TravelJoy

Michele Guanzon

Epic Travel Concierge

Request for Travel

Dec 1, 2022 to Dec 31, 2023

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Traveler Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many&amp;nbsp; people are traveling?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How Many Children Are Traveling Below the Age of 15 years old?" name="how-many-children-are-traveling-below-the-age-of-15-years-old" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="If outside of the United States, does everyone have a passport that is expiring 6 months or greater from your return date?" name="passport-expiring">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Does anyone traveling have Allergies? If Yes, please list allergy&#39;s name(s)." name="allergies" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="select" required="true" label="What&#39;s The Trip Occassion? (Ex. Birthday, Wedding, Family Reunion, General Vacation, etc.)" description="Select the reason for your trip" name="reason-for-trip" className="form-control">&#13;
			<option label="General Vacation" value="general-vacation">General Vacation</option>&#13;
			<option label="Wedding" value="wedding">Wedding</option>&#13;
			<option label="Girl/Man Only Trip" value="girlman-only-trip">Girl/Man Only Trip</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="Romantic Getaway" value="romantic-getaway">Romantic Getaway</option>&#13;
			<option label="Birthday/Anniversay/Graduation" value="celebration-getaway">Birthday/Anniversay/Graduation</option>&#13;
			<option label="Other" value="other-getaway">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What is your preferred time to travel?" name="preferred-travel-time" className="form-control">&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
			<option label="Red-Eye" value="redeye">Red-Eye</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your estimated budget PER PERSON?" name="budget-pp" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of trip do you prefer?" name="what-type-of-trip-do-you-prefer" other="true">&#13;
			<option label="Resort / Hotel Only" value="resort-hotel-only">Resort / Hotel Only</option>&#13;
			<option label="Cruise Only" value="cruise-only">Cruise Only</option>&#13;
			<option label="Both Resort/Hotel AND Cruise" value="both-resorthotel-and-cruise">Both Resort/Hotel AND Cruise</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your accommodation preferences?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How Many Rooms Do You Need" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Site Seeing (local attractions)" value="site-seeing-local-attractions">Site Seeing (local attractions)</option>&#13;
			<option label="Scuba / Water Activities" value="scuba-water-activities">Scuba / Water Activities</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Will anyone need flights arrangements made for them?" description="Note: Flights will require full payment at the time of booking." name="will-anyone-need-flights-arrangements-made-for-them">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, I'll make my own flight arrangements" value="No-flights">No, I'll make my own flight arrangements</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<field type="header" subtype="h1" label="Special Events &amp;amp; Instructions"/>&#13;
		<field type="radio-group" required="true" label="Would you like us to plan a&amp;nbsp; special event for your guest before, during or after the trip?" description="Please let us know if we need to make special event accommodations for events such as cocktail parties  welcome dinners  etc." name="custom-event-planning">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to order customized items for this trip such as t-shirts, hats, etc?" name="radio-group-1668769824729">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have any special instruction or anything you would you 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"/>&#13;
		<field type="header" subtype="h1" label="Acknowledgements"/>&#13;
		<field type="radio-group" required="true" label="I understand there is a non-refundable Design Fee applied to everyone and will be collected prior to any work done for my trip. This will be discussed in detail during my appointment included in the booking request. I understand that if I am not willing to pay the Design Fee, I may miss out on the exclusive discounts and pricing available only by using a travel agency such as Epic Travel Concierge." name="i-understand-there-is-a-nonrefundable-design-fee-to-everyone-collected-prior-any-work-down-for-your-trip-this-will-be-discussed-in-detail-during-our-appointment-included-in-the-booking-request-if-you-do-not-accept-i-will-not-book-your-travel-but-youre-welcome-to-book-your-own-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I understand travel insurance is INCLUDED in my rate,&amp;nbsp; unless otherwise noted in the proposal. If I do NOT want travel insurance I must request an INSURANCE WAIVER." name="i-understand-travel-insurance-is-included-in-my-rate-if-i-do-not-want-travel-insurance-i-must-request-an-insurance-waiver">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>