<form-template>
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>
		<field type="header" subtype="h3" label="Traveler Information"/>
		<field type="textarea" required="true" label="Please list all travelers&#39; FULL legal names and birthdates" description="Information must be identical to passport or other identity documents used for travel" name="please-list-all-travelers-legal-names-and-birthdates" className="form-control"/>
		<field type="radio-group" required="true" label="Are all travelers U.S. citizens?" name="are-all-travelers-us-citizens">
			<option label="Yes" value="yes">Yes</option>
			<option label="No (specify below)" value="no-specify-below">No (specify below)</option>
		</field>
		<field type="text" label="In what other countries do travelers hold citizenship?" name="in-what-other-countries-do-travelers-hold-citizenship" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Do all travelers already have a passport valid for 6+ months after travel?" name="do-all-travelers-already-have-a-passport-valid-for-6-months-after-travel">
			<option label="All travelers have passports" value="all-travelers-have-passports">All travelers have passports</option>
			<option label="None of the travelers have passports" value="none-of-the-travelers-have-passports">None of the travelers have passports</option>
			<option label="Some do, some don't." value="some-do-some-dont">Some do, some don't.</option>
		</field>
		<field type="header" subtype="h3" label="Important Details"/>
		<field type="text" required="true" label="What airport will you depart from?&amp;nbsp;" name="what-airport-is-nearest-to-your-home" subtype="text" className="form-control"/>
		<field type="text" label="What &amp;nbsp;is your destination?" name="what-is-your-destination" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Date of Departure" name="departing" className="form-control"/>
		<field type="date" required="true" label="Date of Return" name="returning" className="form-control"/>
		<field type="radio-group" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible">
			<option label="Yes, for the right price" value="yes-for-the-right-price">Yes, for the right price</option>
			<option label="No, these dates are firm" value="no-these-dates-are-firm">No, these dates are firm</option>
		</field>
		<field type="header" subtype="h3" label="Flight Preferences"/>
		<field type="textarea" label="Do you already have specific flights in mind? Please detail airline, flight numbers, dates and times below." name="do-you-already-have-specific-flights-in-mind-please-detail-airline-flight-numbers-dates-and-times-below" className="form-control"/>
		<field type="radio-group" required="true" label="What&#39;s your top priority when purchasing flights?" name="whats-your-top-priority-when-purchasing-flights" other="true">
			<option label="Getting there quickly" value="getting-there-quickly">Getting there quickly</option>
			<option label="Getting there comfortably" value="getting-there-comfortably">Getting there comfortably</option>
			<option label="Getting there inexpensively" value="getting-there-inexpensively">Getting there inexpensively</option>
		</field>
		<field type="radio-group" label="What are your connection / layover preferences?" name="what-are-your-connection-layover-preferences">
			<option label="Nonstop ($$$)" value="nonstop-">Nonstop ($$$)</option>
			<option label="One stop ($$)" value="one-stop-">One stop ($$)</option>
			<option label="Two stops ($)" value="two-stops-">Two stops ($)</option>
		</field>
		<field type="text" label="Do you have a favorite airline?" name="do-you-have-a-favorite-airline" subtype="text" className="form-control"/>
		<field type="text" label="Do you have airline rewards memberships? If so, provide details." description="Examples: AA Advantage  Delta SkyMiles  etc." name="do-you-have-any-airline-rewards-memberships-if-so-provide-details" subtype="text" className="form-control"/>
		<field type="text" label="Are there any airlines you REFUSE to fly with?" name="are-there-any-airlines-you-refuse-to-fly-with" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="What seat class are you looking for?" inline="true" name="what-seat-class-are-you-looking-for">
			<option label="Economy" value="economy">Economy</option>
			<option label="Business" value="business">Business</option>
			<option label="First" value="first">First</option>
		</field>
		<field type="radio-group" required="true" label="What are your seating preferences?" inline="true" name="what-are-your-seating-preferences">
			<option label="Window" value="window">Window</option>
			<option label="Aisle" value="aisle">Aisle</option>
			<option label="Middle" value="middle">Middle</option>
			<option label="No Preference" value="no-preference">No Preference</option>
		</field>
		<field type="text" label="Do you have any dietary restrictions or food allergies?" name="meal-preference" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Are you prepared to purchase your flight today, since prices change daily?" name="are-you-prepared-to-purchase-your-flight-today-since-prices-change-daily">
			<option label="Yes, please send me a quote today" value="yes-please-send-me-a-quote-today">Yes, please send me a quote today</option>
			<option label="No, please hold off on sending a quote , I will let you know when I'm ready to pay. " value="no-please-hold-off-on-sending-a-quote-i-will-let-you-know-when-im-ready-to-pay-">No, please hold off on sending a quote , I will let you know when I'm ready to pay. </option>
		</field>
		<field type="radio-group" required="true" label="Our agency charges a $35 per person fee for all domestic flight requests and a $150 per person fee for all international flight requests. &amp;nbsp;Are you ready to submit your service fee?&amp;nbsp;" name="we-charge-a-35-service-fee-for-all-flight-request-are-you-ready-to-pay-your-service-fee-">
			<option label="Yes, please send invoice for service fee payment" value="yes-please-send-invoice-for-service-fee-payment">Yes, please send invoice for service fee payment</option>
			<option label="No, please hold off on sending an invoice, I will let you know when I'm ready to pay. " value="no-please-hold-off-on-sending-an-invoice-i-will-let-you-know-when-im-ready-to-pay-">No, please hold off on sending an invoice, I will let you know when I'm ready to pay. </option>
			<option label="I am exempt from the service fee because I am joining one of your hosted groups. " value="i-am-exempt-from-the-service-fee-because-i-am-joining-one-of-your-hosted-groups-">I am exempt from the service fee because I am joining one of your hosted groups. </option>
		</field>
	</fields>
</form-template>