Kaycation Luxury Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Travel Inquiry Form&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Primary Traveler First name" name="first-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" 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;
		<field type="select" required="true" label="T- Shirt Size&amp;nbsp;" name="t-shirt-size-" className="form-control">&#13;
			<option label="Small" value="">Small</option>&#13;
			<option label="Med" value="med">Med</option>&#13;
			<option label="Large" value="large">Large</option>&#13;
			<option label="XL" value="xl">XL</option>&#13;
			<option label="2X" value="2x">2X</option>&#13;
			<option label="3X" value="3x">3X</option>&#13;
			<option label="4X" value="4x">4X</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="CURRENT MAILING ADDRESS" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Lead Traveler Passport Info"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Details"/>&#13;
		<field type="text" required="true" label="Travel Destination" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" 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" required="true" 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="text" required="true" label="What is your departure airport? If not flying enter NA" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" 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" required="true" label="What best describes your hotel or resort preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</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="Airbnb" value="airbnb">Airbnb</option>&#13;
			<option label="Garden View" value="garden-view">Garden View</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Oceanfront " value="oceanfront-">Oceanfront </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Baecation" value="baecation">Baecation</option>&#13;
			<option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Birthday " value="birthday-">Birthday </option>&#13;
			<option label="Family Vacation " value="family-vacation-">Family Vacation </option>&#13;
			<option label="Girl's Trip " value="girls-trip-">Girl's Trip </option>&#13;
			<option label="Guy's Trip " value="guys-trip-">Guy's Trip </option>&#13;
			<option label="Family Cruise/Group" value="family-cruisegroup">Family Cruise/Group</option>&#13;
			<option label="Anniversary " value="anniversary-">Anniversary </option>&#13;
			<option label="Destination Weddings " value="destination-weddings-">Destination Weddings </option>&#13;
			<option label="Business Trip " value="business-trip-">Business Trip </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What excursions would you like to include in your package?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="4 wheeler " value="4-wheeler-">4 wheeler </option>&#13;
			<option label="Water Sports " value="water-sports-">Water Sports </option>&#13;
			<option label="Outside Adventure" value="outside-adventure">Outside Adventure</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="arts-and-theater">Arts and theater</option>&#13;
			<option label="Spa Day" value="spa-day">Spa Day</option>&#13;
			<option label="Dinner on Beach " value="dinner-on-beach-">Dinner on Beach </option>&#13;
			<option label="Local Shopping " value="local-shopping-">Local Shopping </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Are you deposit ready? If not, when are you looking to confirm your travel plans?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Companion Details"/>&#13;
		<field type="text" required="true" label="Full Name of Travel Companion as seen on Passport (if traveling solo enter N/A)&amp;nbsp;" name="full-name-of-travel-companion-as-seen-on-passport-if-traveling-solo-enter-na-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Companion DOB" name="text-1737139059886" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Companion Email Address" name="travel-companion-email-address" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Companion Passport Number &amp;amp; Expiration Date&amp;nbsp;" name="travel-companion-passport-number-expiration-date-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="T- Shirt Size&amp;nbsp;" name="select-1737139720258" className="form-control">&#13;
			<option label="Small" value="">Small</option>&#13;
			<option label="Med" value="med">Med</option>&#13;
			<option label="Large" value="large">Large</option>&#13;
			<option label="XL" value="xl">XL</option>&#13;
			<option label="2X" value="2x">2X</option>&#13;
			<option label="3X" value="3x">3X</option>&#13;
			<option label="4X" value="4x">4X</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Referral Credit"/>&#13;
		<field type="text" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>