{exp:stash:set name="guidelink_cookie" trim="yes" parse_tags="yes"}
	{exp:ce_str:ing php}
		<?
			$cookie_name = 'guidelink_island';
			if(!isset($_COOKIE[$cookie_name])) {
				print 'No';
			} else {
			  print $_COOKIE[$cookie_name];
			}
		?>
	{/exp:ce_str:ing}
{/exp:stash:set}

{exp:channel:form channel="leads" return="email/email-subscribe/ENTRY_ID" id="lead-form" class="captcha-form" include_jquery="no" datepicker="no" author_only="no" dynamic_title="subscriber - [lead_preferred_month]-[lead_year]" logged_out_member_id="26796" include_assets="no" unique_url_title="yes"}

	<div class="article-content">
	<div id="box_book" class="widget box_book expose">
		<div class="sidebox-fluid">
			
			<div class="box_style_1" style="overflow:hidden;">
	
			<div class="row">
				<div class="small-12 column text-center">
					<h1>Hawaii in your Inbox! <i class="fa fa-envelope-square"></i></h1>
					<h4 class="rounded mt20">
					Stay in the loop planning your trip...
					</h4>				
					<h2 class="rounded">
					with our Hawaii Vacation &amp; Travel emails!
					</h2>
					<h6 class="rounded">Receive FREE travel tips, expert Hawaii advice, seasonal discounts/savings, and much more &dash; emailed with Aloha bi-weekly!
				</div>
			</div><!--row-->
	
					<div class="dotted_line" style="padding:10px 20px;margin:0;"></div>

					<input type="hidden" name="status" id="status" value="Subscriber" />
	
					<div class="row" style="padding:0 20px;">
						<div class="small-12 large-6 columns">
					
							<div class="row labelsm" style="margin-top:20px;">
								<div class="small-6 column">
									<div class="form-group">
										<label><i class="fa-question-circle"></i> Primary Island of interest?</label><br />
										<div class="row">
										{exp:low_options:lead_island}
										{options}
										<div class="{if '{option:value}'=='Undecided'}small-12 column end{if:else}small-6 column{/if}"><label style="font-weight:normal;margin:0;"><input type="radio" name="lead_island" value="{option:value}" style="display:inline;opacity:1;visibility:visible;" /> {option:value}</small></label> </div>
										{/options}
										{/exp:low_options:lead_island}
										</div>
									</div>
								</div>
								
								<div class="small-6 column">
									<div class="form-group">
										<label><i class="fa-question-circle"></i> Other island(s) of interest?</label><br />
										<div class="row">
										{exp:low_options:lead_islands}
										{options}
										<div class="small-6 column"><label style="font-weight:normal;margin:0;"><input type="checkbox" name="lead_islands[]" value="{option:value}" /> {option:value}</small></label> </div>
										{/options}
										{/exp:low_options:lead_islands}
										</div>
									</div>
								</div>
							</div><!--row-->
	
							<div class="row labelsm" style="margin-top:20px;">	
								<div class="small-12 column" style="margin-top:15px;">
									<div class="form-group">
										<label><i class="fa-question-circle"></i> Purpose of Trip?</label><br />
										<div class="row">
											{stash:embed:forms-v4:lead-automation stash:section="purpose"}
										</div>
									</div>
								</div>
	
								
								<div class="small-12 column">
									<div class="form-group">
										<label><i class="fa-question-circle"></i> I'm interested in lodging like:</label><br />
										<div class="row">
											{stash:embed:forms-v4:lead-automation stash:section="lodging"}
										</div>
									</div>
								</div>
								
							</div><!--row-->
	
						</div><!--small-xx-->
						<div class="small-12 large-6 columns">
	
							<div class="row labelsm" style="margin-top:20px;padding:0 20px;">						
								
								<div class="small-12 column">
									<div class="form-group">
										<label><i class="fa-question-circle"></i> I'm interested in things like:</label><br />
										<div class="row">
											{stash:embed:forms-v4:lead-automation stash:section="interests"}
										</div>
									</div>
								</div>
						
								<div class="small-12 column">
									<div class="form-group">
										<label><i class="fa-question-circle"></i> I'm interested in activities like:</label><br />
										<div class="row">
											{stash:embed:forms-v4:lead-automation stash:section="activities"}
										</div>
									</div>
								</div>
								
							</div><!--row-->
					
						</div><!--small-xx-->
					</div><!--row-->

					<div class="dotted_line" style="margin:15px 0;"></div>
			
					<div class="row labelsm">
						<div class="small-6 column">
							<div class="form-group">
								<label><i class="fa-user"></i> Your Name <span class="small small80" style="font-weight:normal"><em>(Optional)</em></span></label>
								<input class="form-control" name="lead_name" type="text">
							</div>
						</div>
						<div class="small-6 column">
							<div class="form-group">
								<label><i class="fa-envelope"></i> Your Email <span class="small small80" style="font-weight:normal"></span></label>
								<input class="form-control required" type="text" name="lead_email" style="margin-bottom:0;">	
							</div>
						</div>
					</div><!--row-->
			
					<div class="row pt5 labelsm">
						<div class="small-6 column">
							<div class="form-group">
								<label><i class="fa-map-marker"></i> Est. Lodging Budget</label>
								<select name="lead_budget_lodging">
									<option value="">- Select -</option>
									<option value="under-100">Under $100 /night</option>
									<option value="100-300">$100 - $300 /night</option>
									<option value="300-500">$300 - $500 /night</option>
									<option value="over-500">Over $500 /night</option>
									<option value="Undecided">Undecided</option>
								</select>
							</div>
						</div>
						
						<div class="small-6 column">
							<div class="form-group">
								<label><i class="fa-heart"></i> Total Activities/Tours Budget</label>
								<select name="lead_budget_activities">
									<option value="">- Select -</option>
									<option value="under-75">Under $75 /person</option>
									<option value="75-150">$75 - $150 /person</option>
									<option value="150-300">$150 - $300 /person</option>
									<option value="300-500">$300 - $500 /person</option>
									<option value="500-800">$500 - $800 /person</option>
									<option value="over-800">Over $800 /person</option>
									<option value="Undecided">Undecided</option>
								</select>
							</div>
						</div>
					</div><!--row-->
					
					<div class="row pt5 labelsm">
						<div class="small-6 column">
							<div class="form-group">
								<label><i class="fa-calendar"></i> Month of Trip</label>
								<select name="lead_preferred_month" class="required">
									<option value="">- Select -</option>
									<option value="January">January</option>
									<option value="February">February</option>
									<option value="March">March</option>
									<option value="April">April</option>
									<option value="May">May</option>
									<option value="June">June</option>
									<option value="July">July</option>
									<option value="August">August</option>
									<option value="September">September</option>
									<option value="October">October</option>
									<option value="November">November</option>
									<option value="December">December</option>
									<option value="Undecided">Undecided</option>
								</select>
							</div><!--form-group-->
						</div>
						<div class="small-6 column">
							<div class="form-group">
								<label><i class="fa-calendar"></i> Year of Trip</label>
								<select name="lead_year" class="required">
									<option value="">- Select -</option>
									<option value="2023">2023</option>
									<option value="2024">2024</option>	
									<option value="2025">2025</option>								
									<option value="Undecided">Undecided</option>
								</select>
							</div><!--form-group-->
						</div>
					</div>
					
					<div class="dotted_line clear clearfix" style="margin:15px 0;"></div>
						
					<div class="row">
						<div class="small-12 column">
							<div class="form-group">
								{if captcha}
									{captcha}
								{/if}
							</div>
						</div>
					</div><!--row-->

		            <div class="row">
		                <div class="small-12 columns end">					        
							<input type="checkbox" class="required" name="lead_opt_in" value="Yes" checked /> <span class="small small70">I understand and agree to the <a href="/privacy-policy" class="small" style="text-decoration:underline" target="_blank" rel="noopener">Privacy Policy</a>. This opt-in permits us to email you as requested.</span>
		                </div><!--column-->
		            </div><!--row-->
						
					<div class="row">
						
						<div class="small-12 column text-center">
									<p class="mt30 clear clearfix"><i class="fa fa-comment"></i> Once you sign up, we'll periodically send you Hawaii travel tips as you requested. You can <u>unsubscribe at anytime</u> and we'll never share your information with third parties!</p>
						</div><!--column-->
						<div class="small-12 column text-right">
									
							<input type="hidden" name="lead_url" value="https://www.hawaii-guide.com/{segment_1}/{segment_2}/{segment_3}" />
			
							<button type="submit" class="btn btn-darkgreen btn-large"><i class="fa fa-envelope-o"></i> Subscribe Now</button>
						
						</div><!--column-->
					</div><!--row-->
		
			</div><!--/box_style_1 -->
			
		</div><!--sidebox-->	
	</div><!--widget-->

		<div class="small-3 right clear clearfix">
		<p>Aloha,<br />
			<img src="https://aws.hawaii-guide.com/files/images/email/vcderrick-150x80.png" alt="VCDerrick Signature" /><br />
			<em><strong>Victoria C. Derrick</strong></em>
			<br />Hawaii Destination Specialist
			<br />Publisher / President
			<br /><img src="https://aws.hawaii-guide.com/files/images/email/hawaiiGUIDE-slim.png" alt="Hawaii-Guide" /></p>
		</div><!--small-xx-->


		<p class="mt30 clear clearfix">As always, if we can assist you with anything while planning your perfect Hawaii trip, please don't hesitate to contact us with any questions. You can directly respond to any email we send, we read & answer all responses as promptly as possible.</p>



	</div><!--article-content-->

{/exp:channel:form}