<html> <body> <form-template> <fields> <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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your preferred dates of travel?" description="This gives me a general idea of when you would like to go; this can be changed later." placeholder="mm/dd/yy - mm/dd/yy" name="what-are-your-preferred-dates-of-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="How many days would you like this trip to be?" name="how-many-days-would-you-like-this-trip-to-be" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="select" required="true" label="&nbsp;What is your desired budget for all travelers that includes components you'll be booking with The Atlas Upgrade? (Not inclusive of flights.)" description="This just gives me a general starting point and can always be changed later." placeholder="---" name="what-is-your-desired-budget-for-all-travelers" className="form-control"> <option label="$30,000 or more" value="30000-or-more">$30,000 or more</option> <option label="$20,000 - $30,000" value="20000-30000">$20,000 - $30,000</option> <option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> </field> <field type="select" required="true" label="How much would you like to spend on accommodations (per room/per night)?" description="This just gives me a general starting point and can always be changed later." placeholder="---" name="what-do-you-typically-spend-on-accommodations-per-roomper-night" className="form-control"> <option label="$500 - $1000" value="500-1000">$500 - $1000</option> <option label="$1000 - $1500" value="1000-1500">$1000 - $1500</option> <option label="$1500 - $2000" value="1500-2000">$1500 - $2000</option> <option label="$2000 - $25000" value="2000-25000">$2000 - $25000</option> <option label="$2500+" value="2500">$2500+</option> </field> <field type="select" required="true" label="What phase of planning are you in?" placeholder="---" name="what-phase-of-planning-are-you-in" className="form-control"> <option label="Haven't started" value="havent-started">Haven't started</option> <option label="The dates are set, but we need everything else" value="the-dates-are-set-but-we-need-everything-else">The dates are set, but we need everything else</option> <option label="Flights are booked, now we need to fill in the rest" value="flights-are-booked-now-we-need-to-fill-in-the-rest">Flights are booked, now we need to fill in the rest</option> <option label="Flights and hotels have been booked" value="flights-and-hotels-have-been-booked">Flights and hotels have been booked</option> </field> <field type="checkbox-group" required="true" label="What components of the trip are you looking for assistance with?" description="Check all that apply." name="what-components-of-the-trip-are-you-looking-for-assistance-with"> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Flights" value="flights">Flights</option> <option label="Activities & Excursions" value="activities-excursions">Activities & Excursions</option> <option label="Transportation (Driver, Rental Cars, Transfers, Train, etc.)" value="transportation-driver-rental-cars-transfers-train-etc">Transportation (Driver, Rental Cars, Transfers, Train, etc.)</option> <option label="Trip Insurance" value="trip-insurance">Trip Insurance</option> </field> <field type="checkbox-group" required="true" label="What type of experience are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest + Relaxation" value="rest-relaxation">Rest + Relaxation</option> <option label="Culture + History" value="culture-history">Culture + History</option> <option label="Food + Wine" value="food-wine">Food + Wine</option> <option label="Nature + Adventure" value="nature-adventure">Nature + Adventure</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Spa + Wellness" value="spa-wellness">Spa + Wellness</option> <option label="Party + Nightlife" value="party-nightlife">Party + Nightlife</option> <option label="Adults Only" value="adults-only">Adults Only</option> </field> <field type="select" required="true" label="Why are you interested in working with a travel advisor?" placeholder="---" name="why-are-you-interested-in-working-with-a-travel-advisor" className="form-control"> <option label="I don't have the time to research and plan this myself." value="i-dont-have-the-time-to-research-and-plan-this-myself">I don't have the time to research and plan this myself.</option> <option label="I just want to enjoy the trip and not have to think though the details to plan it!" value="i-just-want-to-enjoy-the-trip-and-not-have-to-think-though-the-details-to-plan-it">I just want to enjoy the trip and not have to think though the details to plan it!</option> <option label="I'm overwhelmed with all of the options and don't know where to start." value="im-overwhelmed-with-all-of-the-options-and-dont-know-where-to-start">I'm overwhelmed with all of the options and don't know where to start.</option> <option label="All of the above!" value="all-of-the-above">All of the above!</option> </field> <field type="textarea" required="true" label="Please share more about your ideal trip.&nbsp;" placeholder="Who are you traveling with? Are you celebrating a special occasion? Do you a have any specific activities/experiences in mind? Anything else you would like to tell us?" name="notes" className="form-control"/> <field type="text" required="true" label="How did you hear about us?" description="We would love to thank whoever referred you." name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to receive exciting travel updates and inspiration?" name="would-you-like-to-receive-exciting-travel-updates-and-inspiration" className="form-control"> <option label="Yes, I'd like to subscribe to your monthly newsletter." value="yes-id-like-to-subscribe-to-your-monthly-newsletter">Yes, I'd like to subscribe to your monthly newsletter.</option> <option label="No, thank you." value="no-thank-you">No, thank you.</option> </field> </fields> </form-template> </body> </html>
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