<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="LET'S GET STARTED ON PLANNING YOUR GETAWAY!!"/> <field type="paragraph" subtype="p" label="Thank &nbsp;you for &nbsp;selecting RLB TRAVELS &nbsp;for your vacation getaway, we look forward to providing you with your &nbsp;dream vacation. Please take a few minutes to complete this questionnaire, it makes our job so much easier to have the right information to plan your vacation. Your travel quote will be provided within (3) normal business days. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="text" required="true" label="First name (List Names as they appear on the travel identification you will be using)" 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="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Destinations of Interest" name="destinations-of-interest" subtype="text" className="form-control"/> <field type="date" required="true" label="Travel Date" name="travel-date" className="form-control"/> <field type="date" required="true" label="Travel Return Date" name="travel-return-date" className="form-control"/> <field type="text" required="true" label="Departure City and State/ Airport Code" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Hotel, Resort, Villa or Home" name="hotel-resort-villa-or-home" subtype="text" className="form-control"/> <field type="text" required="true" label="Bed Selection (king or 2 Doubles)" name="bed-selection-king-or-2-doubles" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Rooms needed" name="number-of-rooms-needed" subtype="text" className="form-control"/> <field type="text" required="true" label="Vacation Budget Per Person" name="vacation-budget" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Adults?&nbsp; List names with date of birth as it appears on the identification" name="number-of-adults" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of Children under 18/ List names with date of birth" name="-children-under-18" subtype="text" className="form-control"/> <field type="text" label="Group Name? What name would you use to identify your group?" name="group-name-what-name-would-you-use-to-identify-your-group" subtype="text" className="form-control"/> <field type="select" required="true" label="Are you deposit ready? Prices are subject to change until a deposit or payment is made." name="service-fee-of-20-per-person-to-continue-booking" className="form-control"> <option label="Immediately " value="immediately-">Immediately </option> <option label="This week" value="this-week">This week</option> <option label="This month" value="this-month">This month</option> <option label="Just checking prices" value="just-checking-prices">Just checking prices</option> </field> <field type="select" label="Seat Preference" name="-" className="form-control"> <option label="Economy" value="economy">Economy</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="radio-group" label="If for international travel, do all travelers hold a passport?" name="if-for-international-travel-do-all-travelers-hold-a-passport"> <option label="Yes, we all have passports" value="yes-we-all-have-passports">Yes, we all have passports</option> <option label="No. we don't have passports yet" value="no-we-dont-have-passports-yet">No. we don't have passports yet</option> </field> <field type="select" required="true" label="Travel Insurance?&nbsp; If No, must sign insurance waiver." name="travel-insurance" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Are you celebrating a special occasion?" name="are-you-celebrating-a-special-occasion" subtype="text" className="form-control"/> <field type="text" required="true" label="Who can we thank for referring you?" name="who-can-we-thank-for-referring-you" subtype="text" className="form-control"/> <field type="select" required="true" label="Before I proceed with booking your amazing getaway, learn how you can become a travel agent yourself and earn your own commission and possibly save more on this trip and others. Go to TravelAgentWorkshop.com and reference my Sponsor ID Code RLBtravels to learn more!" name="would-you-like-to-become-a-travel-business-owner-and-book-this-trip-yourself-earning-a-commission-and-saving-on-your-travels" className="form-control"> <option label="Yes! I'm interested in my own commission and savings" value="yes-im-interested-in-my-own-commission-and-savings">Yes! I'm interested in my own commission and savings</option> <option label="No thanks! I rather you book it for me!" value="no-thanks-i-rather-you-book-it-for-me">No thanks! I rather you book it for me!</option> </field> </fields> </form-template> </body> </html>
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