<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Contact Information"/> <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="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="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" required="true" label="Type of Vacation" name="type-of-vacation" other="true"> <option label="Resort/All-Inclusive" value="resortallinclusive">Resort/All-Inclusive</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Theme Park" value="theme-park">Theme Park</option> </field> <field type="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="How many people will be traveling with you?" name="how-many-people-will-be-traveling-with-you" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="When is the best time to contact you?" name="when-is-the-best-time-to-contact-you"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> </field> </fields> </form-template> </body> </html>
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