TravelJoy

Jackie Hayden

Chez André Travels

Luxury Vacation or Group Travel Inquiry

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Group Travel Request"/>&#13;
		<field type="header" subtype="h2" label="Name"/>&#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="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="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"/>&#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="radio-group" required="true" label="Do you need a flight?" inline="true" name="do-you-need-a-flight">&#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="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Desired travel time" inline="true" name="desired-travel-time">&#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;
		</field>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Age(s) of travelers" name="ages-of-child-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Hotel and Resort Vacation"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" 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="radio-group" label="Rooms" inline="true" name="rooms" other="true">&#13;
			<option label="Standard Room" value="standard-room">Standard Room</option>&#13;
			<option label="Garden View" value="garden-view">Garden View</option>&#13;
			<option label="Ocean View/Front" value="ocean-viewfront">Ocean View/Front</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Room Type" inline="true" name="room-type">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Queens" value="2-queens">2 Queens</option>&#13;
			<option label="1 Bedroom" value="1-bedroom">1 Bedroom</option>&#13;
			<option label="2 Bedroom" value="2-bedroom">2 Bedroom</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Features:" name="features" other="true">&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="On the Beach" value="on-the-beach">On the Beach</option>&#13;
			<option label="Near City Center" value="near-city-center">Near City Center</option>&#13;
		</field>&#13;
		<field type="checkbox-group" 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="checkbox-group" 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="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</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;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Cruise Vacation"/>&#13;
		<field type="text" label="Cruiseline Preferences (Frequent Cruiser Programs)" name="cruiseline-preferences-frequent-cruiser-programs" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Cruise Itinerary" name="cruise-itinerary" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Cruise Length" inline="true" name="cruise-length">&#13;
			<option label="1 to 3 nights" value="1-to-3-nights">1 to 3 nights</option>&#13;
			<option label="4 to 6 nights" value="4-to-6-nights">4 to 6 nights</option>&#13;
			<option label="7 to 9 nights" value="7-to-9-nights">7 to 9 nights</option>&#13;
			<option label="10 to 13 nights" value="10-to-13-nights">10 to 13 nights</option>&#13;
			<option label="14 and more nights" value="14-and-more-nights">14 and more nights</option>&#13;
		</field>&#13;
		<field type="select" label="Cabin Class" name="cabin-class" className="form-control">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="select" label="Pre and Post Cruise Nights" placeholder="Select One" name="pre-and-post-cruise-nights" className="form-control">&#13;
			<option label="None" value="none">None</option>&#13;
			<option label="Pre Nights" value="pre-nights">Pre Nights</option>&#13;
			<option label="Post Nights" value="post-nights">Post Nights</option>&#13;
			<option label="Pre and Post Cruise Nights" value="pre-and-post-cruise-nights">Pre and Post Cruise Nights</option>&#13;
		</field>&#13;
		<field type="select" label="Beverage Plan" placeholder="Select One" name="beverage-plan" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Car Rental &amp;amp; Transfers"/>&#13;
		<field type="select" required="true" label="Do You Want A Rental Car?" placeholder="Select One" name="do-you-want-a-rental-car" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do You Want Transfer From Airport to Hotel and To Airport From Hotel" placeholder="Select One" name="do-you-want-transfer-from-airport-to-hotel-and-to-airport-from-hotel" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget  travel preferences  allergies?" name="notes" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Planning any vacation takes extensive time and effort before the departure date ever arrives. We have a rate structure to assist with the time spent covering the initial consultation, research services, proposal and up to 2 proposal revisions if needed. We will advise you of our fee for your journey. Our Travel Research/Administrative Fee will be charged after the initial consultation, before proposal delivery, regardless of whether a client books a trip with us. When a client books a trip with us, this fee also goes toward travel support and the booking of the trip itself. The Travel Research/Administrative Fees are nonrefundable. This fee could be a minimum of $25 per couple or a one-time fee to be determined based on GROUP size. You will receive a separate invoice and this fee is NOT applied to your travel booking costs.&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Travel Research/Administrative Fee" name="travel-researchadministrative-fee">&#13;
			<option label="I Agree to The Travel Research/Administrative Fee" value="i-agree-to-the-travel-researchadministrative-fee">I Agree to The Travel Research/Administrative Fee</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>