<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" 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"/> <field type="date" 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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" label="What is your budget for all travelers? (not including flight costs). This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$2500-$5000" value="25005000">$2500-$5000</option> <option label="$5000-7500" value="50007500">$5000-7500</option> <option label="$7500-$10,000" value="750010000">$7500-$10,000</option> <option label="$10,000-$20,000" value="1000020000">$10,000-$20,000</option> <option label="$20,000-30,000" value="2000030000">$20,000-30,000</option> <option label="$30,000-40,000" value="3000040000">$30,000-40,000</option> <option label="$40,000+" value="40000">$40,000+</option> </field> <field type="text" label="How many travelers?&nbsp;" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="4 Star Luxury " value="4-star-luxury-">4 Star Luxury </option> <option label="5 Star Ultimate Luxury" value="5-star-ultimate-luxury">5 Star Ultimate Luxury</option> </field> <field type="text" label="Do you have a hotel(s) in mind? If this an Express Booking, please fill out the Express Booking form found under our SERVICES page above." name="do-you-have-a-hotel-in-mind" subtype="text" className="form-control"/> <field type="textarea" label="Any must-do activities on your list? If you're not quite sure - no problem! I'm here to help inspire you with local ideas.&nbsp;" name="any-mustdo-activities-on-your-list-if-youre-not-quite-sure-no-problem-im-here-to-help-inspire-you-with-local-ideas-" className="form-control"/> <field type="textarea" label="What else would you like me to know? Details like travel preferences, kids' ages (if it's a family trip), mobility limitations, bedding/room configuration preferences, etc. We will chat through this - but this is a helpful place to capture anything notable.&nbsp;" name="notes" className="form-control"/> <field type="textarea" label="How did you learn about Connections Luxury Travel? If someone referred you, we'd love to know who so we can thank them!&nbsp;" name="how-did-you-learn-about-connections-luxury-travel-if-someone-referred-you-wed-love-to-know-who-so-we-can-thank-them-" className="form-control"/> </fields> </form-template> </body> </html>
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