<html> <body> <form-template> <fields> <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="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Antigua - But If you're not sure just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <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="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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" label="Total Number of Travelers" placeholder="ex: 8" name="total-number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="Are any of the travelers children? (Less than 18 years of age at the time of travel)" name="are-any-of-the-travelers-under-children-less-than-18-years-of-age-at-the-time-of-travel"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If traveling with children, please include the number of children and their ages at the time of travel." placeholder="ex: 2 children ages 4 and 5" name="if-traveling-with-children-please-include-the-number-of-children-and-their-ages-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you need airfare pricing and options to be included in this quote?" inline="true" name="do-you-need-airfare-pricing-and-options-to-be-included-in-this-quote"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="Please note the following pricing guidelines for first/business class flights:"/> <field type="paragraph" subtype="p" label="Flights to the Caribbean and Mexico: $1,000 - $1,500 per person"/> <field type="paragraph" subtype="p" label="Transatlantic flights and South America: $3,000+ per person"/> <field type="paragraph" subtype="p" label="Long-Haul (Australia, Africa, and Asia): $5,000+ per person"/> <field type="paragraph" subtype="p" label="Please ensure the provided budget is reflective of your noted preferences. "/> <field type="paragraph" subtype="p" label="-"/> <field type="checkbox-group" label="Flight Cabin/Class Preference&nbsp;" name="flight-cabinclass-preference-"> <option label="First/Business Class" value="firstbusiness-class">First/Business Class</option> <option label="Premium Economy/Economy Plus" value="premium-economyeconomy-plus">Premium Economy/Economy Plus</option> <option label="Economy" value="economy">Economy</option> <option label="Interested in Comparing Prices for All Cabins" value="interested-in-comparing-prices-for-all-cabins">Interested in Comparing Prices for All Cabins</option> </field> <field type="text" label="Air Travel Details - Please include any other details regarding your air travel preferences. (if applicable)" name="air-travel-details-please-include-any-other-details-regarding-your-air-travel-preferences-if-applicable" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your estimated budget for this trip? (Including Air Fare if applicable)" name="what-is-your-estimated-budget-for-this-trip-including-air-fare-if-applicable" subtype="text" className="form-control"/> <field type="radio-group" label="Is your estimated budget noted above, per person or total for everyone?&nbsp;" name="is-your-estimated-budget-noted-above-per-person-or-total-for-everyone-"> <option label="Per Person" value="per-person">Per Person</option> <option label="Total for all Passengers" value="total-for-all-passengers">Total for all Passengers</option> <option label="Not Applicable (Solo Traveler)" value="not-applicable-solo-traveler">Not Applicable (Solo Traveler)</option> </field> <field type="radio-group" label="Which best describes your travel style?" name="hotel-preference" other="true"> <option label="Luxury - 5 Stars " value="luxury-5-stars-">Luxury - 5 Stars </option> <option label="Moderate - 4 Stars " value="moderate-4-stars-">Moderate - 4 Stars </option> <option label="Economy - 3 Stars " value="economy-3-stars-">Economy - 3 Stars </option> <option label="Boutique (Smaller More Intimate Hotels)" value="boutique-smaller-more-intimate-hotels">Boutique (Smaller More Intimate Hotels)</option> </field> <field type="radio-group" required="true" label="What is your most preferred accommodation type?" name="what-is-your-most-preferred-accommodation-type"> <option label="Hotel" value="hotel">Hotel</option> <option label="Resort" value="resort">Resort</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Private Home / Condo / Apartment" value="private-home-condo-apartment">Private Home / Condo / Apartment</option> <option label="Staffed Villa" value="staffed-villa">Staffed Villa</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="checkbox-group" label="Are you open to any additional accommodation types?" name="what-type-of-accommodations-are-you-interested-in" other="true"> <option label="Hotel" value="hotel">Hotel</option> <option label="Resort" value="resort">Resort</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Private Home / Apartment / Condo" value="private-home-apartment-condo">Private Home / Apartment / Condo</option> <option label="Staffed Villa" value="staffed-villa">Staffed Villa</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Party" value="party">Party</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="LGBT Friendly" value="lgbt-friendly">LGBT Friendly</option> </field> <field type="select" label="&nbsp;How Many Rooms, Cabins , or Bedrooms Do You Need?" name="-how-many-rooms-cabins-or-bedrooms-do-you-need" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10 or More" value="10-or-more">10 or More</option> </field> <field type="radio-group" label="Room Bedding Preference" name="bedding-preference" other="true"> <option label="One Bed " value="one-bed-">One Bed </option> <option label="Two Beds " value="two-beds-">Two Beds </option> <option label="Mixed (Multiple Rooms)" value="mixed-multiple-rooms">Mixed (Multiple Rooms)</option> </field> <field type="text" label="Room Upgrades: Are there are any specific amenities or features you want?" placeholder="i.e. Butler Service Swim-Up Suite etc." name="room-upgrades-are-there-are-any-specific-amenities-or-features-you-want" subtype="text" className="form-control"/> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Casino" value="casino">Casino</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> </field> <field type="text" label="Are you celebrating any special occasion during this trip?" name="are-you-celebrating-any-special-occasion-during-this-trip" subtype="text" className="form-control"/> <field type="text" label="Are there any specific activities that you are interested in?" name="are-there-any-specific-activities-that-you-are-interested-in" subtype="text" className="form-control"/> <field type="text" label="Is there anything else that you absolutely must see or do on this trip?" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="Are there any mobility issues or accessibility requirements we should be aware of?" placeholder="Share any information you are comfortable with these details will be kept confidential." name="are-there-any-mobility-issues-or-accessibility-requirements-we-should-be-aware-of" subtype="text" className="form-control"/> <field type="text" label="May we ask; how did you hear about us?" description="How did you find BWP Travel?" name="may-we-ask-how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like us to know?" description="What else would you like us to know about your travelers budget and/or travel preferences?" placeholder="What else would you like us to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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