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Kayla Anderson
Beyond The Wish List
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-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="header" subtype="h2" label="Address"/> <field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Basic Trip Details"/> <field type="radio-group" required="true" label="Estimated TOTAL budget range you feel comfortable investing in this vacation experience. (not including food, gifts or non travel related items) A total must be put here for us to offer you selections that are a smart fit for you.&nbsp;" name="estimated-total-budget-range-you-feel-comfortable-investing-in-this-vacation-experience-not-including-food-gifts-or-non-travel-related-items-a-total-must-be-put-here-for-us-to-offer-you-selections-that-are-a-smart-fit-for-you-"> <option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="textarea" required="true" label="Legal names and Date of Birth listed on legal IDs for All Travelers in your party. We MUST have both legal name AND date of birth to do a search since some pricing is based on age." name="legal-names-and-date-of-birth-listed-on-legal-ids-for-all-travelers-in-your-party-we-must-have-both-legal-name-and-date-of-birth-to-do-a-search-since-some-pricing-is-based-on-age" className="form-control"/> <field type="text" required="true" label="Desired Destination" name="desired-destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="select" required="true" label="If you are traveling internationally or going on a cruise, do you have a passport that will be valid AT LEAST 6 months AFTER your date of travel?" name="if-you-are-traveling-internationally-or-going-on-a-cruise-do-you-have-a-passport-that-will-be-valid-at-least-6-months-after-your-date-of-travel" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Applicable (not traveling internationally)" value="not-applicable-not-traveling-internationally">Not Applicable (not traveling internationally)</option> </field> <field type="date" required="true" label="Travel Departure Date" name="travel-departure-date" className="form-control"/> <field type="date" required="true" label="Travel Return Date" name="date-1768108255719" className="form-control"/> <field type="radio-group" required="true" label="Are Your Dates Flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h3" label="Flight Preferences"/> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle" value="middle">Middle</option> <option label="Don't Care" value="dont-care">Don't Care</option> </field> <field type="radio-group" label="Seating Class" name="seating-class"> <option label="First Class" value="first-class">First Class</option> <option label="Business" value="business">Business</option> <option label="Economy " value="economy-">Economy </option> </field> <field type="radio-group" label="Time Preference for Departure" name="time-preference-for-departure"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Red Eye" value="red-eye">Red Eye</option> <option label="Any" value="any">Any</option> </field> <field type="radio-group" label="Time Preference for Return" name="time-preference-for-return"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Red Eye" value="red-eye">Red Eye</option> <option label="Any" value="any">Any</option> </field> <field type="header" subtype="h3" label="Hotel/Resort Preferences"/> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="radio-group" label="Hotel preference" name="hotel-preference"> <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="text" label="Desired Hotel/Resort Chain" name="desired-hotelresort-chain" subtype="text" className="form-control"/> <field type="radio-group" label="Number of rooms Needed" name="number-of-rooms-needed" other="true"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> </field> <field type="radio-group" label="Guests per Room" name="guests-per-room" other="true"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <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-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Doesn't matter, this is just a stop over" value="doesnt-matter-this-is-just-a-stop-over">Doesn't matter, this is just a stop over</option> </field> <field type="header" subtype="h3" label="Cruise Preferences"/> <field type="text" label="Cruise Line Preference" name="cruise-line-preference" subtype="text" className="form-control"/> <field type="text" label="Port of Embarkation (list all of your options)" name="port-of-embarkation-list-all-of-your-options" subtype="text" className="form-control"/> <field type="text" label="Port Choices to Visit (Please list in order of preference, if any)" name="port-choices-to-visit-please-list-in-order-of-preference-if-any" subtype="text" className="form-control"/> <field type="radio-group" label="How many Cabins?" name="radio-group-1768109163343" other="true"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> </field> <field type="radio-group" label="Guest per Cabin/Room" name="radio-group-1768109183222" other="true"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> </field> <field type="radio-group" label="Cabin Preference" name="cabin-preference" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="Cabin Location" name="cabin-location" other="true"> <option label="Port" value="port">Port</option> <option label="Starboard" value="starboard">Starboard</option> <option label="Aft" value="aft">Aft</option> <option label="Front" value="front">Front</option> <option label="Midship" value="midship">Midship</option> <option label="Back" value="back">Back</option> <option label="Don't have a preference" value="dont-have-a-preference">Don't have a preference</option> </field> <field type="text" label="Deck Preference" name="deck-preference" subtype="text" className="form-control"/> <field type="radio-group" label="Dining Options" name="dining-options"> <option label="Early Dining" value="early-dining">Early Dining</option> <option label="Late Dining" value="late-dining">Late Dining</option> <option label="Anytime" value="anytime">Anytime</option> </field> <field type="radio-group" label="Table Setting Preference&nbsp;" name="table-setting-preference-"> <option label="Personal Table for your party" value="personal-table-for-your-party">Personal Table for your party</option> <option label="Table with other guests" value="table-with-other-guests">Table with other guests</option> <option label="Link table with another party" value="link-table-with-another-party">Link table with another party</option> </field> <field type="header" subtype="h1" label="Additional Requests"/> <field type="select" label="Will you need excursion tickets?" name="will-you-need-excursion-tickets" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <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 theatre" value="art-theatre">Arts and theatre</option> </field> <field type="text" label="Will you need a rental car for your vacation? If so, what type of car do you want? If NOT, what type of transportation do you want when on your vacation?" name="text-1768109394730" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Finishing Up"/> <field type="text" required="true" label="Any Additional information we should know?" name="any-additional-information-we-should-know" subtype="text" className="form-control"/> <field type="text" required="true" label="Anything you absolutely must see?" name="anything-you-absolutely-must-see" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Payment Options" name="payment-options"> <option label="One Payment in Full" value="one-payment-in-full">One Payment in Full</option> <option label="Payment Plan (deposit + payments)" value="payment-plan-deposit-payments">Payment Plan (deposit + payments)</option> </field> <field type="text" required="true" label="Do you have any questions?" name="do-you-have-any-questions" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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