<html> <body> <form-template> <fields> <field type="header" subtype="h3" label="Contact Information"/> <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="Phone number" name="phone-number" 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="Mailing Address" name="text-1741612955608" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Vacation Details"/> <field type="checkbox-group" required="true" label="Destination(s) [Select all that apply]" description="Select all that apply" name="destination" other="true"> <option label="Walt Disney World Resort [Florida]" value="walt-disney-world-resort-florida">Walt Disney World Resort [Florida]</option> <option label="Disneyland Resort [California]" value="disneyland-resort-california">Disneyland Resort [California]</option> <option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option> <option label="Disney's Aulani Resort & Spa [Hawaii]" value="disneys-aulani-resort-spa-hawaii">Disney's Aulani Resort & Spa [Hawaii]</option> <option label="Universal Orlando Resort [Florida]" value="universal-orlando-resort-florida">Universal Orlando Resort [Florida]</option> <option label="Ocean Cruise [Carnival, Royal Caribbean, Disney, Princess, Celebrity, Norwegian, etc.]" value="ocean-cruise-carnival-royal-caribbean-disney-princess-celebrity-norwegian-etc">Ocean Cruise [Carnival, Royal Caribbean, Disney, Princess, Celebrity, Norwegian, etc.]</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Domestic U.S. Destinations [Alaska, Hawaii, Florida, Colorado, California, New York, etc.]" value="domestic-us-destinations-alaska-hawaii-florida-colorado-california-new-york-etc">Domestic U.S. Destinations [Alaska, Hawaii, Florida, Colorado, California, New York, etc.]</option> <option label="Europe" value="europe">Europe</option> </field> <field type="radio-group" required="true" label="I understand that if traveling internationally, I must have a valid passport of at least 6 months after the date of return" name="i-understand-that-if-traveling-internationally-i-must-have-a-valid-passport-of-at-least-6-months-after-the-date-of-return"> <option label="I understand" value="i-understand">I understand</option> <option label="I am not traveling internationally" value="i-am-not-traveling-internationally">I am not traveling internationally</option> </field> <field type="radio-group" required="true" label="Year of Travel?" name="radio-group-1741612968984"> <option label="2025" value="2025">2025</option> <option label="2026" value="2026">2026</option> <option label="2027 or beyond" value="2027-or-beyond">2027 or beyond</option> </field> <field type="date" required="true" label="When would you like to depart?&nbsp;" name="when-would-you-like-to-depart-" className="form-control"/> <field type="date" required="true" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="radio-group" label="Are your dates flexible?&nbsp;" 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="Will you be flying or driving to your destination? [If flying, what is your departure city?]" name="text-1741619737368" subtype="text" className="form-control"/> <field type="select" required="true" label="What is your total budget NOT including airfare?&nbsp;" name="what-is-your-total-budget-not-including-airfare-" className="form-control"> <option label="Less than $2,000" value="less-than-2000">Less than $2,000</option> <option label="$2,000 - $3,500" value="2000-3500">$2,000 - $3,500</option> <option label="$3,500-7,500" value="35007500">$3,500-7,500</option> <option label="$7,500-10,000 " value="750010000-">$7,500-10,000 </option> <option label="$10,000-15,000 " value="1000015000-">$10,000-15,000 </option> <option label="$15,000-20,000" value="1500020000">$15,000-20,000</option> <option label="$20,000+" value="20000">$20,000+</option> <option label="Not sure" value="not-sure">Not sure</option> </field> <field type="radio-group" required="true" label="What phase of planning are you in?&nbsp;" name="at-what-phase-of-planning-are-you-in-"> <option label="Just Researching" value="just-researching">Just Researching</option> <option label="Would like to book within the next month" value="would-like-to-book-within-the-next-month">Would like to book within the next month</option> <option label="Ready to Book! 🎉" value="ready-to-book-">Ready to Book! 🎉</option> </field> <field type="header" subtype="h3" label="Travel Party Information"/> <field type="checkbox-group" required="true" label="What type of trip are you planning? [ Select all that apply]" description="Select all that apply" name="what-best-describes-your-desired-accommodation-style-" other="true"> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Couples Getaway" value="couples-getaway">Couples Getaway</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Solo Trip" value="solo-trip">Solo Trip</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Group Trip" value="group-trip">Group Trip</option> <option label="Destination Wedding / Vow Renewal" value="destination-wedding-vow-renewal">Destination Wedding / Vow Renewal</option> </field> <field type="textarea" required="true" label="How many adults &amp; children will be traveling? [Please include ages of children AT TIME of travel]" description="Please include ages of children AT TIME of travel" name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays-" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special? [Birthday, Anniversary, Graduation, Reunion, Honeymoon, Girls Trip, etc]" name="does-anyone-in-your-party-have-any-food-allergies-" subtype="text" className="form-control"/> <field type="text" label="Does anyone in your party have any food allergies or special needs accommodations? [Wheelchair accessible, hearing accessible, etc]" name="does-anyone-in-your-party-have-any-special-needs-accommodations-wheelchair-accessible-hearing-accessible-etc" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Just a couple more questions..."/> <field type="select" required="true" label="How did you find me?" name="how-did-you-find-us" className="form-control"> <option label="Faceboook" value="faceboook">Faceboook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Google" value="google">Google</option> <option label="Trade Show" value="trade-show">Trade Show</option> <option label="Referral [let me know who to thank!]" value="referral-let-me-know-who-to-thank">Referral [let me know who to thank!]</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="If you selected referral, who can I thank?" name="if-you-selected-referral-who-can-i-thank" subtype="text" className="form-control"/> <field type="select" label="Would you like to be subscribed to the Briar &amp; Main® newsletter?&nbsp;" name="would-you-like-to-be-subscribed-to-our-company-newsletter-" className="form-control"> <option label="Sign me up!" value="sign-me-up">Sign me up!</option> <option label="No thanks, I get too many emails" value="no-thanks-i-get-too-many-emails">No thanks, I get too many emails</option> </field> </fields> </form-template> </body> </html>
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