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Dazirae Simmons
DazCeleste Voyages
DazCeleste Voyages Travel Inquiry Form
<html> <body> <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" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="DazCeleste Voyages Travel Inquiry Form&nbsp;"/> <field type="header" subtype="h2" label="Thank you for allowing DazCelese Voyages to design your next experience.&nbsp;"/> <field type="text" required="true" label="Where would you like to go?" description="Please let me know where you would like to travel. If you're not sure just give me the top destination you're considering." placeholder="ex: Jamaica" name="text-1724795710119" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children traveling?" name="text-1724793802748" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget per person?" description="We will always try our best to find a trip of value and keep your budget in mind. However, if your budget is below standard pricing, it may be difficult to provide an option within your budget. We will contact you to discuss other options if we are unable to find anything within your price range." name="budget"> <option label="$500-$800 per person" value="500800-per-person">$500-$800 per person</option> <option label="$801-$1,000 per person" value="8011000-per-person">$801-$1,000 per person</option> <option label="$1,001-$1,200 per person " value="10011200-per-person-">$1,001-$1,200 per person </option> <option label="$1,201-$1,400 per person " value="12011400-per-person-">$1,201-$1,400 per person </option> <option label="$1,401-$1,600 per person" value="14011600-per-person">$1,401-$1,600 per person</option> <option label="$1.601-$2k per person " value="16012k-per-person-">$1.601-$2k per person </option> </field> <field type="select" required="true" label="Do you need multiple destination searched? +15 per 2 additional destinations" name="do-you-need-multiple-destination-searched-15-per-2-additional-destinations" className="form-control"> <option label="Yes - $15.00" value="yes-1500">Yes - $15.00</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Type additional destinations here or enter N/A if not applicable." name="type-additional-destinations-here-or-enter-na-if-not-applicable" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms do you need? How many people per room?" description="This information is important because prices vary by the amount of people booked in a room. The maximum number of people that can comfortably fit in a room is 4." name="how-many-rooms-do-you-need-how-many-people-per-room" subtype="text" className="form-control"/> <field type="select" required="true" label="Bed Type" name="bed-type" className="form-control"> <option label="1 King Size" value="1-king-size">1 King Size</option> <option label="2 Queen/Full Size" value="2-queenfull-size">2 Queen/Full Size</option> </field> <field type="text" required="true" label="Are you deposit ready?" description="A deposit is required for all bookings. Deposits start at $50 per person." name="are-you-deposit-ready" subtype="text" className="form-control"/> <field type="text" required="true" label="Are you prepared to submit a research fee?" description="Please be prepared to submit a $25 research fee after submitting your inquiry. This fee is for the time spent researching your travel destination (includes two hotel/resort options)." name="are-you-prepared-to-submit-a-research-fee" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your preference?" name="hotel-preference" other="true"> <option label="Resort " value="resort-">Resort </option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="select" required="true" label="Preferred Cabin Type- CRUISES ONLY" name="preferred-cabin-type-cruises-only" className="form-control"> <option label="Interior" value="interior">Interior</option> <option label="Oceanview " value="oceanview-">Oceanview </option> <option label="Balcony " value="balcony-">Balcony </option> <option label="Suite" value="suite">Suite</option> <option label="N/A" value="na">N/A</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <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 type="text" required="true" label="If traveling internationally, does everyone have a passport with at least 6 months left until expiration?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know? Who referred you?" description="What else would you like me to know about your travelers budget and/or travel preferences? Are you celebrating anything special?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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