<html> <body> <form-template> <fields> <field type="text" required="true" label="First name" name="first-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" required="true" label="Email" description="ex: example@email.com" name="email" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Quotes are good for a limited time upon receipt. Is everyone deposit ready? (Deposits can range from $50-$300 depending on supplier and trip)" name="quotes-are-good-for-a-limited-time-upon-receipt-is-everyone-deposit-ready-deposits-can-range-from-50300-depending-on-supplier-and-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If yes to the previous question, advise of the dates &amp; location of the trip. *Please note: if any modifications are made outside of what was posted a research fee will be charged." description="Ex:Vegas Feb. 12-15 from CLT" name="if-yes-to-the-previous-question-advise-of-the-dates-location-of-the-trip-please-note-if-any-modifications-are-made-outside-of-what-was-posted-a-research-fee-will-be-charged" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Questions for your trip"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="how-many-travelers" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="ex: 02/21/2022" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="ex: 02/21/2022" name="when-would-you-like-to-return" className="form-control"/> <field type="radio-group" 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="date" label="If yes, then when?" description="ex: 02/21/2022" name="if-yes-then-when" className="form-control"/> <field type="text" label="If flying, what is your departure airport? (please list 2 options)" name="if-flying-what-is-your-departure-airport-please-list-2-options" subtype="text" className="form-control"/> <field type="radio-group" label="What is your budget per person?&nbsp;" name="what-is-your-budget-per-person-"> <option label="$0 to $750" value="0-to-750">$0 to $750</option> <option label="$750 to $1500" value="750-to-1500">$750 to $1500</option> <option label="$1500 to $2500" value="1500-to-2500">$1500 to $2500</option> <option label="$2500 to $4500 " value="2500-to-4500-">$2500 to $4500 </option> <option label="$4500 to $6500" value="4500-to-6500">$4500 to $6500</option> <option label="$6500 to $8500" value="6500-to-8500">$6500 to $8500</option> <option label="$8500 to $10,000" value="8500-to-10000">$8500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="text" label="Any specific Hotel Brand?" name="any-specific-hotel-brand" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Name as listed on ID and birthdate of all travelers" name="name-as-listed-on-id-and-birthdate-of-all-travelers" className="form-control"/> <field type="text" label="How many rooms?" name="how-many-rooms" subtype="text" className="form-control"/> <field type="checkbox-group" label="Transportation needed?&nbsp;" name="transportation-needed-"> <option label="Yes-rental" value="yesrental">Yes-rental</option> <option label="Yes- to and from hotel (airport transfers)" value="yes-to-and-from-hotel-airport-transfers">Yes- to and from hotel (airport transfers)</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Celebrating any special occasions?" name="celebrating-any-special-occasions" className="form-control"/> <field type="select" label="All quotes will be sent within 36-48 business hours after all information has been collected. Travel with Nisha is closed on the weekends and all major holidays (unless you are in travel) Our regular business hours are 9am to 7pm&nbsp;" name="all-quotes-will-be-sent-within-3648-business-hours-after-all-information-has-been-collected-luxe-c-getaways-is-closed-on-the-weekends-and-all-major-holidays-unless-you-are-in-travel-our-regular-business-hours-are-9am-to-7pm-" className="form-control"> <option label="I agree" value="i-agree">I agree</option> <option label="I do not agree " value="i-do-not-agree-">I do not agree </option> </field> <field type="select" required="true" label="Travel Protection Insurance?&nbsp;&nbsp;" name="travel-protection-insurance-" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Option 3" value="option-3">Option 3</option> </field> </fields> </form-template> </body> </html>
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