<html> <body> <form-template xmlns="http://www.w3.org/1999/xhtml"> <fields> <field type="header" subtype="h2" label="Contact Information"/> <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="Primary email address" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Matrix"/> <field type="checkbox-group" required="true" label="Checkoff your wishlist Items" description="marra@opulentexplorer.com" name="stuart-marra" other="true"> <option label="Peru or Ecuador - Machu Pichu or The Galapagos" value="marra@opulentexplorer.com">Peru or Ecuador - Machu Pichu or The Galapagos</option> <option label="African Safari: Cape town, Victoria Falls, The great migration" value="african-safari-cape-town-victoria-falls-the-great-migration">African Safari: Cape town, Victoria Falls, The great migration</option> <option label="India or Sri Lanka - Maybe end in the Maldives" value="india-or-sri-lanka-maybe-end-in-the-maldives">India or Sri Lanka - Maybe end in the Maldives</option> <option label="Japan" value="japan">Japan</option> <option label="London, Ireland and Scotland" value="london-ireland-and-scotland">London, Ireland and Scotland</option> <option label="Iceland" value="iceland">Iceland</option> <option label="France and Italy for first timers" value="france-and-italy-for-first-timers">France and Italy for first timers</option> <option label="Glamping or Luxury Rail expereince" value="glamping-or-luxury-rail-expereince">Glamping or Luxury Rail expereince</option> <option label="Greece" value="greece">Greece</option> <option label="Central America: Costa Rica, Panama Belize etc" value="central-america-costa-rica-panama-belize-etc">Central America: Costa Rica, Panama Belize etc</option> <option label="Brazil or Argentina - The Amazon, Patagonia or Rio & Buenos Aires" value="brazil-or-argentina-the-amazon-patagonia-or-rio-buenos-aires">Brazil or Argentina - The Amazon, Patagonia or Rio & Buenos Aires</option> <option label="Indonesia: Bali and Komodo" value="indonesia-bali-and-komodo">Indonesia: Bali and Komodo</option> <option label="Vietnam, Cambodia " value="vietnam-cambodia-">Vietnam, Cambodia </option> <option label="Polar Expedition: Antarctica or Svalbard" value="polar-expedition-antarctica-or-svalbard">Polar Expedition: Antarctica or Svalbard</option> <option label="Turkey, Jordan" value="turkey-jordan">Turkey, Jordan</option> <option label="Egypt: Cairo and the Nile River" value="egypt-cairo-and-the-nile-river">Egypt: Cairo and the Nile River</option> <option label="Australia and New Zealand" value="australia-and-new-zealand">Australia and New Zealand</option> <option label="World Cruise" value="world-cruise">World Cruise</option> <option label="Private Yacht" value="private-yacht">Private Yacht</option> </field> <field type="text" label="Care to Elaborate?" description="I always wanted to sail the Greek islands can we charter a catamaran and crew? How do we transition smoothly from our Caribbean trips to Egypt in the long run before they are 18 and gone for good?" placeholder="I always wanted to sail the Greek islands can we charter a catamaran and crew? How do we transition smoothly from our Caribbean trips to Egypt in the long run before they are 18 and gone for good?" name="care-to-elaborate" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences - Optional"/> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." 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="Nightlife focused " value="nightlife-focused-">Nightlife focused </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 Focused" value="food-and-wine-focused">Food and Wine Focused</option> <option label="Sun and sand" value="sun-and-sand">Sun and sand</option> <option label="Wellness" value="wellness">Wellness</option> <option label="Explore a city" value="explore-a-city">Explore a city</option> <option label="Multi-generational" value="multigenerational">Multi-generational</option> <option label="Boutique hotel experience" value="boutique-hotel-experience">Boutique hotel experience</option> <option label="Casino hotel with nightlife" value="casino-hotel-with-nightlife">Casino hotel with nightlife</option> <option label="Private (ex: Villa with full staff)" value="private-ex-villa-with-full-staff">Private (ex: Villa with full staff)</option> <option label="Modern Hotels of the World" value="modern-hotels-of-the-world">Modern Hotels of the World</option> <option label="A traditional style hotel for that location" value="a-traditional-style-hotel-for-that-location">A traditional style hotel for that location</option> <option label="My Fave Brand of Hotel somewhere new (Ex: Aman in Bali)" value="my-fave-brand-of-hotel-somewhere-new-ex-aman-in-bali">My Fave Brand of Hotel somewhere new (Ex: Aman in Bali)</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences"> <option label="On the water: Beach, pool, boating" value="on-the-water-beach-pool-boating">On the water: Beach, pool, boating</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 theater" value="art-theater">Arts and theater</option> <option label="Explore a city" value="explore-a-city">Explore a city</option> <option label="Historical adventure " value="historical-adventure-">Historical adventure </option> <option label="Car Enthusiast (EX: get me in a Ferrari outside Milan)" value="car-enthusiast-ex-get-me-in-a-ferrari-outside-milan">Car Enthusiast (EX: get me in a Ferrari outside Milan)</option> <option label="Nature enthusiast" value="nature-enthusiast">Nature enthusiast</option> <option label="Sports & Entrainment drives location selection)" value="sports-entrainment-drives-location-selection">Sports & Entrainment drives location selection)</option> </field> <field type="radio-group" label="What best describes your 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="Ultraluxe" value="ultraluxe">Ultraluxe</option> </field> </fields> </form-template> </body> </html>
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