<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Tell us who's road-tripping"/> <field type="text" required="true" label="First name" description="Your name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" description="Your last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" description="Where can we send you communication about your trip?" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Who is going on this road trip? List all adults, and children with ages" name="who-is-going-on-this-road-trip-list-all-adults-and-children-with-ages" subtype="text" className="form-control"/> <field type="select" required="true" label="Are there any pets traveling with you? If you answered yes, please specify in the "Comment" section at the bottom of the form." name="are-there-any-pets-traveling-with-you-if-you-answered-yes-please-specify-in-the-comment-section-at-the-bottom-of-the-form" className="form-control"> <option label="No pets traveling" value="no-pets-traveling">No pets traveling</option> <option label="Traveling with a pet (please specify below)" value="traveling-with-a-pet-please-specify-below">Traveling with a pet (please specify below)</option> </field> <field type="text" required="true" label="What city and state do you live in?" name="what-city-and-state-do-you-live-in" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Tell us about your road trip plans"/> <field type="text" required="true" label="What dates do you have in mind for this road trip?" description="Give us your preferred travel dates and if you are flexible make sure to list any dates you are unable to travel." name="what-dates-do-you-have-in-mind-for-this-road-trip" subtype="text" className="form-control"/> <field type="text" required="true" label="How many DAYS do you have available for your road trip?" description="Make sure to include first and last day of your trip" name="how-many-days-do-you-have-available-for-your-road-trip" subtype="text" className="form-control"/> <field type="text" required="true" label="What destination(s) do you have in mind for your road trip?" description="Let us know what is your main destination/goal for your road trip." placeholder="ex. Yellowstone NP" name="what-destination-do-you-have-in-mind-for-your-road-trip" subtype="text" className="form-control"/> <field type="text" required="true" label="What city and state will you be departing from for your road trip?" name="what-city-and-state-will-you-be-departing-from-for-your-road-trip" subtype="text" className="form-control"/> <field type="text" required="true" label="What city and state will you be returning to from your road trip?" name="what-city-and-state-will-you-be-returning-to-from-your-road-trip" subtype="text" className="form-control"/> <field type="select" required="true" label="What mode of transportation are you using for your road trip?" description="Please pick one" name="what-mode-of-transportation-are-you-using-for-your-road-trip" className="form-control"> <option label="My own car" value="my-own-car">My own car</option> <option label="My own RV/camper" value="my-own-rvcamper">My own RV/camper</option> <option label="Rental Car from home base" value="rental-car-from-home-base">Rental Car from home base</option> <option label="Flying, then car rental" value="flying-then-car-rental">Flying, then car rental</option> <option label="Renting RV" value="renting-rv">Renting RV</option> <option label="Other, specify in the comments below" value="other-specify-in-the-comments-below">Other, specify in the comments below</option> </field> <field type="select" required="true" label="What type of accommodations are you interested in?" name="what-type-of-accommodations-are-you-interested-in" className="form-control"> <option label="Hotel/Resort/Motel" value="hotelresortmotel">Hotel/Resort/Motel</option> <option label="RV/camper" value="rvcamper">RV/camper</option> <option label="Tent" value="tent">Tent</option> <option label="Other (specify in the "Comment" section below" value="other-specify-in-the-comment-section-below">Other (specify in the "Comment" section below</option> <option label="I don't need accommodations" value="i-dont-need-accommodations">I don't need accommodations</option> </field> <field type="text" label="Do you have a budget idea/expectation for your accommodations and attractions?" description="It's ok if you're not sure. This is just a start and can be adjusted." name="whats-your-approximate-budget-for-accommodations-and-attractions" subtype="text" className="form-control"/> <field type="text" label="Approx. how many hours in a day are you comfortable driving from place to place?" name="approx-how-many-hours-in-a-day-are-you-comfortable-driving-from-place-to-place" subtype="text" className="form-control"/> <field type="text" label="How many active drivers will be in your vehicle?" name="how-many-active-drivers-will-be-in-your-vehicle" subtype="text" className="form-control"/> <field type="textarea" label="Comment Section: Tell us more about your road trip dreams. Are there any must-have places, activities you want included? The more details you include the better." name="tell-us-more-about-our-road-trip-are-there-any-musthave-places-activities-you-want-included-the-more-details-you-include-the-better" rows="5" className="form-control"/> <field type="checkbox-group" required="true" label="Upon review of your road trip planning request, It's Worth Traveling will contact you with any additional questions for your trip, as well as with an opportunity to schedule a call or Zoom consultation to discuss your road trip in more details. You will also receive an invoice for the Road Trip Planning with details of services included. This invoice must be paid prior to any research being done on your road trip." name="upon-review-of-your-road-trip-planning-request-its-worth-traveling-will-contact-you-with-any-additional-questions-for-your-trip-as-well-as-with-an-opportunity-to-schedule-a-call-or-zoom-consultation-to-discuss-your-road-trip-in-more-details-you-will-also-receive-an-invoice-for-the-road-trip-planning-with-details-of-services-included-this-invoice-must-be-paid-prior-to-any-work-being-done-on-your-road-trip"> <option label="I understand, and agree." value="i-understand-and-agree">I understand, and agree.</option> </field> </fields> </form-template> </body> </html>
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