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<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Client Flight Request"/> <field type="paragraph" subtype="blockquote" label="Legal Names booked on airline tickets MUST match your government issued ID used to access the secured area at the airport.&nbsp; For International Flights, we will request a photo of your passport picture page to validate to the airline."/> <field type="header" subtype="h1" label="__________"/> <field type="paragraph" subtype="blockquote" label="Travelmation Flights charges a 3.5% nonrefundable service fee (with a minimum of $55) on all tickets and will pass along any fraud prevention or other special fees charged by the airline or other vendors we may use to book the airfares.&nbsp; &nbsp;Fees are based on work we perform from the booking process through flight monitoring until the day of travel."/> <field type="header" subtype="h1" label="__________"/> <field type="radio-group" required="true" label="I agree to pay Travelmation the nonrefundable fees for booking and managing my flight and acknowledge the fees will be included in my booking or invoiced separately when&nbsp; it is&nbsp; beneficial to my booking." name="i-agree-to-pay-travelmation-the-following-nonrefundable-fees-for-booking-and-managing-my-flight-request"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="______"/> <field type="text" required="true" label="Who is your Travelmation Travel Advisor?" name="who-is-your-travelmation-travel-advisor" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="______"/> <field type="header" subtype="h2" label="Primary Traveler Contact Info"/> <field type="text" required="true" label="Legal First Name" description="Must match passport or government issued ID" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Legal Middle name" description="Must match passport or government issued ID" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Legal Last name" description="Must match passport or government issued ID" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Legal Suffix" description="Must match passport or government issued ID" name="suffix" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Gender" description="Must match legal ID or TSA will refuse entry to secured area" inline="true" name="gender" other="true"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="date" required="true" label="Birthday" name="birthday" 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="clientLoyaltyPrograms" label="Airline Loyalty and Trusted Traveler Numbers (e.g. TSA Precheck and Global Entry)" description="You can add a new line for each number" 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="header" subtype="h1" label="______"/> <field type="header" subtype="h2" label="Additional Travelers (if applicable)"/> <field type="header" subtype="h1" label="Traveler 2"/> <field type="text" label="Traveler 2 - Legal First Name" name="legal-first-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 2 - Legal Middle Name" name="legal-middle-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 2 - Legal Last Name" name="legal-last-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 2 - Legal Suffix" name="legal-suffix" subtype="text" className="form-control"/> <field type="radio-group" label="Traveler 2 - Gender" description="value must match passport or government issued ID" inline="true" name="traveler-2-gender" other="true"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="date" label="Traveler 2 - Birthdate" name="traveler-2-birthdate" className="form-control"/> <field type="header" subtype="h1" label="______"/> <field type="header" subtype="h1" label="Traveler 3"/> <field type="text" label="Traveler 3 - Legal First Name" name="traveler-3-legal-first-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 3 - Legal Middle Name" name="traveler-3-legal-middle-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 3 - Legal Last Name" name="traveler-3-legal-last-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 3 - Suffix" name="traveler-3-suffix" subtype="text" className="form-control"/> <field type="radio-group" label="Traveler 3 - Gender" description="value must match passport or government issued ID" inline="true" name="traveler-3-gender" other="true"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="date" label="Traveler 3 - Birthday" name="traveler-3-birthday" className="form-control"/> <field type="header" subtype="h1" label="______"/> <field type="header" subtype="h1" label="Traveler 4"/> <field type="text" label="Traveler 4 - Legal First Name" name="traveler-4-legal-first-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 4 - Legal Middle Name" name="traveler-4-legal-middle-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 4 - Legal Last Name" name="traveler-4-legal-last-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 4 - Legal Suffix" name="traveler-4-legal-suffix" subtype="text" className="form-control"/> <field type="radio-group" label="Traveler 4 - Gender" description="value must match passport or government issued ID" inline="true" name="traveler-4-gender" other="true"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="date" label="Traveler 4 - Birthday" name="traveler-4-birthday" className="form-control"/> <field type="header" subtype="h1" label="______"/> <field type="header" subtype="h1" label="Traveler 5"/> <field type="text" label="Traveler 5 - Legal First Name" name="traveler-5-legal-first-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 5 - Legal Middle Name" name="traveler-5-legal-middle-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 5 - Legal Last Name" name="traveler-5-legal-last-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 5 - Legal Suffix" name="traveler-5-legal-suffix" subtype="text" className="form-control"/> <field type="radio-group" label="Traveler 5 - Gender" description="value must match passport or government issued ID" inline="true" name="traveler-5-gender" other="true"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="date" label="Traveler 5 - Birthday" name="traveler-5-birthday" className="form-control"/> <field type="header" subtype="h1" label="______"/> <field type="header" subtype="h1" label="Traveler 6"/> <field type="text" label="Traveler 6 - Legal First Name" name="traveler-6-legal-first-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 6 - Legal Middle Name" name="traveler-6-legal-middle-name" subtype="text" className="form-control"/> <field type="text" label="Traveler 6 - Legal Last Name" name="text-1677528091162" subtype="text" className="form-control"/> <field type="text" label="Traveler 6 - Legal Suffix" name="traveler-6-legal-suffix" subtype="text" className="form-control"/> <field type="radio-group" label="Traveler 6 - Gender" description="value must match passport or government issued ID" inline="true" name="traveler-6-gender" other="true"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> </field> <field type="date" label="Traveler 6 - Birthday" name="traveler-6-birthday" className="form-control"/> <field type="header" subtype="h1" label="______"/> <field type="header" subtype="h1" label="Flight Specific"/> <field type="text" label="Total Number of Travelers" name="total-number-of-travelers" subtype="text" className="form-control"/> <field type="paragraph" subtype="blockquote" label="If you have more than a total of 6 travelers (including yourself), we will follow-up and send a Traveler's Profile for you to provide details for additional travelers."/> <field type="radio-group" required="true" label="Class of Service" name="class-of-service" other="true"> <option label="Main Economy (Coach)" value="main-economy-coach">Main Economy (Coach)</option> <option label="Economy Plus (valid on some airlines in Europe)" value="economy-plus-valid-on-some-airlines-in-europe">Economy Plus (valid on some airlines in Europe)</option> <option label="Economy Comfort" value="economy-comfort">Economy Comfort</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First" value="first">First</option> </field> <field type="radio-group" label="Type of Flight" inline="true" name="type-of-flight" other="true"> <option label="Round Trip" value="round-trip">Round Trip</option> <option label="One Way" value="one-way">One Way</option> <option label="Multi City" value="multi-city">Multi City</option> </field> <field type="text" required="true" label="Departure city?" description="Provide City/State or Airport Code (include alternate locations as needed)" placeholder="(e.g. Atlanta GA or Airport Code ATL)" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Flying where?" description="Provide City/State or an Airport Code" placeholder="(e.g. Miami FL or Airport Code MIA)" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" label="Departure Date" description="Preferred Date" name="starting-at" className="form-control"/> <field type="date" required="true" label="Return Date" description="Preferred Date" name="ending-at" className="form-control"/> <field type="checkbox-group" required="true" label="Flight dates flexible?" inline="true" name="dates-flexible" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="______"/> <field type="header" subtype="h3" label="If multiple cities, please provide the following airports and dates"/> <field type="text" label="Multi City Starting Airport and Date" name="multi-city-starting-airport-and-date" subtype="text" className="form-control"/> <field type="text" label="Multi City Destination 1 Airport and Date" name="multi-city-destination-1-airport-and-date" subtype="text" className="form-control"/> <field type="text" label="Multi City Destination 2 Airport and Date" name="multi-city-destination-2-airport-and-date" subtype="text" className="form-control"/> <field type="text" label="Multi City Destination 3 Airport and Date" name="multi-city-destination-3-airport-and-date" subtype="text" className="form-control"/> <field type="text" label="Multi City Destination 4 Airport and Date" name="multi-city-destination-4-airport-and-date" subtype="text" className="form-control"/> <field type="text" label="Multi City Destination 5 Airport and Date" name="multi-city-destination-5-airport-and-date" subtype="text" className="form-control"/> <field type="text" label="Multi City Destination 6 Airport and Date" name="multi-city-destination-6-airport-and-date" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;&lt;&gt;"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="checkbox-group" label="Preferred Airlines" description="Click on your preferred airlines" toggle="true" name="vibe-preference" other="true"> <option label="Air France" value="air-france">Air France</option> <option label="Alaska Airlines" value="alaska-airlines">Alaska Airlines</option> <option label="American Airlines" value="american-airlines">American Airlines</option> <option label="British Airways" value="british-airways">British Airways</option> <option label="Delta Airlines" value="delta-airlines">Delta Airlines</option> <option label="Southwest Airlines" value="southwest-airlines">Southwest Airlines</option> <option label="United Airlines" value="united-airlines">United Airlines</option> </field> <field type="checkbox-group" label="Flight Time Preferences" inline="true" name="activity-preferences"> <option label="Avoid Early Morning" value="avoid-early-morning">Avoid Early Morning</option> <option label="Avoid Last Flight" value="avoid-last-flight">Avoid Last Flight</option> <option label="Avoid Overnight" value="avoid-overnight">Avoid Overnight</option> </field> <field type="radio-group" label="Connection Preferences" inline="true" name="hotel-preference" other="true"> <option label="Avoid less than 2 hours" value="avoid-less-than-2-hours">Avoid less than 2 hours</option> <option label="Avoid greater than 4 hours" value="avoid-greater-than-4-hours">Avoid greater than 4 hours</option> </field> <field type="radio-group" label="Seating preference" inline="true" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> </field> <field type="paragraph" subtype="p" label="______"/> <field type="checkbox-group" label="Other travel components you have or will likely be booking with your Primary Travel Agent?" inline="true" name="other-travel-components-you-have-or-will-likely-be-booking" other="true"> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Theme Park" value="theme-park">Theme Park</option> <option label="Transportation" value="transportation">Transportation</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> </field> <field type="paragraph" subtype="p" label="______"/> <field type="textarea" label="What else would you like for us to know?" description="Additional comments" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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