<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="header" subtype="h2" label="Questions for your trip"/> <field type="checkbox-group" required="true" label="Type of Vacation" name="type-of-vacation"> <option label="Flight/Hotel Package" value="flighthotel-package">Flight/Hotel Package</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="text" required="true" label="Where would you like to go? Please indicate destination(s)" placeholder="Enter your destination/destination(s) here" name="destination" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart, Exact date that you want to leave home?" 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, Exact date that you want to return home?" 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> </field> <field type="text" label="What airport will you be flying out of?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" label="Are you open to flying discounted airlines such as Spirit or Frontier?" name="are-you-open-to-flying-discounted-airlines-such-as-spirit-or-frontier" className="form-control"> <option label="Select One" value="select-one">Select One</option> <option label="Spirit" value="spirit">Spirit</option> <option label="Frontier" value="frontier">Frontier</option> <option label="Both" value="both">Both</option> <option label="Neither" value="neither">Neither</option> </field> <field type="text" label="How many adult travelers are in your room?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="Age of Kids at the time of travel?" name="age-of-kids-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="text" label="Additional Travelers rooming with you that will need a copy of the quote as well? (name, email, and phone number)" name="additional-travelers-needing-to-receive-a-quote-as-well-name-and-email-address" subtype="text" className="form-control"/> <field type="text" label="What airport will your roommate be flying from if different?&nbsp;" name="what-airport-will-your-roommate-be-flying-from-if-different-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is the age group of the majority of the travelers?" name="what-is-the-age-group-of-the-majority-of-the-travelers"> <option label="18-29" value="1829">18-29</option> <option label="30-39" value="3039">30-39</option> <option label="40-49" value="4049">40-49</option> <option label="50-59" value="5059">50-59</option> <option label="60 and up" value="60-and-up">60 and up</option> </field> <field type="radio-group" required="true" label="What is your budget PER PERSON?" name="what-is-your-budget-per-person"> <option label="Up to $1,000" value="up-to-1000">Up to $1,000</option> <option label="$1,000 to $2,000" value="1000-to-2000">$1,000 to $2,000</option> <option label="$2,000 to $3,000" value="2000-to-3000">$2,000 to $3,000</option> <option label="$3,000 to $4,000" value="3000-to-4000">$3,000 to $4,000</option> <option label="More than $4,000" value="more-than-4000">More than $4,000</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <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="Special Celebration?" name="special-celebration" subtype="text" className="form-control"/> <field type="radio-group" label="Resort Style" name="resort-style"> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="A mixture of both Adults and Family" value="a-mixture-of-both-adults-and-family">A mixture of both Adults and Family</option> </field> <field type="textarea" required="true" label="Do you have a preferred hotel/resort that you would like me to quote?" name="do-you-have-a-preferred-hotelresort-that-you-would-like-me-to-quote" className="form-control"/> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <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="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <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 theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="New or Existing Client" name="new-or-existing-client"> <option label="Existing" value="existing">Existing</option> <option label="New-Search engine (google, yahoo, etc)" value="newsearch-engine-google-yahoo-etc">New-Search engine (google, yahoo, etc)</option> <option label="New-Referral by an existing client (please list referral name below)" value="newreferral-by-an-existing-client-please-list-referral-name-below">New-Referral by an existing client (please list referral name below)</option> <option label="New-Social Media" value="newsocial-media">New-Social Media</option> </field> <field type="text" label="Referral Name" name="referral-name" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know? For cruises, please provide guest names and dates of births so that we can check any promotions available to you. Also indicate a cruise departure port if applicable." description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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