<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Personal Information"/> <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="text" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Details"/> <field type="date" required="true" label="Desired date of departure?" description="General time frame for your departure date (This date can be adjusted later)" name="desired-date-of-departure" className="form-control"/> <field type="date" required="true" label="Desired date of return?" description="General time frame for your departure date (This date can be adjusted later)" name="desired-date-of-return" className="form-control"/> <field type="text" required="true" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="When are you planning to book?" name="when-are-you-planning-to-book"> <option label="I'm ready to go NOW! Let's Book!" value="im-ready-to-go-now-lets-book">I'm ready to go NOW! Let's Book!</option> <option label="Within the next 7-14 days." value="within-the-next-714-days">Within the next 7-14 days.</option> <option label="Within 1-6 months." value="within-16-months">Within 1-6 months.</option> <option label="Within 7-12 months." value="within-712-months">Within 7-12 months.</option> <option label="Let's discuss different options." value="lets-discuss-different-options">Let's discuss different options.</option> </field> <field type="text" required="true" label="Departure City or Airport?" description="CLE (Cleveland-Hopkins), DTW (Detroit), ATL (Atlanta) or enter closest city name" name="departure-city-or-airport" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Adults 18 years and older?" name="number-of-adults-18-years-and-older" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of children under 18 years of age?" name="number-of-children-under-18-years-of-age" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of children under 3 years of age?" name="number-of-children-under-3-years-of-age" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="radio-group" required="true" label="Type of Travel" name="type-of-travel" other="true"> <option label="Personal" value="personal">Personal</option> <option label="Business" value="business">Business</option> </field> <field type="radio-group" required="true" label="Preferred Accommodation Type" name="preferred-accommodation-type" other="true"> <option label="All Inclusive Resort-Adults Only" value="all-inclusive-resortadults-only">All Inclusive Resort-Adults Only</option> <option label="All Inclusive Resort-With Children" value="all-inclusive-resortwith-children">All Inclusive Resort-With Children</option> <option label="Walt Disney World Resort (FL)" value="walt-disney-world-resort-fl">Walt Disney World Resort (FL)</option> <option label="Walt Disney Land (CA)" value="walt-disney-land-ca">Walt Disney Land (CA)</option> <option label="Universal Studios Resort (Hollywood, CA or FL)" value="universal-studios-resort-hollywood-ca-or-fl">Universal Studios Resort (Hollywood, CA or FL)</option> <option label="Nickelodeon Hotels and Resorts (DR or Mexico)" value="nickelodeon-hotels-and-resorts-dr-or-mexico">Nickelodeon Hotels and Resorts (DR or Mexico)</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Honeymoon :)" value="honeymoon-">Honeymoon :)</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="radio-group" required="true" label="What is your budget per traveler?" name="what-is-your-budget-per-traveler"> <option label="Economical: Up to $2,000" value="economical-up-to-2000">Economical: Up to $2,000</option> <option label="Standard: $3,000 - $4,000" value="standard-3000-4000">Standard: $3,000 - $4,000</option> <option label="Comfort: $4,000 - $6,000" value="comfort-4000-6000">Comfort: $4,000 - $6,000</option> <option label="Premium: $6,000 - $8,000" value="premium-6000-8000">Premium: $6,000 - $8,000</option> <option label="Extravagant: Over $8,000" value="extravagant-over-8000">Extravagant: Over $8,000</option> </field> <field type="text" required="true" label="What is your total budget for your entire trip?" name="what-is-your-total-budget-for-your-entire-trip" subtype="text" className="form-control"/> <field type="text" label="What are some must-haves for your trip?" name="what-are-some-musthaves-for-your-trip" subtype="text" className="form-control"/> <field type="textarea" label="Is there any additional information that would assist in the planning process?&nbsp;" description="Special Interests or Activities, Accessibility Needs, Celebrations or Special Occasions, etc." name="is-there-any-additional-information-that-would-assist-in-the-planning-process-" className="form-control"/> <field type="text" required="true" label="How did you hear about me?" placeholder="Facebook, Instagram, Family member, Friend" name="how-did-you-hear-about-me" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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