hotels-have-you-stayed-in-and-enjoyed" className="form-control"/> <field type="textarea" label="What cruiselines and resorts have you enjoyed before, if any?" name="what-cruiselines-and-resorts" className="form-control"/> <field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <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 theatre" value="art-theatre">Arts and theatre</option> <option label="Sightseeing/History" value="sightseeinghistory">Sightseeing/History</option> <option label="Wine/Culinary" value="wineculinary">Wine/Culinary</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Spa" value="spa">Spa</option> </field> <field type="checkbox-group" label="Vibe preferences" 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> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="textarea" label="Is there anything else you would like for me to know?" name="other-notes" className="form-control"/> </fields> </form-template> </body> </html>
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