<html> <body> <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 label="Questions for your trip" subtype="h2" type="header"/> <field description="This number is needed for our 30 min consultation." label="Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/> <field label="Which destination from BWM Travel Site are you inquiring about?" name="which-destination-from-bwm-travel-site-are-you-inquiring-about" required="true" subtype="text" type="text" className="form-control"/> <field label="The deals listed are Land ONLY, unless otherwise specified would you be interested in adding any of the following?" name="which-are-you-interested-in-booking-" other="true" required="true" type="checkbox-group"> <option label="Upgrade Hotel" value="upgrade-hotel">Upgrade Hotel</option> <option label="Flight " value="flight-">Flight </option> <option label="Car Rental " value="car-rental-">Car Rental </option> <option label="Cruise" value="cruise">Cruise</option> <option label="Travel Insurance " value="travel-insurance-">Travel Insurance </option> <option label="Activities/ Excursions" value="activities-excursions">Activities/ Excursions</option> <option label="Concerts/ Events" value="concerts-events">Concerts/ Events</option> <option label="Airport Parking / Car wash" value="airport-parking-car-wash">Airport Parking / Car wash</option> </field> <field description="Only if you are adding flights!" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/> <field label="I am looking for one or more of the following ." name="i-am-looking-for-one-or-more-of-the-following-" type="checkbox-group"> <option label="Less than 4 Rooms ( Small party)" selected="selected" value="less-than-4-rooms-small-party">Less than 4 Rooms ( Small party)</option> <option label="5 - 9 Rooms ( Small Group)" value="5-9-rooms-small-group">5 - 9 Rooms ( Small Group)</option> <option label="10-20 Rooms ( Medium Group)" value="1020-rooms-medium-group">10-20 Rooms ( Medium Group)</option> <option label="More Than 20 Rooms " value="more-than-20-rooms-">More Than 20 Rooms </option> </field> <field description="List that amount of travelers that will be in your room with you" label="How many travelers?&nbsp;" name="number-of-travelers" placeholder="2" required="true" type="text" className="form-control"/> <field description="List the amount of adults that will be occupying one room" label="How Many Adults ?" name="how-many-adults-" placeholder="2" required="true" subtype="text" type="text" className="form-control"/> <field description="Place Zero if No Children- List the amount of children in your room" label="How Many Children ?&nbsp;&nbsp;" name="how-many-children-what-are-the-dob-" placeholder="0" required="true" subtype="text" type="text" className="form-control"/> <field description="Any person under the age of 17 ." label="What are the ages of the children ?" name="what-are-the-ages-of-the-children-" type="textarea" className="form-control"/> <field description="This helps lock in your price if a quote was found. If not pricing will be subject to change." label="Name of Each additional person travelling?" name="name-of-each-additional-person-travelling" required="true" type="textarea" className="form-control"/> <field label="How would you like to pay for your trip ?" name="how-would-you-like-to-pay-for-your-trip-" required="true" type="select" className="form-control"> <option label="Book Now Pay Later ( Finance)" selected="selected" value="book-now-pay-later-finance">Book Now Pay Later ( Finance)</option> <option label="Pay in installments ( Future travel only)" value="pay-in-installments-future-travel-only">Pay in installments ( Future travel only)</option> <option label="Pay in Full" value="pay-in-full">Pay in Full</option> <option label="I am just Browsing " value="i-am-just-browsing-">I am just Browsing </option> </field> <field label="Reason for travel&nbsp;" name="reason-for-travel-" other="true" type="checkbox-group"> <option label="Birthday " value="birthday-">Birthday </option> <option label="Anniversary/ Honeymoon" value="anniversary-honeymoon">Anniversary/ Honeymoon</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Group Travel for fun " value="group-travel-for-fun-">Group Travel for fun </option> <option label="Divorce Party " value="divorce-party-">Divorce Party </option> <option label="Pop the question" value="pop-the-question">Pop the question</option> <option label="Surprise Vacation Gift " value="surprise-vacation-gift-">Surprise Vacation Gift </option> </field> <field label="What questions do you have about this trip?" name="what-questions-do-you-have-about-this-trip" type="textarea" className="form-control"/> <field description="What else would you like me to know about your travelers budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/> <field label="I hate to have to ask but with all of the entry requirements and exit requirements changing I have to keep you updated. What is you Vaccination status ?" name="i-hate-to-have-to-ask-but-with-all-of-the-entry-requirements-and-exit-requirements-changing-i-have-to-keep-you-updated-what-is-you-vaccination-status-" other="true" type="checkbox-group"> <option label="Fully Vaccinated " value="fully-vaccinated-">Fully Vaccinated </option> <option label="Vaccinated with Booster " value="vaccinated-with-booster-">Vaccinated with Booster </option> <option label="Unvaccinated " value="unvaccinated-">Unvaccinated </option> <option label="Partly Vaccinated " value="partly-vaccinated-">Partly Vaccinated </option> <option label="Exemption" value="exemption">Exemption</option> </field> <field label="I would like to learn about becoming a travel agent !" name="i-would-like-to-learn-about-becoming-a-travel-agent-" type="select" className="form-control"> <option label="Yes " selected="selected" value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field label="When submitting a quote you will automatically be added to our mailing list. If you wish to unsubscribe you will have the option to do so when you receive our newsletter." subtype="p" type="paragraph"/> </fields> </form-template> </body> </html>
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