TravelJoy

Loretta Robinson

Envision Travel

Envision Travel Planning Request

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Envision Travel"/>&#13;
		<field type="paragraph" subtype="p" label="At Envision Travel, our mission is to embrace the philosophy that life is a journey and to empower our clients to make the most of it. Through exceptional service, personalized itineraries, and expert guidance, we strive to create transformative experiences that inspire and enrich your travel adventures. Whether it's a cruise, a Caribbean escape, or any other destination, we are committed to providing you with unparalleled support and guidance every step of the way. Let us be your trusted partner in unlocking the full potential of your journey, turning moments into lifelong memories.&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Birthday" name="birthday" 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="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="The Adventure"/>&#13;
		<field type="text" 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" 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="date-1723072347771" className="form-control"/>&#13;
		<field type="date" 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="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city? (Please List if Multiple)" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do you have a preferred airline?&amp;nbsp;" toggle="true" inline="true" name="do-you-have-a-preferred-airline-" other="true">&#13;
			<option label="American Airlines" value="american-airlines">American Airlines</option>&#13;
			<option label="Delta" value="delta">Delta</option>&#13;
			<option label="Southwest" value="southwest">Southwest</option>&#13;
			<option label="United" value="united">United</option>&#13;
			<option label="Jetblue" value="jetblue">Jetblue</option>&#13;
			<option label="Spirit" value="spirit">Spirit</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you have a passport? (Only needed if we are planning flights)" name="do-you-have-a-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Passport Info (Only needed if we are planning flights)"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many Adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many Children? (Please list their ages at the time of travel)" name="how-many-children-please-list-their-ages-at-the-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Hotel/Resort Preferences"/>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel Preference" name="hotel-preference">&#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="All Inclusive Resort" name="radio-group-1723082825661">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I Am Flexible" value="i-am-flexible">I Am Flexible</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#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;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget per traveler?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$0 to $500" value="0-to-500">$0 to $500</option>&#13;
			<option label="$501 to $1,000" value="501-to-1000">$501 to $1,000</option>&#13;
			<option label="$1,001 to $2,000" value="1001-to-2000">$1,001 to $2,000</option>&#13;
			<option label="$2,001 to $3,500" value="2001-to-3500">$2,001 to $3,500</option>&#13;
			<option label="$3,500 to $5,000" value="3500-to-5000">$3,500 to $5,000</option>&#13;
			<option label="$5,001+" value="5001">$5,001+</option>&#13;
		</field>&#13;
		<field type="text" label="How soon are you looking to pay your deposit?" name="how-soon-are-you-looking-to-pay-your-deposit" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Would you be interested in financing via Uplift?" name="would-you-be-interested-in-financing-via-uplift">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What would you like to include in your booking?" name="checkbox-group-1723080053167">&#13;
			<option label="Activities/Excursions/Tours" value="activitiesexcursionstours">Activities/Excursions/Tours</option>&#13;
			<option label="Air" value="air">Air</option>&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you traveling for a Special Occasion?" name="are-you-traveling-for-a-special-occasion">&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Destination Bachelor/Bachelorette Party" value="destination-bachelorbachelorette-party">Destination Bachelor/Bachelorette Party</option>&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</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 and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs (Including TSA Pre Check, include numbers if available)" 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"/>&#13;
		<field type="checkbox-group" label="Does anyone traveling have any other special rates?" name="what-would-you-like-to-include-in-your-booking">&#13;
			<option label="Over 55" value="over-55">Over 55</option>&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Govenment" value="govenment">Govenment</option>&#13;
			<option label="AAA" value="aaa">AAA</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about us?" name="how-did-you-hear-about-travels-with-toni-j" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>