<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Traveler Details"/> <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="select" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control"> <option label="From a friend" value="from-a-friend" selected="selected">From a friend</option> <option label="Lowell Expo" value="lowell-expo">Lowell Expo</option> <option label="Repeat client" value="repeat-client">Repeat client</option> <option label="Search engine (Google, Bing, etc.)" value="search-engine-google-bing-etc">Search engine (Google, Bing, etc.)</option> <option label="Social media" value="social-media">Social media</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Person Referring (if any)" name="person-referring-if-any" subtype="text" className="form-control"/> <field type="select" label="Requested Agent" name="requested-agent" className="form-control"> <option label="Lori Spoelstra" value="lori-spoelstra">Lori Spoelstra</option> <option label="Maddy Hacker" value="maddy-hacker">Maddy Hacker</option> </field> <field type="header" subtype="h3" label="Contact Information"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Address"/> <field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address 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" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Details"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Where do you want to go?&nbsp;" inline="true" name="where-do-you-want-to-go-"> <option label="Universal Orlando" value="universal-orlando">Universal Orlando</option> <option label="Universal Hollywood" value="universal-hollywood">Universal Hollywood</option> </field> <field type="checkbox-group" required="true" label="What do you need included in your booking?" inline="true" name="what-do-you-need-included-in-your-booking" other="true"> <option label="Resort" value="resort">Resort</option> <option label="Park Tickets" value="park-tickets">Park Tickets</option> <option label="Water Park" value="water-park">Water Park</option> <option label="Express Pass" value="express-pass">Express Pass</option> <option label="Special Event Tickets" value="special-event-tickets">Special Event Tickets</option> <option label="Transportation" value="transportation">Transportation</option> <option label="Insurance" value="insurance">Insurance</option> <option label="Photo Package (1- or 3-day options available)" value="photo-package-1-or-3day-options-available">Photo Package (1- or 3-day options available)</option> </field> <field type="text" required="true" label="Resort Preference" name="resort-preference" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Room type preference?" inline="true" name="cabin-category-preference" other="true"> <option label="Entry level" value="entry-level">Entry level</option> <option label="Garden view" value="garden-view">Garden view</option> <option label="Water view" value="water-view">Water view</option> <option label="Suite" value="suite">Suite</option> </field> <field type="header" subtype="h3" label="Options"/> <field type="text" label="How many park days?" name="how-many-park-days" subtype="text" className="form-control"/> <field type="checkbox-group" label="What special events are you interested in?" inline="true" name="what-special-events-are-you-interested-in" other="true"> <option label="Halloween Horror Nights" value="halloween-horror-nights">Halloween Horror Nights</option> </field> <field type="textarea" label="More Information" description="Give us any other information about your family and the kind of Universal experience you want. Let us know as much as you can!" name="more-information" className="form-control"/> <field type="header" subtype="h1" label="Booking/Party Details"/> <field type="text" required="true" label="What is your total trip budget?" description="Please indicate total trip cost not per person. This can always be changed later." name="what-is-your-total-trip-budget" subtype="text" className="form-control"/> <field type="text" 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="textarea" required="true" label="Full, legal names and dates of birth of all travelers" description="Please use full legal names and dates of birth in this format: Firstname Middlename Lastname MM/DD/YYYY" name="full-legal-names-and-dates-of-birth-of-all-travelers" className="form-control"/> <field type="textarea" required="true" label="Does anyone in your party require special accommodations, such as ADA accessible rooms?" description="Include accessible rooms requests (such as first floor or needs for elevators) cribs for infants any allergies or dietary restrictions etc." name="does-anyone-in-your-party-require-special-accommodations-such-as-ada-accessible-rooms" className="form-control"/> <field type="checkbox-group" required="true" label="Are you traveling for a special occasion?" inline="true" name="are-you-traveling-for-a-special-occasion" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="None" value="none">None</option> </field> <field type="header" subtype="h1" label="Final Thoughts"/> <field type="checkbox-group" required="true" label="Preferred method of contact?" inline="true" name="preferred-method-of-contact"> <option label="Phone (call)" value="phone-call">Phone (call)</option> <option label="Phone (text)" value="phone-text">Phone (text)</option> <option label="Email" value="email">Email</option> </field> <field type="textarea" label="Are we missing anything?" description="Are there any other details you'd like us to know about your budget party or trip requests before we start working on this trip for you?" name="are-we-missing-anything" className="form-control"/> </fields> </form-template> </body> </html>
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