<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="Luxury Cruise Quote"/> <field type="paragraph" subtype="p" label="I'm happy to help you book your cruise. You can count on Luxe Recess to help you plan a stress-free experience from port to port with no long phone calls on hold, and expert advice.&nbsp; While I do not charge a fee to book a cruise, I do charge a cancellation fee of $100 per cabin if you cancel your cruise."/> <field type="header" subtype="h3" label="Submitting this Form"/> <field type="paragraph" subtype="p" label="Please be sure to scroll down to the end until you can hit the blue button to submit your trip details. Sometimes this form is harder to navigate on mobile. The form's scroll bar is different than the webpage's scrollbar."/> <field type="checkbox-group" label="Which Cruise Line Are You Interested In?" name="which-ship-are-you-interested-in"> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Four Seasons Yacht" value="four-seasons-yacht">Four Seasons Yacht</option> <option label="Explora Journeys" value="explora-journeys">Explora Journeys</option> <option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Ritz Carlton Yacht" value="ritz-carlton-yacht">Ritz Carlton Yacht</option> <option label="Other" value="other">Other</option> <option label="I don't know yet" value="i-dont-know-yet">I don't know yet</option> </field> <field type="checkbox-group" label="Cruise Destination?" name="cruise-destination"> <option label="Caribbean/Mexico" value="caribbeanmexico">Caribbean/Mexico</option> <option label="Europe" value="europe">Europe</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Antartica" value="antartica">Antartica</option> <option label="Galapagos" value="galapagos">Galapagos</option> <option label="Not Sure" value="not-sure">Not Sure</option> </field> <field type="text" required="true" label="Where are you interested in traveling?" placeholder="Bahamas Caribbean Alaska Europe Etc." name="destination" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart, approximately?" description="mm/dd/yy" placeholder="mm/dd/yy" name="starting-at" className="form-control"/> <field type="date" label="When would you like to return, approximately?" description="mm/dd/yy" placeholder="mm/dd/yy" name="ending-at" className="form-control"/> <field type="text" required="true" label="Tell me the number of adults and children/rooms traveling and number of cabins desired with everyone's dates of birth. (This is required to hold a cabin for you)" description="Please share ages of children at time of travel" placeholder="ex: 2 adults; 2 kids aged 7 and 10 at time of cruise" name="must-dos" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="If a cruise, what kind of cabin are you looking for?" description="Check up to two options" name="vibe-preference"> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Verandah" value="verandah">Verandah</option> <option label="Concierge Standard" value="concierge-standard">Concierge Standard</option> <option label="Concierge Suite" value="concierge-suite">Concierge Suite</option> <option label="Royal or Owner's Suite" value="royal-or-owners-suite">Royal or Owner's Suite</option> </field> <field type="text" label="What is your vacation budget you would like to stay under?" placeholder="$8K-12K for example" name="what-is-your-cruise-budget-you-would-like-to-stay-under" subtype="text" className="form-control"/> <field type="checkbox-group" label="If a Disney vacation, do you have priority booking? If so which group are you in?" name="do-you-have-priority-booking-if-so-which-group-are-you-in" other="true"> <option label="Silver Castaway Club" value="silver-castaway-club">Silver Castaway Club</option> <option label="Gold Castaway Club" value="gold-castaway-club">Gold Castaway Club</option> <option label="Platinum Castaway Club" value="platinum-castaway-club">Platinum Castaway Club</option> <option label="Adventures By Disney Insider" value="adventures-by-disney-insider">Adventures By Disney Insider</option> <option label="DVC Owner" value="dvc-owner">DVC Owner</option> </field> <field type="checkbox-group" required="true" label="Cruise Priorities" description="What are your cruise priorities?" name="if-you-do-not-know-which-cruise-line-is-best-for-you-what-would-you-prioritize"> <option label="Kids Clubs and Activities" value="kids-clubs-and-activities">Kids Clubs and Activities</option> <option label="Teen Club and Activities" value="teen-club-and-activities">Teen Club and Activities</option> <option label="An Exclusive Concierge Section " value="an-exclusive-concierge-section-">An Exclusive Concierge Section </option> <option label="Alcoholic Beverage Package" value="alcoholic-beverage-package">Alcoholic Beverage Package</option> <option label="Activities for Parents & Kids" value="activities-for-parents-kids">Activities for Parents & Kids</option> <option label="Adult-Only Vacation" value="adultonly-vacation">Adult-Only Vacation</option> </field> <field type="checkbox-group" label="Would you like for us to plan a vacation before or after, too?" name="would-you-like-for-us-to-plan-a-vacation-before-or-after-your-cruise-too"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not sure yet" value="not-sure-yet">Not sure yet</option> </field> <field type="textarea" required="true" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" placeholder="Special needs or diets family dynamics milestone celebrations?" name="notes" className="form-control"/> <field type="header" subtype="h2" label="Address (required to hold a cabin)"/> <field type="text" 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" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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