Share your information with Lucien Journeys

Lucien Journeys

LucienJourneys

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Sky&#39;s Travel Raffle 2024/2025 - Las Vegas"/>&#13;
		<field type="paragraph" subtype="p" label="Good luck, and we can&#39;t wait to see you there!"/>&#13;
		<field type="paragraph" subtype="p" label="For more details and to enter, visit us on social media by scrolling to the bottom of this page and selecting your social media link."/>&#13;
		<field type="paragraph" subtype="p" label="Don’t miss your chance to win a fantastic trip!"/>&#13;
		<field type="paragraph" subtype="p" label="To enter, sign up by May 10, 2025, like us on social media, and share our page. Remember, the winner must be present during the live draw to claim the prize. "/>&#13;
		<field type="paragraph" subtype="p" label="Join us on May 15, 2025 at 6 PM PST for our live Facebook drawing to find out who will win an amazing getaway! "/>&#13;
		<field type="paragraph" subtype="p" label="Sky&#39;s Travel Lottery Raffle Winner Announcement!"/>&#13;
		<field type="paragraph" subtype="p" label="Welcome To "/>&#13;
		<field type="paragraph" subtype="p" label="Lottery Raffle 2025"/>&#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 25 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&#39;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>
</html>