<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" label="Where would you like to go or may be considering?" 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"/> <field type="date" label="When would you like to depart? Rough estimate is fine" 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"/> <field type="date" label="When would you like to return? Rough estimate is fine" 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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city? If you prefer to book your own flights or If you have multiple airport choices please list them here" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms &amp; How many travelers? Adults vs. Kids- Please list birthdates of kids or kids ages at time of travel" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is the total budget for ALL &nbsp;travelers? &nbsp;So the total amount you're willing to invest in your entire vacation per family or couple" description="This just gives me a general starting point &amp; can always be changed later." name="budget"> <option label="$2,000 to $3,000" value="2000-to-3000">$2,000 to $3,000</option> <option label="$3,000 to $4,000" value="3000-to-4000">$3,000 to $4,000</option> <option label="$4,000 to $5,000" value="4000-to-5000">$4,000 to $5,000</option> <option label="$5,000 to $6,000" value="5000-to-6000">$5,000 to $6,000</option> <option label="$6,000 to $8,000" value="6000-to-8000">$6,000 to $8,000</option> <option label="$8,000 to $10,000" value="8000-to-10000">$8,000 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000 +" value="20000-">$20,000 +</option> </field> <field type="checkbox-group" label="What kind of vibe or vibes are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest & relaxation" value="rest-relaxation">Rest & relaxation</option> <option label="Top Notch Luxury" value="top-notch-luxury">Top Notch Luxury</option> <option label="Let's Party" value="lets-party">Let's Party</option> <option label="We like to venture off & explore the Local Culture" value="we-like-to-venture-off-explore-the-local-culture">We like to venture off & explore the Local Culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="All-Inclusive Family Resort" value="allinclusive-family-resort">All-Inclusive Family Resort</option> <option label="All-Inclusive Adults Only Resort" value="allinclusive-adults-only-resort">All-Inclusive Adults Only Resort</option> <option label="We spend most of our time at the Beach" value="we-spend-most-of-our-time-at-the-beach">We spend most of our time at the Beach</option> <option label="We spend most of our time in the pools" value="we-spend-most-of-our-time-in-the-pools">We spend most of our time in the pools</option> <option label="We love Cruise Ships" value="we-love-cruise-ships">We love Cruise Ships</option> <option label="LGTBQ" value="lgtbq">LGTBQ</option> <option label="Multi-Generational " value="multigenerational-">Multi-Generational </option> <option label="Cheapest room available " value="cheapest-room-available-">Cheapest room available </option> <option label="Ocean view room is a must" value="ocean-view-room-is-a-must">Ocean view room is a must</option> <option label="We would like a swim out room" value="we-would-like-a-swim-out-room">We would like a swim out room</option> <option label="We would like a Beachfront walkout room" value="we-would-like-a-beachfront-walkout-room">We would like a Beachfront walkout room</option> <option label="We would like a jacuzzi in our room or on our balcony" value="we-would-like-a-jacuzzi-in-our-room-or-on-our-balcony">We would like a jacuzzi in our room or on our balcony</option> <option label="We would like an Over Water Bungalow or Villa" value="we-would-like-an-over-water-bungalow-or-villa">We would like an Over Water Bungalow or Villa</option> <option label="We would like our own private villa or residence (like an AirBNB)" value="we-would-like-our-own-private-villa-or-residence-like-an-airbnb">We would like our own private villa or residence (like an AirBNB)</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach & water" value="beach-water">Beach & water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba Diving " value="scuba-diving-">Scuba Diving </option> <option label="Excursions & Adventure activities" value="excursions-adventure-activities">Excursions & Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Bar Nightlife" value="bar-nightlife">Bar Nightlife</option> <option label="Food & Wine" value="food-wine">Food & Wine</option> <option label="Snorkeling " value="snorkeling-">Snorkeling </option> <option label="Nightly entertainment of music or shows" value="nightly-entertainment-of-music-or-shows">Nightly entertainment of music or shows</option> <option label="Daytime activities by the pool or beach entertainment team" value="daytime-activities-by-the-pool-or-beach-entertainment-team">Daytime activities by the pool or beach entertainment team</option> <option label="We love water sports " value="we-love-water-sports-">We love water sports </option> <option label="We go to bed early & are up with the sun" value="we-go-to-bed-early-are-up-with-the-sun">We go to bed early & are up with the sun</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What else would you like me to know about you, your travelers, your travel dates flexibility, your budget or Any room preferences, ADA accessibility needs, Dietary Restrictions etc?. The more info the better!" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Cell Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="text" label="Who can I thank for your referral?" name="who-can-i-thank-for-your-referral" subtype="text" className="form-control"/> <field type="select" required="true" label="In order to travel outside the United States a Valid Passport BOOK is required for all travelers regardless of age. &nbsp;Passport Cards &amp; no-fee military passports are NOT adequate. To be valid, a passport must have 2-4 blank visa pages available and it MUST be valid for at least 6 months AFTER your departure date. (For Example- if I depart on 2/22/23, my passport must NOT expire before 8/22/23!) &nbsp; Other Considerations-Some felony convictions may prevent you from crossing some borders, including Canada. So please take this into consideration when planning travel or transiting through different countries. *****Also IF YOU ARE TRAVELING WITH CHILDREN, BUT WITHOUT ONE OR BOTH LEGAL GUARDIANS , A NOTARIZED LETTER MAY BE REQUIRED.***" name="in-order-to-travel-outside-the-united-states-a-valid-passport-book-is-required-for-all-travelers-regardless-of-age-passport-cards-nofee-military-passports-are-not-adequate-to-be-valid-a-passport-can-not-have-an-expiration-date-that-falls-within-6-months-after-your-travel-date-it-must-be-valid-for-more-than-6-months-after-your-departure-date-example-if-i-depart-of-22223-my-passport-must-not-expire-before-82223-other-considerationsyou-do-not-need-to-share-but-some-felony-convictions-may-prevent-you-from-crossing-some-borders-including-canada-so-please-take-this-into-consideration-when-planning-travel-or-transiting-through-different-countries-also-if-you-are-traveling-with-children-but-without-one-or-both-legal-guardians-a-notarized-letter-may-be-required" className="form-control"> <option label="By typing my name below I acknowledge I have read & understand the above statements" value="by-typing-my-name-below-i-acknowledge-i-have-read-understand-the-above-statements">By typing my name below I acknowledge I have read & understand the above statements</option> <option label="" value=""/> </field> <field type="text" required="true" label="Your signature" name="your-signature" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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