Sky's Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Sky's Travel Raffle 2024/2025 - Las Vegas"/>&#13;
		<field type="paragraph" subtype="p" label="Mark your calendars! Join us for the live Facebook drawing on January 20th at 6 PM PST to see who wins an incredible getaway! How to Enter: Sign up by January 5th Like us on social media Share our page Important: The winner must be present during the live drawing to claim the prize. For more details and to enter, visit our social media by scrolling to the bottom of this page and selecting your preferred platform. Good luck, and we’ll see you at the live draw!&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#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="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" 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="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="text" label="Mobile Number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Desired Travel Date?"/>&#13;
		<field type="date" label="Date Field" name="date-1733963657802" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="All winners must be 21 years or older with a valid credit or debit card in their name or the name of the person traveling with them. An incidental charge will be authorized at check-in by the property. This charge is only used for additional services, such as food or covering damages, and will be returned after check-out if unused. Winners will be provided with two date options for their stay. Please note: the complimentary prize includes no fees—this getaway is completely on us, courtesy of Sky's Travel. For more information, contact us at 1-888-541-4044 or visit www.skystravel.com. Enjoy your trip and thank you for choosing Sky’s Travel!"/>&#13;
		<field type="checkbox-group" required="true" label="Travel Disclaimer" inline="true" name="travel-disclaimer">&#13;
			<option label="Accept Terms" value="accept-terms">Accept Terms</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Date Field" name="date-1731697650502" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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