<html> <body> <form-template> <fields> <field label="Let's Get Started Planning Your Vacation!" subtype="h2" type="header"/> <field label="Your Contact Info" subtype="h2" type="header"/> <field label="Prefix" name="prefix" subtype="text" type="text" className="form-control"/> <field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Preferred name" name="preferred-name" subtype="text" type="text" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field label="Preferred Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/> <field inline="true" label="What is your preferred method of communication?" name="what-is-your-preferred-method-of-communication" type="radio-group"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field label="Travel Style &amp; Preferences" subtype="h1" type="header"/> <field label="Is the purpose of this trip to celebrate an occasion?" name="is-the-purpose-of-this-trip-to-celebrate-an-occasion" subtype="text" type="text" className="form-control"/> <field description="If you're not sure just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" type="date" className="form-control"/> <field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" type="date" className="form-control"/> <field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> </field> <field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/> <field label="How many travelers?" name="number-of-travelers" type="text" className="form-control"/> <field label="Names and relationships of each traveler (for children, please include ages)" name="names-and-relationships-of-each-traveler-for-children-please-include-ages" placeholder="John (husband) Jane (wife) Jim (son - 17) Jen (daughter - 14)" required="true" type="textarea" className="form-control"/> <field description="This just gives me a general starting point and can always be changed later." label="What is your budget for all travelers?" name="budget" required="true" type="radio-group"> <option label="Up $5,000" value="up-5000">Up $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field description="Check all that apply" label="What modes of travel are you considering?" name="what-modes-of-travel-are-you-considering" required="true" type="checkbox-group"> <option label="All inclusive resort (where available)" value="all-inclusive-resort-where-available">All inclusive resort (where available)</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Air" value="air">Air</option> <option label="Rail Vacation" value="rail-vacation">Rail Vacation</option> <option label="Escorted Tour (group or private)" value="escorted-tour-group-or-private">Escorted Tour (group or private)</option> <option label="Custom itinerary (not escorted)" value="custom-itinerary-not-escorted">Custom itinerary (not escorted)</option> </field> <field label="What best describes your hotel preference?" name="hotel-preference" other="true" type="radio-group"> <option label="All-inclusive" value="allinclusive">All-inclusive</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field description="Check all that apply" label="What activities are you interested in?" name="activity-preferences" other="true" type="checkbox-group"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> </field> <field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/> <field label="Will you be using an AMEX Platinum or Centurion card (for possible extra amenities)?" name="will-you-be-using-an-amex-platinum-or-centurion-card-for-possible-extra-amenities" type="radio-group"> <option label="Platinum" value="platinum">Platinum</option> <option label="Centurion" value="centurion">Centurion</option> <option label="other payment option" value="other-payment-option">other payment option</option> </field> <field description="What else would you like me to know about your travelers budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/> <field label="Have you worked with a travel advisor before?" name="checkbox-group-1618953940412" required="true" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> <option label="No, this will be the first time" value="no-this-will-be-the-first-time">No, this will be the first time</option> </field> <field label="How did you hear about Ethos Luxury Travel?" name="how-do-you-hear-about-ethos-luxury-travel" required="true" subtype="text" type="text" className="form-control"/> <field label="Would you like to receive weekly travel inspiration and insider information from Ethos Luxury Travel?" name="would-you-like-to-receive-weekly-travel-inspiration-and-insider-information-from-ethos-luxury-travel" required="true" type="checkbox-group"> <option label="Yes, sign me up for your informative emails" value="yes-sign-me-up-for-your-informative-emails">Yes, sign me up for your informative emails</option> <option label="Not at this time" value="not-at-this-time">Not at this time</option> </field> </fields> </form-template> </body> </html>
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