<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 type="header" subtype="h2" label="Questions for your trip"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="select" required="true" label="Select which destination(s) you wish to visit." name="select-which-destinations-you-wish-to-visit" multiple="multiple" className="form-control"> <option label="Walt Disney World, Florida" value="walt-disney-world-florida">Walt Disney World, Florida</option> <option label="Universal Studios Orlando, Florida" value="universal-studios-orlando-florida">Universal Studios Orlando, Florida</option> <option label="Disneyland, California" value="disneyland-california">Disneyland, California</option> <option label="Universal Studios Hollywood, California" value="universal-studios-hollywood-california">Universal Studios Hollywood, California</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option> <option label="Aulani, Hawaii" value="aulani-hawaii">Aulani, Hawaii</option> <option label="Disneyland Paris" value="disneyland-paris">Disneyland Paris</option> <option label="Sandals All-Inclusive (for adults only)" value="sandals-allinclusive-for-adults-only">Sandals All-Inclusive (for adults only)</option> <option label="Beaches All-Inclusive (for families)" value="beaches-allinclusive-for-families">Beaches All-Inclusive (for families)</option> <option label="Other" value="other">Other</option> </field> <field type="date" required="true" label="Your preferred check-in date:" 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"/> <field type="date" required="true" label="Your preferred check-out date:" 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"/> <field type="text" required="true" label="How many adults?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children? (Please include their ages at date of check-in so I can accurately price out your vacation packages.)" name="how-many-children-please-include-their-ages-at-date-of-checkin-so-i-can-accurately-price-out-your-vacation-packages" subtype="text" className="form-control"/> <field type="text" label="Please list each traveler's full name with ages of children at time of travel if applicable." name="please-list-each-travelers-full-name-with-ages-of-children-at-time-of-travel-if-applicable" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms do you need? If more than one, please specify who will be in each room (with ages of children)" name="how-many-rooms-do-you-need-if-more-than-one-please-specify-who-will-be-in-each-room-with-ages-of-children" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$500 to $2,500" value="500-to-2500">$500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Deluxe" value="deluxe">Deluxe</option> <option label="Villa" value="villa">Villa</option> </field> <field type="checkbox-group" required="true" label="Are you any of the following? (Please select all that apply)" name="are-you-any-of-the-following-please-select-all-that-apply" other="true"> <option label="Disney World Passholder" value="disney-world-passholder">Disney World Passholder</option> <option label="Universal Passholder" value="universal-passholder">Universal Passholder</option> <option label="Florida Resident " value="florida-resident-">Florida Resident </option> <option label="California Resident" value="california-resident">California Resident</option> <option label="Disney Visa Cardholder" value="disney-visa-cardholder">Disney Visa Cardholder</option> <option label="N/A" value="na">N/A</option> </field> <field type="checkbox-group" required="true" label="Disney Destinations: Options" name="disney-destinations-options" other="true"> <option label="Park Hopper Tickets" value="park-hopper-tickets">Park Hopper Tickets</option> <option label="Dining Plan" value="dining-plan">Dining Plan</option> <option label="Memory Maker" value="memory-maker">Memory Maker</option> <option label="Travel Protection " value="travel-protection-">Travel Protection </option> <option label="N/A" value="na">N/A</option> </field> <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"/> <field type="text" required="true" label="How did you hear about my free vacation planning services?" name="must-dos" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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