<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" 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="text" required="true" label="Where would you like to go?" placeholder="Ex: Tahiti Caribbean Greece etc." name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" required="true" label="What dates would you like to go?" placeholder="mm/dd/yy - mm/dd/yy" name="what-dates-would-you-like-to-go" subtype="text" className="form-control"/> <field type="select" required="true" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control"> <option label="Yes- Open to best availability" value="yes-open-to-best-availability">Yes- Open to best availability</option> <option label="Potentially, but prefer dates outlined" value="potentially-but-prefer-dates-outlined">Potentially, but prefer dates outlined</option> <option label="No- Dates are set and unable to be moved" value="no-dates-are-set-and-unable-to-be-moved">No- Dates are set and unable to be moved</option> </field> <field type="text" required="true" label="How many total nights would you like to travel?" name="how-many-total-nights-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="Total number of travelers" name="total-number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="What is the reason for the trip?" placeholder="Ex: honeymoon birthday retirement just because!" name="what-is-the-reason-for-the-trip" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Describe your vision for this vacation" name="describe-your-vision-for-this-vacation" className="form-control"/> <field type="radio-group" label="How would you describe your desired accommodation style?" name="how-would-you-describe-your-desired-accommodation-style"> <option label="Luxury & exclusive" value="luxury-exclusive">Luxury & exclusive</option> <option label="Boutique & intimate" value="boutique-intimate">Boutique & intimate</option> <option label="Moderate/ functional" value="moderate-functional">Moderate/ functional</option> <option label="Economical" value="economical">Economical</option> </field> <field type="text" required="true" label="Describe a favorite hotel and why you love it." name="describe-a-favorite-hotel-and-why-you-love-it" subtype="text" className="form-control"/> <field type="text" label="What are your "must have" amenities?" placeholder="Ex: terrace fitness center rooftop bar kids club etc." name="what-are-your-must-have-amenities" subtype="text" className="form-control"/> <field type="text" label="Will you be booking any portion of your trip with points? If so, please describe." description="We are unable to quote with points but this will allow us to know what components that we can assist you with." name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-please-describe" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Which services would you like our help with? (Note: &nbsp;We must book accommodations to assist with other services)" name="what-components-would-you-like-us-to-provide-in-your-proposal"> <option label="Airfare" value="airfare">Airfare</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (rental car, transfers, train, etc.)" value="transportation-rental-car-transfers-train-etc">Transportation (rental car, transfers, train, etc.)</option> <option label="Activities & excursions" value="activities-excursions">Activities & excursions</option> <option label="Insurance" value="insurance">Insurance</option> </field> <field type="text" label="What is your preferred airport of departure/ home airport (if you are needing airfare)?" name="what-is-your-preferred-airport-of-departure-home-airport-if-you-are-needing-airfare" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your nightly budget for accommodations ?" name="what-is-your-nightly-budget-for-accommodations-"> <option label="$250-500" value="250500">$250-500</option> <option label="$500-750" value="500750">$500-750</option> <option label="$750-1000" value="7501000">$750-1000</option> <option label="$1000-1500" value="10001500">$1000-1500</option> <option label="$1500-2000" value="15002000">$1500-2000</option> <option label="$2000 +" value="2000-">$2000 +</option> </field> <field type="select" required="true" label="What is your ideal total investment for this trip (for all travelers) ?* This total does not include airfare" name="what-is-your-ideal-total-budget-for-all-travelers" className="form-control"> <option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7500 - $10000" value="7500-10000">$7500 - $10000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000 -$20,000" value="15000-20000">$15,000 -$20,000</option> <option label="$20,000-$25,000" value="20000-25000">$20,000-$25,000</option> <option label="$25,000-$35,000" value="25000-35000">$25,000-$35,000</option> <option label="$35,000-$50,000" value="35000-50000">$35,000-$50,000</option> <option label="$50,000+" value="50000+">$50,000+</option> </field> <field type="textarea" label="Do you have anything else to add that would be important for us to know about your pending trip?" name="do-you-have-anything-else-to-add-that-would-be-important-for-us-to-know-about-your-pending-trip" className="form-control"/> <field type="textarea" required="true" label="Please list all traveler full names (with middle) and birthdates" description="This information will be used to save the itinerary with our partners. No information will be shared & providing this does not obligate you to any booking." name="please-list-all-traveler-full-names-with-middle-and-birthdates" className="form-control"/> <field type="text" label="How did you hear about Jen Terra Travels?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to be added to our newsletter?" name="would-you-like-to-be-added-to-our-newsletter" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Already on it!" value="already-on-it">Already on it!</option> </field> </fields> </form-template> </body> </html>
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