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Travel Inquiry Form

Travel Research ONLY (Select this option if you plan to self-book.) —

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Convenience fee —

Total —

Due now —

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Select your package

Inquiry Fee (1-10 travelers)

Available until December 31, 2040 - available

$25.00
Deposit: $25.00 per person

Travel Quotes require a non-refundable research fee. All prices are subject to change until secured with a deposit.

Inquiry Fee (10 or more travelers)

Available until December 31, 2040 - available

$50.00
Deposit: $50.00 per person

Travel Quotes require a non-refundable research fee. All prices are subject to change until secured with a deposit.

Travel Research ONLY (Select this option if you plan to self-book.)

Available until December 1, 2040 - available

$50.00
Deposit: $50.00 per person

Please select this option if you intend to book your travel on your own. We will provide supplier options for the dates and destination per your request. This service does not include the booking of your travel arrangements. If this option is selected, we will not be able to assist beyond providing recommendations for your travel.

Add extra options

ADDITIONAL DESTINATIONS

Available until January 1, 2040 - available

$25.00
Deposit: $25.00

Please select this option if you require additional destinations to be researched.

Continue to traveler info

Enter traveler information

Primary Traveler

INCOMPLETE

<html>
  <body>
    <form-template>
	<fields>
		<field label="Client Inquiry Form" subtype="h1" type="header"/>
		<field label="Thank you for choosing Chan's Travel Escapes to plan your next getaway! There is a $25 NON-REFUNDABLE research fee.&amp;nbsp; We will begin planning your travel escape when fee and form have been received. Quotes will be sent out within 72 hours of inquiry. PLEASE NOTE: Inquiries WILL NOT be researched without payment.&amp;nbsp;" subtype="blockquote" type="paragraph"/>
		<field label="Payment Plans &amp;amp; Deposits" subtype="h1" type="header"/>
		<field label="Chan's Travel Escapes offers payment plans for departures that are GREATER than 60 days out. Most deposits start at $250 per person.&amp;nbsp; A deposit will be required with all bookings. Balances will be due within 45 days of departure.&amp;nbsp;" subtype="blockquote" type="paragraph"/>
		<field label="Travel Insurance&amp;nbsp;" subtype="h1" type="header"/>
		<field label="Travel Insurance is recommended on all travel. PLEASE BE AWARE: IF TRAVEL PROTECTION IS DECLINED, YOU WILL NOT BE ABLE TO RECOVER ANY PAID EXPENSES.&amp;nbsp;" subtype="blockquote" type="paragraph"/>
		<field label="Terms &amp;amp; Conditions" subtype="h1" type="header"/>
		<field label="Inquiries will not be researched without payment of research fee. Travel will not be booked without deposit and/or payment of trip.&amp;nbsp; If you decide to book with us, you will receive a separate communication and invoice to secure your booking. ALL PRICES AND DEPOSITS ARE SUBJECT TO CHANGE!&amp;nbsp;" subtype="blockquote" type="paragraph"/>
		<field label="Are you ready to plan your next travel escape?&amp;nbsp;" name="are-you-ready-to-plan-your-next-travel-escape-" required="true" type="radio-group">
			<option label="Yes, I am ready to more forward and pay the NON-REFUNDABLE research fee. " selected="selected" value="yes-i-am-ready-to-more-forward-and-pay-the-nonrefundable-research-fee-">Yes, I am ready to more forward and pay the NON-REFUNDABLE research fee. </option>
			<option label="No, I am not ready to move forward at this time." value="no-i-am-not-ready-to-move-forward-at-this-time">No, I am not ready to move forward at this time.</option>
		</field>
		<field label="Full name" subtype="h2" type="header"/>
		<field label="Prefix" name="prefix" subtype="text" type="text" className="form-control"/>
		<field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Birthday" name="birthday" required="true" type="date" className="form-control"/>
		<field label="Address" subtype="h2" type="header"/>
		<field label="Line 1" name="address-line-1" subtype="text" type="text" className="form-control"/>
		<field label="Line 2" name="address-line-2" subtype="text" type="text" className="form-control"/>
		<field label="City" name="address-city" subtype="text" type="text" className="form-control"/>
		<field label="State" name="address-state" subtype="text" type="text" className="form-control"/>
		<field label="Zip" name="address-zip" subtype="text" type="text" className="form-control"/>
		<field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/>
		<field description="If you're not sure  just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" required="true" subtype="text" type="text" className="form-control"/>
		<field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" required="true" type="date" className="form-control"/>
		<field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" required="true" type="date" className="form-control"/>
		<field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group">
			<option label="Yes" value="yes">Yes</option>
		</field>
		<field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" required="true" subtype="text" type="text" className="form-control"/>
		<field label="How many travelers?" name="number-of-travelers" required="true" type="text" className="form-control"/>
		<field label="Additional Travelers (Names&amp;nbsp; &amp;amp; DOBs for each)" name="additional-travelers-names-dobs-for-each" type="textarea" className="form-control"/>
		<field description="This gives us an idea of where to start with your travel escape. " label="What is your budget?" name="what-is-your-budget" required="true" type="textarea" className="form-control"/>
		<field label="How many rooms? Travelers per room? Bed Preference (King/Double etc)" name="how-many-rooms-travelers-per-room-bed-preference-kingdouble-etc" type="textarea" className="form-control"/>
		<field label="Do you have an airline preference? Flight preference (Non-stop or layovers)?" name="do-you-have-an-airline-preference-flight-preference-nonstop-or-layovers" type="textarea" className="form-control"/>
		<field label="Loyalty Programs" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" name="loyalty-program" type="clientLoyaltyPrograms" className="form-control"/>
		<field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" type="checkbox-group">
			<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="Party" value="party">Party</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" value="food-wine">Food and wine</option>
		</field>
		<field description="Check all that apply" label="What activities are you interested in?" name="activity-preferences" other="true" type="checkbox-group">
			<option label="Beach and water" value="beach-water">Beach and water</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>
		</field>
		<field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/>
		<field description="What else would you like me to know about your travelers  budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/>
	</fields>
</form-template>
  </body>
</html>

<form-template>
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" label="Email" className="form-control" name="email"></field>
		<field type="header" subtype="h1" label="Additional Travelers Information"/>
		<field type="paragraph" subtype="p" label="In order to complete your booking or place a booking on hold, I need information for all travelers. Name, Gender, and Date of Birth."/>
		<field type="textarea" label="Additional Traveler Information" description="Name  Gender  Date of Birth" name="additional-traveler-information" className="form-control"/>
		<field type="header" subtype="h2" label="Passport Info"/>
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
		<field type="radio-group" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		<option label="X" value="other">X</option>
		</field>
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>
	</fields>
</form-template>

<form-template>
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>
		<field type="header" subtype="h1" label="Additional Travelers Information"/>
		<field type="paragraph" subtype="p" label="In order to complete your booking or place a booking on hold, I need information for all travelers. Name, Gender, and Date of Birth."/>
		<field type="textarea" label="Additional Traveler Information" description="Name  Gender  Date of Birth" name="additional-traveler-information" className="form-control"/>
		<field type="header" subtype="h2" label="Passport Info"/>
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
		<field type="radio-group" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		<option label="X" value="other">X</option>
		</field>
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>
	</fields>
</form-template>

Continue to traveler info

Travel Inquiry Form

Travel Research ONLY (Select this option if you plan to self-book.) —

—

Convenience fee —

Total —

Due now —

Continue to traveler info

How would you like to pay?

Payment Type

Credit card

Bank transfer
Your bank info will be collected on the next page.

Payment schedule

Pay deposit

Final payment of $52.12 is due on December 1, 2040

$0.00

Pay full amount

$52.12

Note: By paying, you agree to the following Terms & Conditions

Terms & Conditions

I authorize Chan's Travel Escapes to charge the credit card or bank account indicated on this invoice for the noted amount on today's date. This payment is for the services described on the invoice. I understand that returns, refunds, and cancellations are at the discretion of Chan's Travel Escapes. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated on this invoice.

Continue to traveler info

Our system uses SSL encryption, which is the same technology banks use to protect sensitive information.

Travel Inquiry Form

Travel Research ONLY (Select this option if you plan to self-book.) —

—

Convenience fee —

Total —

Due now —

Continue to traveler info

Travel Inquiry Form

Select travelers

Select your package

Inquiry Fee (1-10 travelers) Available until December 31, 2040 - available

$25.00 Deposit: $25.00 per person

Inquiry Fee (10 or more travelers) Available until December 31, 2040 - available

$50.00 Deposit: $50.00 per person

Travel Research ONLY (Select this option if you plan to self-book.) Available until December 1, 2040 - available

$50.00 Deposit: $50.00 per person

Add extra options

ADDITIONAL DESTINATIONS Available until January 1, 2040 - available

$25.00 Deposit: $25.00

Enter traveler information

Primary Traveler

INCOMPLETE

Travel Inquiry Form

Travel Inquiry Form

How would you like to pay?

Payment Type

Credit card

Bank transfer Your bank info will be collected on the next page.

Payment schedule

Pay deposit Final payment of $52.12 is due on December 1, 2040

$0.00

Pay full amount

$52.12

Terms & Conditions

Travel Inquiry Form

Inquiry Fee (1-10 travelers)

Available until December 31, 2040 - available

$25.00
Deposit: $25.00 per person

Inquiry Fee (10 or more travelers)

Available until December 31, 2040 - available

$50.00
Deposit: $50.00 per person

Travel Research ONLY (Select this option if you plan to self-book.)

Available until December 1, 2040 - available

$50.00
Deposit: $50.00 per person

ADDITIONAL DESTINATIONS

Available until January 1, 2040 - available

$25.00
Deposit: $25.00

Bank transfer
Your bank info will be collected on the next page.

Pay deposit

Final payment of $52.12 is due on December 1, 2040