<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Full Legal Name"/> <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" 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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Contact Method" inline="true" name="checkbox-group-1785445283687"> <option label="Call" value="call">Call</option> <option label="Text" value="text">Text</option> <option label="Email" value="email">Email</option> </field> <field type="checkbox-group" required="true" label="Type of Travel" name="checkbox-group-1785445620849" other="true"> <option label="Luxury/Ocean Cruise" value="luxuryocean-cruise">Luxury/Ocean Cruise</option> <option label="Adults-Only & All-Inclusive Resort" value="adultsonly-allinclusive-resort">Adults-Only & All-Inclusive Resort</option> <option label="Custom International Itinerary " value="custom-international-itinerary-">Custom International Itinerary </option> <option label="Group/Milestone Celebration " value="groupmilestone-celebration-">Group/Milestone Celebration </option> </field> <field type="checkbox-group" required="true" label="Desired Destination(s)" name="checkbox-group-1785445780754" other="true"> <option label="Open/Undecided" value="openundecided">Open/Undecided</option> <option label="Caribbean " value="caribbean-">Caribbean </option> <option label="Europe" value="europe">Europe</option> <option label="Asia" value="asia">Asia</option> </field> <field type="date" 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" 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="Travelers (Total)" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Adults?" name="text-1785446210374" subtype="text" className="form-control"/> <field type="text" required="true" label="Children" name="text-1785446571094" subtype="text" className="form-control"/> <field type="text" required="true" label="Ages" name="text-1785446628595" subtype="text" className="form-control"/> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" className="radio-group"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" required="true" label="Flights" inline="true" name="checkbox-group-1785446836284"> <option label="Basic Economy (No changes, preselections)" value="basic-economy-no-changes-preselections">Basic Economy (No changes, preselections)</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business/First Class" value="businessfirst-class">Business/First Class</option> <option label="Self-Booking" value="selfbooking">Self-Booking</option> </field> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</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" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/> <field type="radio-group" label="Hotel preference" name="hotel-preference"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="Vibe preferences" 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="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</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 theatre" value="art-theatre">Arts and theatre</option> </field> </fields> </form-template> </body> </html>
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