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="🧑‍🤝‍🧑 Planning a group trip? Let&#39;s make it unforgettable."/>&#13;
		<field type="header" subtype="h2" label="Contact Information for person organizing the group trip"/>&#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="text" required="true" label="Phone number" name="phone-number" 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 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="header" subtype="h1" label="🎇 Occasion"/>&#13;
		<field type="checkbox-group" label="What type of group are you planning for?" name="what-are-you-celebrating">&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="Birthday Celebration" value="birthday-celebration">Birthday Celebration</option>&#13;
			<option label="Bachelor/Bachelorette Trip" value="bachelorbachelorette-trip">Bachelor/Bachelorette Trip</option>&#13;
			<option label="Corporate Retreat" value="corporate-retreat">Corporate Retreat</option>&#13;
			<option label="Friends' Vacation" value="friends-vacation">Friends' Vacation</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="🌏 Trip Details"/>&#13;
		<field type="text" label="Preferred Destination(s):" placeholder="you can list ideas or say &quot;open to suggestions&quot;" name="preferred-destinations" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Preferred Travel Dates:"/>&#13;
		<field type="date" label="Start Date:" name="start-date" className="form-control"/>&#13;
		<field type="date" label="End Date:" name="end-date" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are these dates flexible?" name="are-these-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Estimated Number of Travelers" placeholder="e.g. 10 adults, 4 children" name="estimated-number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Nights?" placeholder="e.g. 7 nights" name="number-of-nights" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Departure City/Airport:" placeholder="e.g. Miami (MIA)  New York (JFK)" name="departure-cityairport" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Estimated Budget (per person)" name="estimated-budget-per-person">&#13;
			<option label="Under $2,000" value="under-2000">Under $2,000</option>&#13;
			<option label="$2,000 - $4,000" value="2000-4000">$2,000 - $4,000</option>&#13;
			<option label="$4,000 - $6,000" value="4000-6000">$4,000 - $6,000</option>&#13;
			<option label="$6,000+" value="6000">$6,000+</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="✨ Travel Style &amp;amp; Preferences"/>&#13;
		<field type="checkbox-group" label="Preferred Travel Style:" name="preferred-travel-style" other="true">&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Luxury Hotel or Villa" value="luxury-hotel-or-villa">Luxury Hotel or Villa</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Adventure &amp; Exploration" value="adventure-exploration">Adventure &amp; Exploration</option>&#13;
			<option label="Wellness &amp; Relaxation" value="wellness-relaxation">Wellness &amp; Relaxation</option>&#13;
			<option label="Cultural Immersion" value="cultural-immersion">Cultural Immersion</option>&#13;
			<option label="Budget-Friendly" value="budgetfriendly">Budget-Friendly</option>&#13;
			<option label="Guided Tour" value="guided-tour">Guided Tour</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Accommodations Preference:" name="room-preference">&#13;
			<option label="Shared Rooms" value="shared-rooms">Shared Rooms</option>&#13;
			<option label="Individual Rooms" value="individual-rooms">Individual Rooms</option>&#13;
			<option label="Suite or Villa Style" value="suite-or-villa-style">Suite or Villa Style</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activities You&#39;re Interested In:" name="activities-youre-interested-in">&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Sunset Cruises" value="sunset-cruises">Sunset Cruises</option>&#13;
			<option label="Spa &amp; Wellness" value="spa-wellness">Spa &amp; Wellness</option>&#13;
			<option label="Beach Time" value="beach-time">Beach Time</option>&#13;
			<option label="Adventure (zip-lining, snorkeling, hiking)" value="adventure-ziplining-snorkeling-hiking">Adventure (zip-lining, snorkeling, hiking)</option>&#13;
			<option label="Cultural Tours" value="cultural-tours">Cultural Tours</option>&#13;
			<option label="Shopping" value="shopping">Shopping</option>&#13;
			<option label="Surprise Planning" value="surprise-planning">Surprise Planning</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Are there any dietary needs, allergies, or mobility concerns?" name="are-there-any-dietary-needs-allergies-or-mobility-concerns" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What would make this trip truly unforgettable?" name="what-would-make-this-trip-truly-unforgettable" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="🗒 Additional Details"/>&#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="Google" value="google">Google</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you&#39;d like us to know?" name="anything-else-youd-like-us-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>