<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Travel Interest Form"/> <field type="text" required="true" label="First name" name="first-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="Preferred name" name="preferred-name" 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" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred Contact Method" name="preferred-contact-method"> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Email" value="email">Email</option> <option label="Text Message" value="text-message">Text Message</option> </field> <field type="text" required="true" label="How many travelers are included in this booking?" name="how-many-travelers-are-included-in-this-booking" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Travel Party" description="Please let us know who will be traveling on this trip" name="travel-party" other="true"> <option label="Adults 18+" value="adults-18">Adults 18+</option> <option label="Infants < 2 Years Old" value="infants-2-years-old">Infants < 2 Years Old</option> <option label="Children 2-11" value="children-211">Children 2-11</option> <option label="Children 12-17" value="children-1217">Children 12-17</option> <option label="Seniors 65+" value="seniors-65">Seniors 65+</option> <option label="Special Accommodations (allergies, mobility, auditory/visual, wheelchair, etc)" value="special-accommodations-allergies-mobility-auditoryvisual-wheelchair-etc">Special Accommodations (allergies, mobility, auditory/visual, wheelchair, etc)</option> <option label="Military Veterans, First Responders, Teachers" value="military-veterans-first-responders-teachers">Military Veterans, First Responders, Teachers</option> </field> <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"/> <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"/> <field type="select" required="true" label="Are you dates flexible?" name="are-you-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Flexibility Options" description="Please tell us more about your dates of travel and/or flexibility options." name="flexibility-options" rows="4" className="form-control"/> <field type="checkbox-group" required="true" label="Where would you like to explore?" name="where-would-you-like-to-explore" other="true"> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> </field> <field type="select" required="true" label="Have you done any research for this trip?" description="Please share what you've learned so far." name="have-you-done-any-research-for-this-trip" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Please let us know what you've found in your personal research?" description="If you haven't researched this trip, please write "N/A"" name="please-let-us-know-what-youve-found-in-your-personal-research" className="form-control"/> <field type="select" required="true" label="Do all travelers have a valid US Passport valid for 6 months after the travel dates?" name="do-all-travelers-have-a-valid-us-passport" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="In the Process of Applying for a US Passport" value="in-the-process-of-applying-for-a-us-passport">In the Process of Applying for a US Passport</option> <option label="In the Process of Renewing a US Passport" value="in-the-process-of-renewing-a-us-passport">In the Process of Renewing a US Passport</option> </field> <field type="radio-group" required="true" label="What is your budget per traveler?" description="If you haven't decided on a final budget please give me a maximum amount so we can stay below it." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 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="$10,000-12,500" value="1000012500">$10,000-12,500</option> <option label="$12,500+" value="12500">$12,500+</option> </field> <field type="checkbox-group" required="true" label="What would you like included in your booking?" name="what-would-you-like-included-in-your-booking" other="true"> <option label="Airfare" value="airfare">Airfare</option> <option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Transfers" value="transfers">Transfers</option> <option label="Activities" value="activities">Activities</option> </field> <field type="select" required="true" label="How soon would you like to book your trip?" name="how-soon-would-you-like-to-book-your-trip" className="form-control"> <option label="7 Days or Less --> I am ready to move quickly and place a deposit" value="7-days-or-less-i-am-ready-to-move-quickly-and-place-a-deposit" selected="selected">7 Days or Less --> I am ready to move quickly and place a deposit</option> <option label="7-14 Days --> I am ready to place a deposit, but may have a few more questions" value="714-days-i-am-ready-to-place-a-deposit-but-may-have-a-few-more-questions">7-14 Days --> I am ready to place a deposit, but may have a few more questions</option> <option label="14 Days or More --> I am not in a rush to book, understand inventory and prices fluctuate, and my quote may not be valid after this timeframe" value="14-days-or-more-i-am-not-in-a-rush-to-book-understand-inventory-and-prices-fluctuate-and-my-quote-may-not-be-valid-after-this-timeframe">14 Days or More --> I am not in a rush to book, understand inventory and prices fluctuate, and my quote may not be valid after this timeframe</option> </field> <field type="checkbox-group" required="true" label="What kind of trip should we plan for you?" description="Check all that apply." name="vibe-preference" other="true"> <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-and-wine">Food and wine</option> <option label="Adventure/Active" value="adventureactive">Adventure/Active</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" 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 theater" value="art-theater">Arts and theater</option> </field> <field type="checkbox-group" required="true" label="Are you traveling for a special occasion?" name="are-you-traveling-for-a-special-occasion" other="true"> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" required="true" label="What airline cabin do you prefer?" name="what-airline-cabin-do-you-prefer" other="true"> <option label="Economy" value="economy">Economy</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business" value="business">Business</option> <option label="First" value="first">First</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else we should know to create a better trip for you? Please include any other details about your party, budget, and/or travel preferences." description="What else would you like me to know about you and your party?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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