<html> <body> <form-template> <fields> <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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <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"/> <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="starting-at" className="form-control"/> <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"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-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?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="textarea" label="Who is traveling?" placeholder="list full names and ages" name="who-is-traveling" className="form-control"/> <field type="textarea" label="Is there a reason for the trip?" placeholder="special occasion? just for fun?" name="is-there-a-reason-for-the-trip" className="form-control"/> <field type="paragraph" subtype="p" label="We can help book hotels only for your trip, or we can help arrange a full itinerary which means we can&nbsp; arrange transfers, activities, tours and reservations. Fees for this full itinerary service begin at $600 for 1 week of travel. Once we know more about your trip, we will provide a specific quote for you."/> <field type="select" label="What travel services are you looking for? (Please see Services section of this website)" description="Hotels plus a full itinerary means I can help arrange transfers activities tours and reservations. Fees for this service begin at $600 for 1 week of travel. Once I know more about your trip I will provide a specific quote for you." name="what-travel-services-are-you-looking-for" className="form-control"> <option label="Just hotel booking" value="just-hotel-booking">Just hotel booking</option> <option label="Hotels, plus a full itinerary (starts at $600+)" value="hotels-plus-a-full-itinerary-starts-at-600">Hotels, plus a full itinerary (starts at $600+)</option> </field> <field type="paragraph" subtype="p" label="We are able to book First, Business, and Premium Economy (where it is a separate cabin) class tickets for flights originating from, or traveling to the US. There is a $50 fee, per ticket.&nbsp;"/> <field type="radio-group" label="Would you like help booking international First, Business or Premium Economy class flights? (Please see Services section of this website)" name="would-you-like-help-booking-international-first-business-or-premium-economy-class-flights-please-see-services-section-of-this-website"> <option label="Yes - I understand there is a $50 fee per ticket" value="yes-i-understand-there-is-a-50-fee-per-ticket">Yes - I understand there is a $50 fee per ticket</option> <option label="No - I am flying Economy, or will book the flights on my own" value="no-i-am-flying-economy-or-will-book-the-flights-on-my-own">No - I am flying Economy, or will book the flights on my own</option> </field> <field type="radio-group" required="true" label="What is your target nightly budget for a single hotel room? Note that a single hotel room outside of the US typically has a maximum occupancy of 2 people." description="This just gives a general starting point and can always be changed later. We always do our best to work with flexible budgets but work with primarily 4-5* hotels to ensure the best experience that we can stand behind." name="budget"> <option label="$500 to $750" value="500-to-750">$500 to $750</option> <option label="$750 to $1,000" value="750-to-1000">$750 to $1,000</option> <option label="$1,000-$1,500" value="10001500">$1,000-$1,500</option> <option label="$1,500+" value="1500">$1,500+</option> </field> <field type="radio-group" required="true" label="What&nbsp; is your target budget for the entire trip, excluding airfare?" description="For all travelers" name="what-is-your-target-budget-for-the-entire-trip-excluding-airfare" other="true"> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 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+ " value="15000-">$15,000+ </option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="textarea" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" className="form-control"/> <field type="textarea" label="What else do I need to know?" placeholder="Here's your chance to give me any helpful info to build the best trip for you. Do you hate hotels with golf? Love tennis? Total foodie? Traveling with someone with limited mobility? Need to make sure your kids have a separate room to nap in? Love every minute planned? Prefer freedom to explore? Lay it all out!" name="what-else-do-i-need-to-know" className="form-control"/> </fields> </form-template> </body> </html>
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