<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <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" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" 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" 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" 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="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="text" required="true" label="Where would you like to&nbsp; travel to?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="select" required="true" label="Which Seasons are best for you to travel" name="which-seasons-are-best-for-you-to-travel" multiple="multiple" className="form-control"> <option label="Fall Sept-Nov" value="fall-septnov">Fall Sept-Nov</option> <option label="Winter Dec - Feb" value="winter-dec-feb">Winter Dec - Feb</option> <option label="Spring March - May" value="spring-march-may">Spring March - May</option> <option label="Summer June - August" value="summer-june-august">Summer June - August</option> </field> <field type="select" label="Are you fully vaccinated?" name="are-you-fully-vaccinated" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> <option label="No - Medically Unable To" value="no-medically-unable-to">No - Medically Unable To</option> </field> <field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="text" required="true" label="Which is your favorite Airport to travel from?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget normally when you travel?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget"> <option label="$2,500 to $3,500" value="2500-to-3500">$2,500 to $3,500</option> <option label="$4,500 to $5,500" value="4500-to-5500">$4,500 to $5,500</option> <option label="$6,500 to $7,500" value="6500-to-7500">$6,500 to $7,500</option> <option label="$8,500 to $9,500" value="8500-to-9500">$8,500 to $9,500</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" required="true" label="Please select the type of rooms you prefer" description="You may select more than one type" toggle="true" inline="true" name="please-select-the-type-of-room-you-prefer"> <option label="Standard/Gardenview" value="standardgardenview">Standard/Gardenview</option> <option label="Oceanview/front" value="oceanviewfront">Oceanview/front</option> <option label="Suites" value="suites">Suites</option> <option label="Multiple Bedrooms/Villas" value="multiple-bedroomsvillas">Multiple Bedrooms/Villas</option> </field> <field type="checkbox-group" required="true" label="What do you prefer for your hotel?" description="You may select more than one type. will not apply to all locations" toggle="true" inline="true" name="what-do-you-prefer-for-your-hotel"> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Adults only/Section" value="adults-onlysection">Adults only/Section</option> <option label="Concierge Privileges " value="concierge-privileges-">Concierge Privileges </option> <option label="Nightlife in or near hotel" value="nightlife-in-or-near-hotel">Nightlife in or near hotel</option> </field> <field type="radio-group" required="true" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true"> <option label="Boutique" value="boutique">Boutique</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Contemporary" value="contemporary">Contemporary</option> </field> <field type="radio-group" required="true" label="Seat preference when flying" inline="true" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle Seat" value="middle-seat">Middle Seat</option> </field> <field type="radio-group" required="true" label="Bed preference" inline="true" name="bed-preference"> <option label="King Sized" value="king-sized">King Sized</option> <option label="2 Doubles/Queens" value="2-doublesqueens">2 Doubles/Queens</option> </field> <field type="text" required="true" label="Meal preference - Vegan - Gluten Free - Vegetarian _etc" name="meal-preference" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Vibe preferences when you are traveling" toggle="true" name="vibe-preference"> <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="checkbox-group" required="true" label="Activity preferences" toggle="true" name="activity-preferences" other="true"> <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> </field> <field type="text" label="Anything you absolutely must do or see when you travel?" name="text-1535299512452" subtype="text" className="form-control"/> <field type="text" label="Please tell us as much about yourself and your travel presences as you can!" name="text-1532873557131" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="header" subtype="h2" label="Additional Contact Info"/> <field type="text" label="Website" name="website" subtype="text" className="form-control"/> <field type="text" label="Job title" name="job-title" subtype="text" className="form-control"/> <field type="text" label="Company" name="company" subtype="text" className="form-control"/> <field type="text" label="Greek Association" name="greek-association" subtype="text" className="form-control"/> <field type="text" label="Facebook profile" name="facebook-profile" subtype="text" className="form-control"/> <field type="text" label="LinkedIn profile" name="linkedin-profile" subtype="text" className="form-control"/> <field type="text" label="Twitter profile" name="twitter-profile" subtype="text" className="form-control"/> <field type="text" label="Instagram profile" name="instagram-profile" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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