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Oui Travel & Concierge

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Personalized Travel Planning Form&amp;nbsp;"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Hawaii" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget per traveler?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Preferred Accommodation Type&amp;nbsp;" name="hotel-preference" other="true">&#13;
			<option label="All- inclusive " value="all-inclusive-">All- inclusive </option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Villa " value="villa-">Villa </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What excites you most?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Relaxation/ Beach " value="relaxation-beach-">Relaxation/ Beach </option>&#13;
			<option label="Culture &amp; History " value="culture-history-">Culture &amp; History </option>&#13;
			<option label="Food &amp; Wine " value="food-wine-">Food &amp; Wine </option>&#13;
			<option label="Shopping " value="shopping-">Shopping </option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Wellness/ Spa " value="wellness-spa-">Wellness/ Spa </option>&#13;
			<option label="Events &amp; Festivals " value="events-festivals-">Events &amp; Festivals </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Type of Trip" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Leisure" value="leisure">Leisure</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Group Trip" value="group-trip">Group Trip</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Birthday/Celebration" value="birthdaycelebration">Birthday/Celebration</option>&#13;
			<option label="Girls' Trip" value="girls-trip">Girls' Trip</option>&#13;
			<option label="Business" value="business">Business</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1769105186942" next="Next" previous="Previous"/>&#13;
		<field type="textarea" label="Travel Party Information&amp;nbsp;" description="Number of Adults/ Children" name="textarea-1769306332656" rows="1" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do you have a valid passport?&amp;nbsp;" description="If you are travelling international, your passport must be valid 6 months beyond your return date." name="checkbox-group-1770157839642">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="In Process" value="in-process">In Process</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="text" label="Preferred Airlines&amp;nbsp;" name="text-1770158178581" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Airlines to Avoid&amp;nbsp;" name="text-1770158234179" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="How involved do you want to be in the planning?&amp;nbsp;" description="Check all that apply" name="checkbox-group-1770157699538">&#13;
			<option label="Hands-off, surprise me" value="handsoff-surprise-me">Hands-off, surprise me</option>&#13;
			<option label="Collaborative " value="collaborative-">Collaborative </option>&#13;
			<option label="I want final approval on everything" value="i-want-final-approval-on-everything">I want final approval on everything</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Contact Information&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>