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Stacey & Fred Edwards
Integrity Elite Travel
Integrity Elite Travel Group - Confirmed Trip Packages
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Integrity Elite Travel - Trip Packages"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Preferred name" name="preferred-name" 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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="select" required="true" label="Which trip are you interested in?" name="which-trip-are-you-interested-in" className="form-control"> <option label="Pick Your Paradise 1/7/25 - 1/12/25" value="pick-your-paradise-1725-11225">Pick Your Paradise 1/7/25 - 1/12/25</option> <option label="Secrets St. James 2/11/25 - 2/16/25" value="secrets-st-james-21125-21625">Secrets St. James 2/11/25 - 2/16/25</option> <option label="Sandals Dunn's River 3/11/25 - 3/16/25" value="sandals-dunns-river-31125-31625">Sandals Dunn's River 3/11/25 - 3/16/25</option> <option label="Thailand Delights 3/18/25 - 3/25/25" value="thailand-delights-31825-32525">Thailand Delights 3/18/25 - 3/25/25</option> <option label="13 Nt. Land & Sea Colombia & Caribbean 3/30/25 - 4/12/25" value="13-nt-land-sea-colombia-caribbean-33025-41225">13 Nt. Land & Sea Colombia & Caribbean 3/30/25 - 4/12/25</option> <option label="Secrets Moxche Playa del Carmen 4/15/25 - 4/20/25" value="secrets-moxche-playa-del-carmen-41525-42025">Secrets Moxche Playa del Carmen 4/15/25 - 4/20/25</option> <option label="Bring Your Bestie 5/14/25 - 5/18/25" value="bring-your-bestie-51425-51825">Bring Your Bestie 5/14/25 - 5/18/25</option> <option label="7 Nt. Eastern Caribbean & Perfect Day 5/25/25 - 6/1/25" value="7-nt-eastern-caribbean-perfect-day-52525-6125">7 Nt. Eastern Caribbean & Perfect Day 5/25/25 - 6/1/25</option> <option label="10 Nt. Land & Sea - Italy & French Riviera 6/18/25 - 6/28/25" value="10-nt-land-sea-italy-french-riviera-61825-62825">10 Nt. Land & Sea - Italy & French Riviera 6/18/25 - 6/28/25</option> <option label="Ocean Eden Bay Resort 6/18/25 - 6/22/25" value="ocean-eden-bay-resort-61825-62225">Ocean Eden Bay Resort 6/18/25 - 6/22/25</option> <option label="5 Night Dominican Daze Cruise 7/4/25 - 7/9/25" value="5-night-dominican-daze-cruise-7425-7925">5 Night Dominican Daze Cruise 7/4/25 - 7/9/25</option> <option label="Tuscan Club 2nd Annual Charity Cruise 8/14/25 - 8/18/25" value="tuscan-club-2nd-annual-charity-cruise-81425-81825">Tuscan Club 2nd Annual Charity Cruise 8/14/25 - 8/18/25</option> <option label="Ujima#35 Charity Cruise 8/14/25 - 8/18/25" value="ujima35-charity-cruise-81425-81825">Ujima#35 Charity Cruise 8/14/25 - 8/18/25</option> <option label="4 Nt. Extravaganza Singapore 8/16/25 - 8/20/25" value="4-nt-extravaganza-singapore-81625-82025">4 Nt. Extravaganza Singapore 8/16/25 - 8/20/25</option> <option label="Explore Egypt 9/15/25 - 9/21/25" value="explore-egypt-91525-92125">Explore Egypt 9/15/25 - 9/21/25</option> <option label="7 Nt Inter-Island Hawaii Cruise 9/20/25 - 9/27/25" value="7-nt-interisland-hawaii-cruise-92025-92725">7 Nt Inter-Island Hawaii Cruise 9/20/25 - 9/27/25</option> <option label="Fascinating Bali Trip 10/4/25 - 10/9/25" value="fascinating-bali-trip-10425-10925">Fascinating Bali Trip 10/4/25 - 10/9/25</option> <option label="Bring Your Bestie - Winter Edition 10/8/25 - 10/13/25" value="bring-your-bestie-winter-edition-10825-101325">Bring Your Bestie - Winter Edition 10/8/25 - 10/13/25</option> <option label="7 Nt. Classic Cali Coastal Cruise 10/12/25 - 10/19/25" value="7-nt-classic-cali-coastal-cruise-101225-101925">7 Nt. Classic Cali Coastal Cruise 10/12/25 - 10/19/25</option> <option label="6 Nt. Land & Sea Riviera Maya Trip 11/15/25 - 11/21/25" value="6-nt-land-sea-riviera-maya-trip-111525-112125">6 Nt. Land & Sea Riviera Maya Trip 11/15/25 - 11/21/25</option> <option label="Dashing Dubai Trip 12/5/25 - 12/11/25" value="dashing-dubai-trip-12525-121125">Dashing Dubai Trip 12/5/25 - 12/11/25</option> <option label="Sandals Royal Bahamian - Couples Trip 1/12/26 - 1/19/26" value="sandals-royal-bahamian-couples-trip-11226-11926">Sandals Royal Bahamian - Couples Trip 1/12/26 - 1/19/26</option> <option label="Myles Ahead of Cancer Cruise" value="myles-ahead-of-cancer-cruise">Myles Ahead of Cancer Cruise</option> <option label="7 Nt. Hollywood Sunsets & Mexican Horizons 4/26/26 - 5/3/26" value="7-nt-hollywood-sunsets-mexican-horizons-42626-5326">7 Nt. Hollywood Sunsets & Mexican Horizons 4/26/26 - 5/3/26</option> <option label="10 Nt. Land & Sea Moroccan Marvels & Med Wonders 6/25/26 - 7/8/26" value="10-nt-land-sea-moroccan-marvels-med-wonders-62526-7826">10 Nt. Land & Sea Moroccan Marvels & Med Wonders 6/25/26 - 7/8/26</option> <option label="Other...I want to plan my vacation at another destination or trip is not listed" value="otheri-want-to-plan-my-vacation-at-another-destination-or-trip-is-not-listed">Other...I want to plan my vacation at another destination or trip is not listed</option> </field> <field type="text" required="true" label="If you answered, Other... Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Dates"/> <field type="date" required="true" label="Planned Arrival Date" 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="Return Date" 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="text" required="true" label="Departure Airport" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adult travelers?" name="how-many-adult-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children and their ages?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is the maximum budget per person?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option> <option label="$1,500 to $2,000" value="1500-to-2000">$1,500 to $2,000</option> <option label="$2,000 to $2.500" value="2000-to-2500">$2,000 to $2.500</option> <option label="$2,500 to $3,000" value="2500-to-3000">$2,500 to $3,000</option> <option label="$3,000 to $3,500" value="3000-to-3500">$3,000 to $3,500</option> <option label="$3,500+" value="3500">$3,500+</option> </field> <field type="header" subtype="h1" label="Type of Accommodations"/> <field type="radio-group" required="true" label="Bed Preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="Hotel / Resort Preference" name="hotel-resort-preference"> <option label="Economy (Courtyard, Quality Inn, Holiday Inn)" value="economy-courtyard-quality-inn-holiday-inn">Economy (Courtyard, Quality Inn, Holiday Inn)</option> <option label="Moderate (Marriott, Hyatt, Hilton)" value="moderate-marriott-hyatt-hilton">Moderate (Marriott, Hyatt, Hilton)</option> <option label="Luxury (W Hotel, Sandals, Nobu)" value="luxury-w-hotel-sandals-nobu">Luxury (W Hotel, Sandals, Nobu)</option> </field> <field type="radio-group" required="true" label="What kind of vibe are you looking for?" name="purpose-of-the-group-trip" 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-and-wine">Food and wine</option> </field> <field type="checkbox-group" label="Room Category Preference" name="room-category-preference"> <option label="Ocean Front" value="ocean-front">Ocean Front</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Partial Ocean View" value="partial-ocean-view">Partial Ocean View</option> <option label="Golf Course View" value="golf-course-view">Golf Course View</option> <option label="Mountain View" value="mountain-view">Mountain View</option> <option label="Pool View" value="pool-view">Pool View</option> </field> <field type="radio-group" required="true" label="Do You Want an All Inclusive Resort (All food and beverages/liquor included)?" name="do-you-want-an-all-inclusive-resort-all-food-and-beveragesliquor-included"> <option label="Yes, it is a must have for me" value="yes-it-is-a-must-have-for-me">Yes, it is a must have for me</option> <option label="No, it's not a big deal for me" value="no-its-not-a-big-deal-for-me">No, it's not a big deal for me</option> </field> <field type="checkbox-group" label="If package includes a cruise... what cabin category are you interested in?" name="checkbox-group-1736476015826"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View (port hole window)" value="ocean-view-port-hole-window">Ocean View (port hole window)</option> <option label="Ocean View Balcony" value="ocean-view-balcony">Ocean View Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="text" required="true" label="Who referred you?" name="who-referred-you" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Complete this form ONLY for SERIOUS travel inquiries. Please allow 2-3 business days to receive your Vacation Packages quote via email.&nbsp; Thank you!"/> <field type="textarea" required="true" label="Any Additional Information I need to know? (Special Occasion? Birthday? Anniversary)" name="any-additional-information-i-need-to-know" className="form-control"/> </fields> </form-template> </body> </html>
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