<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Additional Contact Info"/> <field type="text" label="Website" name="website" subtype="text" className="form-control"/> <field type="text" label="Job title" name="job-title" subtype="text" className="form-control"/> <field type="text" label="Company" name="company" subtype="text" className="form-control"/> <field type="text" label="Facebook profile" name="facebook-profile" subtype="text" className="form-control"/> <field type="text" label="LinkedIn profile" name="linkedin-profile" subtype="text" className="form-control"/> <field type="text" label="Twitter profile" name="twitter-profile" subtype="text" className="form-control"/> <field type="text" label="Instagram profile" name="instagram-profile" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Preferences"/> <field type="paragraph" subtype="p" label="Please fill out all answers below. Thank you!"/> <field type="header" subtype="h2" label="Full name as it appears on your passport."/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <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" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" 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"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process"> <option label="Just getting started" value="just-getting-started">Just getting started</option> <option label="I have some ideas, but need help with research & planning" value="i-have-some-ideas-but-need-help-with-research-planning">I have some ideas, but need help with research & planning</option> <option label="I know just what I want, but need help finalizing the details" value="i-know-just-what-i-want-but-need-help-finalizing-the-details">I know just what I want, but need help finalizing the details</option> <option label="Other" value="other">Other</option> </field> <field type="text" required="true" label="Is this trip for a special occassion? (birthday, anniversary, etc.)" name="is-this-trip-for-a-special-occassion-birthday-anniversary-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" 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="From what airport will you be departing?" description="Please list any alternate airports that could also be considered." name="from-what-airport-will-you-be-departing" subtype="text" className="form-control"/> <field type="text" required="true" label="Do you have any preferences for seating?" description="EX. window seat aisle across from travel companions etc." name="do-you-have-any-preferences-for-seating" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers will be in your party?" name="how-many-travelers-will-be-in-your-party" subtype="text" className="form-control"/> <field type="textarea" required="true" label="In addition to uploading a copy of your passport as well as those in your travel party, please list the names (as they appear on a passport) birth dates of all additional travelers, as well as their relation to you." name="please-list-the-names-as-they-appear-on-a-passport-and-birth-dates-of-all-additional-travelers" className="form-control"/> <field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/> <field type="text" required="true" label="Do you or any members of your travel party have any allergies or dietary restrictions? If yes, please list what you would like me to be aware of." name="do-you-or-any-members-of-your-travel-party-have-any-allergies-or-dietary-restrictions-if-yes-please-list-what-you-would-like-me-to-be-aware-of" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What type of vacation are you hoping to experience?" description="You may choose more than one." name="vibe-preference"> <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="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="textarea" required="true" label="Please list anything that you are hoping to see or do during your vacation." name="please-list-anything-that-you-are-hoping-to-see-or-do-during-your-vacation" className="form-control"/> <field type="checkbox-group" required="true" label="What type of accommodations do you prefer?" name="hotel-preferences-what-best-describes-your-hotel-preference-please-select-all-that-apply"> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Resort or Hotel Stay (meals/drinks not included)" value="resort-or-hotel-stay-meals + drinks-not-included">Resort or Hotel Stay (meals/drinks not included)</option> <option label="Private Apartment (no VRBO/AirBnb)" value="private-apartment-no-vrboairbnb">Private Apartment (no VRBO/AirBnb)</option> <option label="Private Villa" value="private-villa">Private Villa</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="text" required="true" label="Are there any onsite or room amenities that you desire?" description="EX. onsite restaurant onsite gym accessible features elevator etc." name="are-there-any-onsite-or-room-amenities-that-you-desire" subtype="text" className="form-control"/> <field type="text" required="true" label="What hotel/resort have you loved staying at previously and what did you love about it?" name="what-hotelresort-have-you-loved-staying-at-previously-and-what-did-you-love-about-it" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your least favorite place you've traveled to?" name="what-is-your-least-favorite-place-youve-traveled-to" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your favorite memory from a past trip?" name="what-is-your-favorite-memory-from-a-past-trip" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What does your ideal Saturday look like?" description="Detailed or a quick bullet point is great! (EX. Coffee quiet morning workout house projects winery visit dinner with friends/family)" name="what-does-your-ideal-saturday-look-like" className="form-control"/> <field type="textarea" required="true" label="When you're envisioning your vacation, what are some of your "must haves", "nice-to-haves", and your "I'd rather not have" items? Is there anything else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/> <field type="text" required="true" label="Do you have a budget in mind for all travelers?" name="what-is-your-budget-for-all-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="If you don't have a budget in mind, please chose from one of the following ranges. I am comfortable with budgeting for ..." name="if-you-dont-have-a-budget-in-mind-please-chose-from-one-of-the-following-ranges-i-am-comfortable-with-budgeting-for-"> <option label="$2,500 pp" value="2500-pp">$2,500 pp</option> <option label="$3,500 pp" value="3500-pp">$3,500 pp</option> <option label="$4,500 pp" value="4500-pp">$4,500 pp</option> <option label="$5,500 pp +" value="5500-pp-">$5,500 pp +</option> </field> <field type="radio-group" required="true" label="Would you like to be included in the Vida Travel Co. email list to receive the most up to date travel opportunities?" name="would-you-like-to-be-included-in-the-vida-travel-co-email-list-to-receive-the-most-up-to-date-travel-opportunities"> <option label="Yes, please!" value="yes-please">Yes, please!</option> <option label="No thanks" value="no-thanks">No thanks</option> </field> <field type="radio-group" required="true" label="Would you like Vida Travel Co. to include a quote for travel protection?" name="would-you-like-vida-travel-co-to-include-a-quote-for-travel-protection"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Consent" name="consent"> <option label="I consent to having Vida Travel Co. collect my details via this form." value="i-consent-to-having-vida-travel-co-collect-my-details-via-this-form">I consent to having Vida Travel Co. collect my details via this form.</option> </field> </fields> </form-template> </body> </html>
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