<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Tell me about you and your hotel needs...the more you tell me now, the more I can help you!&nbsp;"/> <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" 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="text" label="Where do you live?" name="where-do-you-live" subtype="text" className="form-control"/> <field type="text" required="true" label="What city are you planning to visit?" name="destination" subtype="text" className="form-control"/> <field type="text" label="What hotel are you interested in booking? If you're not sure, tell me what you are looking for and I will do my best to match you with the best property." name="what-hotel-are-you-interested-in-booking" subtype="text" className="form-control"/> <field type="text" required="true" label="Who's traveling with you? Include first names and ages please.&nbsp; This makes it easier for us to communicate with you about room options." placeholder="My Aunt Ursula (82) my cousin George (~55) and my niece Delaney (12)" name="whos-going-with-you-include-names-and-ages-please-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What sort of room set up do you need? Check all that apply." name="what-sort-of-room-set-up-do-you-need-check-all-that-apply"> <option label="1 King" value="1-king">1 King</option> <option label="2 Queens" value="2-queens">2 Queens</option> <option label="Suite" value="suite">Suite</option> <option label="Rollaway" value="rollaway">Rollaway</option> <option label="Crib" value="crib">Crib</option> <option label="Connecting" value="connecting">Connecting</option> </field> <field type="date" required="true" label="When would you like to check in?" name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to check out?" name="ending-at" className="form-control"/> <field type="radio-group" required="true" label="Have you already booked your flights?" inline="true" name="have-you-already-booked-your-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Do you need tours during your trip? What type of touring are you most interested in? Check all that apply." description="Imagine a tour of The Louvre in Paris a walking tour of London or perhaps a food tour in Venice." name="what-type-of-touring-are-you-most-interested-in-check-all-that-apply"> <option label="Private tours with private drivers and guides. The best of the best! Rates typically start at $1000 a day." value="private-tours-with-private-drivers-and-guides-the-best-of-the-best-rates-typically-start-at-1000-a-day">Private tours with private drivers and guides. The best of the best! Rates typically start at $1000 a day.</option> <option label="Small group tours (Usually < 24 people)" value="small-group-tours-usually-24-people">Small group tours (Usually < 24 people)</option> <option label="Group tours (Usually > 24 people)" value="group-tours-usually-24-people">Group tours (Usually > 24 people)</option> <option label="No tours (You'll explore on your own or just sit on a beach.)" value="no-tours-youll-explore-on-your-own-or-just-sit-on-a-beach">No tours (You'll explore on your own or just sit on a beach.)</option> </field> <field type="textarea" required="true" label="Does anyone in your group have any allergies or dietary needs, other health needs, or mobility issues? Please be as specific as possible." placeholder="List any allergies chronic conditions or physical constraints." name="does-anyone-in-your-group-have-any-allergies-or-dietary-needs-other-health-needs-or-mobility-issues-please-be-as-specific-as-possible" className="form-control"/> <field type="radio-group" required="true" label="Red wine or white wine?" name="red-wine-or-white-wine" other="true"> <option label="Red" value="red">Red</option> <option label="White" value="white">White</option> <option label="Both" value="both">Both</option> <option label="Neither" value="neither">Neither</option> </field> <field type="radio-group" required="true" label="Travel insurance will protect your investment and help you when the unexpected occurs. (Flight delays, cancellations, lost luggage, accidents/injuries, illness, etc.) Can I send you a quote for travel insurance for your trip?" name="travel-insurance-is-an-important-part-of-any-trip-and-will-protect-your-investment-would-you-like-a-quote-for-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="For straightforward hotel bookings, Antidote Travel doesn't typically charge a fee. But by submitting this form, you understand that Antidote Travel may charge a travel design fee for custom trip planning and management. (You will of course have a chance to review this before we move forward.)" name="by-submitting-this-form-you-understand-that-antidote-travel-may-charge-a-travel-design-fee-for-trip-planning-and-management"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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