Share your information with Antonique Lang

Antonique Lang

Window Seat Getaways

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="🌏 Let&#39;s turn your travel dreams into reality"/>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Preferred Contact Method:" name="preferred-contact-method">&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you the primary traveler or booking on behalf of someone else?" name="are-you-the-primary-traveler-or-booking-on-behalf-of-someone-else">&#13;
			<option label="I am the primary traveler" value="i-am-the-primary-traveler">I am the primary traveler</option>&#13;
			<option label="Booking for someone else" value="booking-for-someone-else">Booking for someone else</option>&#13;
			<option label="A group" value="a-group">A group</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you currently working with a travel advisor?" name="are-you-currently-working-with-a-travel-advisor">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Number of travelers:" description="children ages 2-17" placeholder="e.g. 7 adults  3 children" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="✈ Travel Overview"/>&#13;
		<field type="checkbox-group" label="What services do you need help with?&amp;nbsp;" name="what-services-do-you-need-help-with-" other="true">&#13;
			<option label="Fights" value="fights">Fights</option>&#13;
			<option label="Hotel/Resort Reservations" value="hotelresort-reservations">Hotel/Resort Reservations</option>&#13;
			<option label="Cruise Booking" value="cruise-booking">Cruise Booking</option>&#13;
			<option label="Transportation ( Rental Car/ Private Transfer)" value="transportation-rental-car-private-transfer">Transportation ( Rental Car/ Private Transfer)</option>&#13;
			<option label="Tours or Excursions" value="tours-or-excursions">Tours or Excursions</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
			<option label="Full Itinerary Planning" value="full-itinerary-planning">Full Itinerary Planning</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="🌏 Destination &amp;amp; Dates"/>&#13;
		<field type="text" label="Destination(s):" placeholder="e.g. city  country, region" name="destinations" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Preferred Travel Dates:"/>&#13;
		<field type="date" label="Departure:" name="departure" className="form-control"/>&#13;
		<field type="date" label="Return:" name="return" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Departure Airport or City:" placeholder="e.g. New York (JFK)  Atlanta (ATL)" name="departure-airport-or-city" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="🏨 Hotel/Resort Preferences"/>&#13;
		<field type="checkbox-group" label="Hotel Type:" name="hotel-type">&#13;
			<option label="All-Inclusive Resort " value="allinclusive-resort-">All-Inclusive Resort </option>&#13;
			<option label="Luxury Hotel" value="luxury-hotel">Luxury Hotel</option>&#13;
			<option label="Boutique or Local Stay" value="boutique-or-local-stay">Boutique or Local Stay</option>&#13;
			<option label="Budget or Mid-range" value="budget-or-midrange">Budget or Mid-range</option>&#13;
			<option label="No preference" value="no-preference">No preference</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference" other="true">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
			<option label="Suite or Villa" value="suite-or-villa">Suite or Villa</option>&#13;
			<option label="Accessible Room Needed" value="accessible-room-needed">Accessible Room Needed</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Star Rating Preference:" name="star-rating-preference">&#13;
			<option label="5-star" value="5star">5-star</option>&#13;
			<option label="4-star" value="4star">4-star</option>&#13;
			<option label="3-star" value="3star">3-star</option>&#13;
			<option label="Open to any" value="open-to-any">Open to any</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="✈ Flight Preferences"/>&#13;
		<field type="checkbox-group" label="Class of Service:" inline="true" name="class-of-service">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Premium Economy" value="premium-economy">Premium Economy</option>&#13;
			<option label="Business Class" value="business-class">Business Class</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred Airline(s):" placeholder="e.g. Delta  United" name="preferred-airlines" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Frequent Flyer Number/TSA Precheck/Known Traveler #" name="frequent-flyer-numbertsa-precheckknown-traveler-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Seat preference" inline="true" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Special requests :" name="special-requests-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="🛥 Cruise Preferences"/>&#13;
		<field type="checkbox-group" label="Cruise Line (if known):" name="cruise-line-if-known">&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cabin Type Preference:" inline="true" name="cabin-type-preference">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="💰 Budget &amp;amp; Preferences"/>&#13;
		<field type="checkbox-group" label="Estimated Total Budget (per person)" inline="true" name="estimated-total-budget-per-person">&#13;
			<option label="Under $1,500" value="under-1500">Under $1,500</option>&#13;
			<option label="$1,500 - $3,000" value="1500-3000">$1,500 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000+" value="5000">$5,000+</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like to include travel insurance?" name="would-you-like-to-include-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I'd like to learn more" value="id-like-to-learn-more">I'd like to learn more</option>&#13;
		</field>&#13;
		<field type="text" label="Are there any specific experiences or services you want to included?" placeholder="e.g. Private tour  spa day, local dining, celebration package, etc." name="are-there-any-specific-experiences-or-services-you-want-to-included" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any special needs, accessibility requirements, allergies, or dietary restrictions?" name="any-special-needs-accessibility-requirements-allergies-or-dietary-restrictions" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Other details you&#39;d like to share about your trip?" name="other-details-youd-like-to-share-about-your-trip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="🗒 Additional Notes"/>&#13;
		<field type="checkbox-group" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="How did you hear about Window Seat Getaways?" name="how-did-you-hear-about-window-seat-getaways" other="true">&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>