<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Your Contact Information"/> <field type="text" required="true" label="First name" name="first-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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="radio-group" label="Pronouns" name="pronouns" other="true"> <option label="She/Her/Hers" value="sheherhers">She/Her/Hers</option> <option label="He/Him/His" value="hehimhis">He/Him/His</option> <option label="They/Them/Theirs" value="theythemtheirs">They/Them/Theirs</option> </field> <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="text" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address 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" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="text" required="true" label="Where would you like to go?" placeholder="Unsure? Feel free to list a general region and we'll go from there!" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" required="true" label="When would you like to go? Are your dates flexible?" description="Be as specific as possible." placeholder="For Example: "June 2022" or "June 20-27 2022" or "Anytime summer Summer 2023 except for July 4th weekend and the weekend of August 25th"" name="when-would-you-like-to-go" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Who will be traveling?" placeholder="Please list all traveler names and relation to each other. For children please include ages. For example: "Joe (husband) Jane (daughter 18) Matthew (son 15)"" name="who-will-be-traveling" className="form-control"/> <field type="text" label="Is this trip to celebrate anything special?" name="is-this-trip-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are all travellers fully vaccinated from COVID-19? (Full dose received at least 14 days prior to travel plus booster if your initial vaccination series was completed more than 6 months prior to departure date)" name="are-all-travellers-fully-vaccinated-from-covid19-will-have-2nd-shot-at-least-14-days-prior-to-departure-"> <option label="Yes" value="yes">Yes</option> <option label="No, but will complete by travel date" value="will-complete">No, but will complete by travel date</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="At what stage of planning are you at?" name="at-what-stage-of-planning-are-you-at"> <option label="I'm just starting to brainstorm" value="im-just-starting-to-brainstorm">I'm just starting to brainstorm</option> <option label="I've done some research" value="ive-done-some-research">I've done some research</option> <option label="I know exactly what I want" value="i-know-exactly-what-i-want">I know exactly what I want</option> </field> <field type="radio-group" required="true" label="What is your investment per person not included airfare? Please take into consideration our Travel Management Fee." name="what-is-your-per-person-please-take-into-consideration-there-is-a-15-trip-management-fee-"> <option label="$3000 - $5000" value="3000-5000">$3000 - $5000</option> <option label="$5001 - $7500" value="5001-7500">$5001 - $7500</option> <option label="$7501 - 10,000" value="7501-10000">$7501 - 10,000</option> <option label="$10000+" value="10000">$10000+</option> </field> <field type="textarea" label="Please let me know any considerations I should be aware of in regards to your budget:" placeholder="e.g. will you be using points vouchers etc." name="please-let-me-know-any-considerations-i-should-be-aware-of-in-regards-to-your-budget" className="form-control"/> <field type="text" required="true" label="What is your preferred airport of departure?" placeholder="Please list all airports you would consider." name="what-is-your-preferred-airport-of-departure" subtype="text" className="form-control"/> <field type="select" required="true" label="Hotel Preference" name="hotel-preference-multiple" multiple="multiple" className="form-control"> <option label="5* Luxury" value="5-luxury">5* Luxury</option> <option label="Boutique Hotel" value="boutique-hotel">Boutique Hotel</option> <option label="Apartment/House Rental" value="apartmenthouse-rental">Apartment/House Rental</option> <option label="Large Brand/Hotel Chain" value="large-brandhotel-chain">Large Brand/Hotel Chain</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="What's a hotel that you stayed at and loved?" name="text-1637436109057" subtype="text" className="form-control"/> <field type="text" label="What are your must-have amenities?" placeholder="e.g. hotel bar room service pool spa fitness center etc." name="what-are-your-musthave-amenities" subtype="text" className="form-control"/> <field type="textarea" label="Are there any specific activities or experiences you know you want included? What are your top priorities?" name="are-there-any-specific-activities-or-experiences-you-know-you-want-included-what-are-your-top-priorities" className="form-control"/> <field type="textarea" label="Think back to your last few trips. What made them most memorable? What were your favorite moments?" name="think-back-to-your-last-few-trips-what-made-them-most-memorable-what-were-your-favorite-moments" className="form-control"/> <field type="textarea" label="Anything else you would like us to know?" name="anything-else-you-would-like-us-to-know" className="form-control"/> <field type="radio-group" required="true" label="Where did you hear about us?" name="where-did-you-hear-about-us"> <option label="Social Media" value="social-media">Social Media</option> <option label="Word of Mouth" value="word-of-mouth">Word of Mouth</option> <option label="TravelLeaders.com" value="travelleaderscom">TravelLeaders.com</option> <option label="Websearch" value="websearch">Websearch</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="Would you like to be added to our email list for updates, inspiration and limited time offers?" name="would-you-like-to-be-added-to-our-newsletter-we-email-quarterly"> <option label="Yes" value="yes" selected="selected">Yes</option> <option label="No thanks!" value="no-thanks">No thanks!</option> </field> <field type="checkbox-group" required="true" label="I understand that CoSo Travel charges planning fees and I have reviewed the Process Page of this website." name="i-understand-that-coso-travel-charges-planning-fees-and-i-have-reviewed-the-services-page-of-this-website"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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