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Lia Nelson
On The Brink Of Adventure
Trip Request
<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Step 1: Fill out this form (serious inquiries only please).."/> <field type="paragraph" subtype="p" label="Step 2: I'll send you some vacation options based on the answers you provide.."/> <field type="paragraph" subtype="p" label="Step 3: Review the options and give me your feedback so we can tailor your quotes.."/> <field type="paragraph" subtype="p" label="Step 4: Choose an option that you're most excited about and we book your next vacation!"/> <field type="checkbox-group" required="true" label="Did you know? Travel advisors like me don’t get paid unless you book through us. That’s why your support means so much—it allows me to keep doing what I love, designing unforgettable trips for you!" name="i-understand-that-jessie-is-not-compensated-by-the-vendor-for-the-work-she-has-done-on-my-trip-until-i-complete-my-travel-on-a-trip-she-has-booked-for-me"> <option label="Yes, I understand! Let's start planning!" value="yes-i-understand-lets-start-planning">Yes, I understand! Let's start planning!</option> </field> <field type="text" required="true" label="First Name" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Is there anyone else planning this trip with you (spouse, fiancé, family member, friend)? If so, what is their email?&nbsp;" name="is-there-anyone-else-planning-this-trip-with-you-spouse-fianc-family-member-friend-if-so-what-is-their-email-" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your cell number?&nbsp;" name="what-is-your-cell-number-" subtype="text" className="form-control"/> <field type="radio-group" label="How soon are you wanting to book your trip?&nbsp;" name="how-soon-are-you-wanting-to-book-your-trip-"> <option label="Today!" value="today">Today!</option> <option label="This week" value="this-week">This week</option> <option label="This month" value="this-month">This month</option> <option label="Over the next few months" value="over-the-next-few-months">Over the next few months</option> <option label="I'm just getting ideas.." value="im-just-getting-ideas">I'm just getting ideas..</option> </field> <field type="radio-group" label="Are you working with any other Travel Agents?" name="are-you-working-with-any-other-travel-agents"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> <field type="text" required="true" label="Where are you interested in traveling to?&nbsp;" 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="date" required="true" label="What is your preferred check in date?&nbsp;" 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="What is your preferred check out date?&nbsp;" 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" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you need flights added to your vacation package?&nbsp;" name="do-you-need-flights-added-to-your-vacation-package-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option> </field> <field type="text" required="true" label="For packages with flights, what is most important to you (nonstop, best rate, earliest arrival, latest departure, main cabin, business class, etc)&nbsp;" name="for-packages-with-flights-what-is-more-important-to-you-nonstop-best-rate-earliest-arrival-latest-departure-main-cabin-business-class-etc-" subtype="text" className="form-control"/> <field type="text" required="true" label="If you have a preferred airline, please list it below:" name="if-you-have-a-preferred-airline-please-list-it-below" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="textarea" required="true" label="Please provide the number of adults in your travel party, full names and dates of birth:" name="how-many-adults-are-in-your-travel-party-and-what-are-their-birthdates-" className="form-control"/> <field type="textarea" required="true" label="Please provide the number of children in your travel party, full names and dates of birth:" name="how-many-kids-are-in-your-travel-party-and-what-are-their-birthdates-" className="form-control"/> <field type="textarea" label="How many rooms do you need? If more than 1, please list who will be in each room:" name="how-many-rooms-do-you-need-if-more-than-1-please-list-who-will-be-in-each-room" className="form-control"/> <field type="checkbox-group" label="Will you be celebrating anything on your trip?&nbsp;" name="will-you-be-celebrating-anything-on-your-trip-"> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Engagement " value="engagement-">Engagement </option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Promotion" value="promotion">Promotion</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Other celebration " value="other-celebration-">Other celebration </option> </field> <field type="text" required="true" label="What is your budget range?&nbsp;" name="what-is-your-budget-if-any" subtype="text" className="form-control"/> <field type="radio-group" label="Have you traveled internationally before?&nbsp;" name="have-you-traveled-internationally-before-"> <option label="Yes!!" value="yes">Yes!!</option> <option label="No, this is my first time. " value="no-this-is-my-first-time-">No, this is my first time. </option> </field> <field type="radio-group" label="Does everyone have an active passport that is valid AT LEAST 6 months after your preferred return date?&nbsp;" name="does-everyone-have-an-active-passport-that-is-valid-at-least-6-months-after-your-preferred-return-date-"> <option label="Yes" value="option-1">Yes</option> <option label="No" value="no">No</option> <option label="I/We will apply for one" value="iwe-will-apply-for-one">I/We will apply for one</option> </field> <field type="checkbox-group" required="true" label="What is most important to you?" description="Check all that apply." name="vibe-preference" other="true"> <option label="All Inclusive " value="all-inclusive-">All Inclusive </option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Food & drinks" value="food-drinks">Food & drinks</option> <option label="Short flight" value="short-flight">Short flight</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Boutique resort" value="boutique-resort">Boutique resort</option> <option label="A large resort" value="a-large-resort">A large resort</option> <option label="Wellness" value="wellness">Wellness</option> <option label="Party vibe" value="party-vibe">Party vibe</option> <option label="Peace & quiet" value="peace-quiet">Peace & quiet</option> <option label="Great beach" value="great-beach">Great beach</option> <option label="Pools" value="pools">Pools</option> <option label="Scuba diving" value="scuba-diving">Scuba diving</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Golf" value="golf">Golf</option> </field> <field type="checkbox-group" required="true" label="What type of room would you prefer?&nbsp;" name="what-type-of-room-would-you-prefer-"> <option label="Resort View / best rate" value="resort-view-best-rate">Resort View / best rate</option> <option label="Mountain View" value="mountain-view">Mountain View</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Ocean Front" value="ocean-front">Ocean Front</option> <option label="Swim Out" value="swim-out">Swim Out</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Private Pool" value="private-pool">Private Pool</option> <option label="Bungalow / Villa" value="bungalow-villa">Bungalow / Villa</option> </field> <field type="text" label="&nbsp;If there is a specific resort you would like for me to quote, please list it here:&nbsp;" name="-if-there-is-a-specific-resort-you-would-like-for-me-to-quote-please-list-it-here-" subtype="text" className="form-control"/> <field type="text" label="If you have Facebook and/or Instagram, what is your username?" name="instagram-profile" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else you &nbsp;would like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="text" label="How did you hear about me? (Referral, social media, etc)" name="how-did-you-hear-about-me-referral-social-media-etc" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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