<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="header" subtype="h1" label="Caribbean Vacation Preferences Form"/> <field type="paragraph" subtype="p" label="I specialize in adults only, all inclusive resort and cruise vacations in the Caribbean. Let me know what you're looking for below!&amp;nbsp;"/> <field type="paragraph" subtype="p" label="As a travel planning professional, I invest an incredible amount of time developing strong relationships with travel suppliers around the globe and staying up-to-date with ways to ensure you have an unforgettable vacation! There is a $100 non-refundable professional fee for each trip, per family/couple.&nbsp; &nbsp;This includes an initial phone consultation, research, planning, and booking for your vacation!&nbsp; Your planning fee is a commitment to my time as I plan the absolute best trip for you! (For families/groups with more than 4 people, each additional person is $25)"/> <field type="header" subtype="h1" label="Let's Get Started!"/> <field type="checkbox-group" required="true" label="Interested in Booking" name="interested-in-booking"> <option label="Flight" value="flight">Flight</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Caribbean All-Inclusive Resort" value="caribbean-allinclusive-resort">Caribbean All-Inclusive Resort</option> <option label="Caribbean Cruise" value="caribbean-cruise">Caribbean Cruise</option> </field> <field type="date" required="true" label="Departure Date" description="This can be modified later if your dates are flexible." name="departure-date" className="form-control"/> <field type="date" required="true" label="Return Date" description="This can be modified later if your dates are flexible" name="return-date" className="form-control"/> <field type="radio-group" required="true" 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="text" required="true" label="Number of Adults Traveling:" name="number-of-adults-traveling" subtype="text" className="form-control"/> <field type="text" label="Number of Children Traveling" name="number-of-children-traveling" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your approximate trip budget?&nbsp;" name="what-is-your-approximate-trip-budget-"> <option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option> <option label="$8,500-$10,000" value="850010000">$8,500-$10,000</option> <option label="Over $10,000" value="over-10000">Over $10,000</option> </field> <field type="checkbox-group" label="Applicable Discounts" name="applicable-discounts"> <option label="AARP" value="aarp">AARP</option> <option label="Military" value="military">Military</option> </field> <field type="text" label="Discount Membership Number (if applicable)" name="discount-membership-number-if-applicable" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are passports updated?" name="are-passports-updated"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Airline Preferences"/> <field type="radio-group" required="true" label="Do you plan to fly to your destination/port?" name="do-you-plan-to-fly-to-your-destinationport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="text" label="What airport do you prefer to fly out of?" name="what-airport-do-you-prefer-to-fly-out-of" subtype="text" className="form-control"/> <field type="text" label="Preferred Airline (If applicable)" name="preferred-airline-if-applicable" subtype="text" className="form-control"/> <field type="text" label="Mileage Rewards Number (if applicable)" name="mileage-rewards-number-if-applicable" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Seat Class (if applicable)" name="preferred-seat-class-if-applicable"> <option label="Basic Economy/Coach" value="basic-economycoach">Basic Economy/Coach</option> <option label="Economy Plus/Premium" value="economy-pluspremium">Economy Plus/Premium</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="header" subtype="h1" label="All-Inclusive Resort Preferences (if applicable)"/> <field type="radio-group" label="What describes your resort preference?" name="what-describes-your-resort-preference"> <option label="Budget" value="budget">Budget</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="text" label="Preferred resort (if applicable)" name="text-1680029227036" subtype="text" className="form-control"/> <field type="checkbox-group" label="What's important to you?&nbsp;" name="whats-important-to-you-" other="true"> <option label="Swim up bar" value="swim-up-bar">Swim up bar</option> <option label="High Speed Internet" value="high-speed-internet">High Speed Internet</option> <option label="Multiple restaurants" value="multiple-restaurants">Multiple restaurants</option> <option label="Golf Course" value="golf-course">Golf Course</option> <option label="Watersports" value="watersports">Watersports</option> <option label="Nightly entertainment" value="nightly-entertainment">Nightly entertainment</option> <option label="Bustling resort for socializing" value="bustling-resort-for-socializing">Bustling resort for socializing</option> <option label="Quiet resort for relaxation" value="quiet-resort-for-relaxation">Quiet resort for relaxation</option> <option label="Picturesque beaches" value="picturesque-beaches">Picturesque beaches</option> <option label="Multiple pools" value="multiple-pools">Multiple pools</option> <option label="Spa and fitness" value="spa-and-fitness">Spa and fitness</option> <option label="Butler service" value="butler-service">Butler service</option> </field> <field type="radio-group" label="Room Type" name="room-type"> <option label="Double Occupancy" value="double-occupancy">Double Occupancy</option> <option label="Quad Occupancy" value="quad-occupancy">Quad Occupancy</option> <option label="Suite, Double Occupancy" value="suite-double-occupancy">Suite, Double Occupancy</option> <option label="Suite, Quad Occupancy" value="suite-quad-occupancy">Suite, Quad Occupancy</option> </field> <field type="checkbox-group" label="Room View&nbsp;" name="room-view-check-all-youre-interested-in"> <option label="Garden View" value="garden-view">Garden View</option> <option label="Pool View" value="pool-view">Pool View</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Oceanfront" value="oceanfront">Oceanfront</option> </field> <field type="checkbox-group" label="Accessibility" name="accessibility"> <option label="Accessible Bathroom" value="accessible-bathroom">Accessible Bathroom</option> <option label="Roll-In Shower" value="rollin-shower">Roll-In Shower</option> <option label="In-Room Accessibility" value="inroom-accessibility">In-Room Accessibility</option> <option label="Wheelchair Accessible" value="wheelchair-accessible">Wheelchair Accessible</option> </field> <field type="text" label="Rewards Number (if applicable)" name="rewards-number-if-applicable" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Cruise Preferences (if applicable)"/> <field type="text" label="Cruise Line Preference" name="cruise-line-preference" subtype="text" className="form-control"/> <field type="text" label="Cruise Rewards Number" name="cruise-rewards-number" subtype="text" className="form-control"/> <field type="radio-group" label="Length of Cruise" name="radio-group-1680029375614"> <option label="3-4 days" value="34-days">3-4 days</option> <option label="5-7 days" value="57-days">5-7 days</option> <option label="8+ days" value="8-days">8+ days</option> </field> <field type="checkbox-group" label="What's important to you?" name="whats-important-to-you" other="true"> <option label="Ability to drive to the port" value="ability-to-drive-to-the-port">Ability to drive to the port</option> <option label="Nightly entertainment" value="nightly-entertainment">Nightly entertainment</option> <option label="Adults only cruise ship" value="adults-only-cruise-ship">Adults only cruise ship</option> <option label="Ports of Call" value="ports-of-call">Ports of Call</option> <option label="Spa and fitness" value="spa-and-fitness">Spa and fitness</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Multiple Restaurants" value="multiple-restaurants">Multiple Restaurants</option> <option label="Quiet, smaller ship for relaxation" value="quiet-smaller-ship-for-relaxation">Quiet, smaller ship for relaxation</option> <option label="Large, busy ship with many activity choices" value="large-busy-ship-with-many-activity-choices">Large, busy ship with many activity choices</option> </field> <field type="select" label="Preferred Departure Port (select all that apply)" name="preferred-departure-port-select-all-that-apply" multiple="multiple" className="form-control"> <option label="Mobile, AL" value="mobile-al">Mobile, AL</option> <option label="Long Beach, CA" value="long-beach-ca">Long Beach, CA</option> <option label="Los Angeles, CA" value="los-angeles-ca">Los Angeles, CA</option> <option label="San Diego, CA" value="san-diego-ca">San Diego, CA</option> <option label="San Francisco, CA" value="san-francisco-ca">San Francisco, CA</option> <option label="Ft. Lauderdale, FL" value="ft-lauderdale-fl">Ft. Lauderdale, FL</option> <option label="Jacksonville, FL" value="jacksonville-fl">Jacksonville, FL</option> <option label="Miami, FL" value="miami-fl">Miami, FL</option> <option label="Port Canaveral, FL" value="port-canaveral-fl">Port Canaveral, FL</option> <option label="Tampa, FL" value="tampa-fl">Tampa, FL</option> <option label="New Orleans, LA" value="new-orleans-la">New Orleans, LA</option> <option label="Baltimore, MD" value="baltimore-md">Baltimore, MD</option> <option label="Boston, MA" value="boston-ma">Boston, MA</option> <option label="Cape Liberty, NJ" value="cape-liberty-nj">Cape Liberty, NJ</option> <option label="New York, NY" value="new-york-ny">New York, NY</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Charleston, SC" value="charleston-sc">Charleston, SC</option> <option label="Galveston, TX" value="galveston-tx">Galveston, TX</option> <option label="U.S. Virgin Islands" value="us-virgin-islands">U.S. Virgin Islands</option> <option label="Norfolk, VA" value="norfolk-va">Norfolk, VA</option> </field> <field type="checkbox-group" label="Cabin Preference" name="cabin-preference"> <option label="Inside " value="inside-">Inside </option> <option label="Outside with window" value="outside-with-window">Outside with window</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="Dining Preference" name="dining-preference"> <option label="Dine Anytime" value="dine-anytime">Dine Anytime</option> <option label="Scheduled Dining" value="scheduled-dining">Scheduled Dining</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="textarea" label="Any Additional Helpful Information:" name="any-additional-helpful-information" className="form-control"/> <field type="paragraph" subtype="p" label="Thank you for your interest!&amp;nbsp; I will contact you soon to discuss your exciting vacation plans!&amp;nbsp;"/> </fields> </form-template> </body> </html>
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