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<html> <body> <form-template> <fields> <field type="header" subtype="h3" label="Please fill out form below and its entirety. We will contact you to get any other details that we may need. We can’t wait to help you create priceless memories! Talk to you soon!"/> <field type="text" required="true" label="First Name of Primary Traveler" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="Phone number" description="(ALL quotes/deals are given via video call)" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="What city/state do you live in?" name="what-citystate-do-you-live-in" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us"> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="TikTok" value="tiktok">TikTok</option> <option label="Website" value="website">Website</option> <option label="YouTube" value="youtube">YouTube</option> <option label="Newsletter" value="newsletter">Newsletter</option> <option label="Other" value="other">Other</option> </field> <field type="select" required="true" label="Preferred Travel Advisor?" name="preferred-travel-advisor" className="form-control"> <option label="I don't have one, please match me!" value="i-dont-have-one-please-match-me">I don't have one, please match me!</option> <option label="Sarah Mooney" value="sarah-mooney">Sarah Mooney</option> <option label="Tashi Payne" value="tashi-payne">Tashi Payne</option> <option label="Stacey McLeod" value="stacey-mcleod">Stacey McLeod</option> <option label="Sydney Carter" value="sydney-carter">Sydney Carter</option> <option label="Lisa Priester" value="lisa-priester">Lisa Priester</option> </field> <field type="textarea" required="true" label="Where would you like to travel to? And what type of experience are you wanting to have? Give us as many details as you can. Example "I would like to stay in a luxury resort in the Florida Keys, close to beach and activities. I would also like to do&nbsp; local things like attending a sunset cruise and take a day fishing trip"." 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="If you need flights,&nbsp; please indicate your departure airport." name="if-you-need-flights-please-indicate-your-departure-airport" subtype="text" className="form-control"/> <field type="text" required="true" label="How many are in your party ? Adults? Children? Please include ages of EACH traveler. We need this information to process your request!*" name="where-would-you-like-to-travel-to" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your preferred travel dates? Include start date and end date. Example: Jan 17-28, 2030" name="what-are-your-travel-dates" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are these dates flexible?" name="are-these-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 estimated budget?" name="what-type-of-vacation-is-this-example-cruise-all-inclusive-land-vacation" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Is this in total or per person?" name="is-this-in-total-or-per-person"> <option label="Total" value="total">Total</option> <option label="Per person" value="per-person">Per person</option> </field> <field type="radio-group" label="Are you interested in paying for your vacation using Uplift (pay over time in bite-size payments, based on approval)?* *&nbsp;" name="are-you-interested-in-paying-for-your-vacation-using-uplift-pay-over-time-in-bitesize-payments-based-on-approval-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Are you celebrating anything special? If so what and how can we make this extra special?" name="are-you-celebrating-anything-special-if-so-what-and-how-can-we-make-this-extra-special" className="form-control"/> <field type="radio-group" required="true" label="If we are a mutual fit to work together and we find the perfect vacation, are you ready to place a deposit within the next week?" name="would-you-be-ready-to-make-a-deposit-if-we-find-a-quote-that-meet-your-needs-within-the-next-few-days"> <option label="Yes" value="yes">Yes</option> <option label="No. Just Looking!" value="no-just-looking">No. Just Looking!</option> </field> <field type="textarea" required="true" label="Why are you seeking to use our services vs. planning on your own?" name="why-are-you-seeking-to-use-our-services-vs-planning-on-your-own" className="form-control"/> <field type="header" subtype="h1" label="We respond back within 1-2 business days! Check your spam/promotions folder if not in your inbox. Please add us to your contacts!"/> </fields> </form-template> </body> </html>
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