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Chataqua Thomas

Twenty14 Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="CLIENT INFORMATION"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="Prefix" placeholder="ex: Mrs." 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" placeholder="ex: Jr." 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" placeholder="ex: 123-456-7890" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" placeholder="ex: Houston" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" placeholder="ex: Texas" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" placeholder="ex: 12345" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" placeholder="ex: United States" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768150288894" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="ABOUT YOUR TRIP"/>&#13;
		<field type="radio-group" required="true" label="What would you like to book?" name="what-would-you-like-to-book">&#13;
			<option label="Flight &amp; Hotel/Resort" value="flight-hotelresort">Flight &amp; Hotel/Resort</option>&#13;
			<option label="Hotel/Resort Only" value="hotelresort-only">Hotel/Resort Only</option>&#13;
			<option label="Cruise Only" value="cruise-only">Cruise Only</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Will yo be needing to book flights?" name="will-yo-be-needing-a-flights">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Will you be needing a rental car?" name="radio-group-1768160583418">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768165576689" rule="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"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768164670672" rule="eyJ3aGVuRmllbGQiOiJ3aGF0LXdvdWxkLXlvdS1saWtlLXRvLWJvb2siLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoiY3J1aXNlLW9ubHkiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsiZG8teW91LWhhdmUtYW55LXByZWZlcnJlZC1jcnVpc2UtbGluZXMiLCJ3aGF0LWlzLXlvdXItcHJlZmVycmVkLWNydWlzZS1wb3J0IiwiaXMtdGhpcy1jcnVpc2UtdG8tY2VsZWJyYXRlLWFueXRoaW5nLXNwZWNpYWwiLCJ0ZXh0LTE3NjgxNTg4MzkyMzMiLCJ3aWxsLXlvdS1iZS1uZWVkaW5nLW1vcmUtdGhhdC1vbmUtc3RhdGVyb29tIiwid2lsbC15b3UtYmUtbmVlZGluZy1tb3JlLXRoYW4tb25lLXByZS1hbmRvci1wb3N0LWNydWlzZS1uaWdodC1ob3RlbC1yb29tcyIsIndpbGwteW91LWJlLW5lZWRpbmctYW5kLXByZS1hbmRvci1wb3N0LW5pZ2h0LWhvdGVsLXN0YXlzIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiZG8teW91LWhhdmUtYW55LXByZWZlcnJlZC1jcnVpc2UtbGluZXMiLCJsYWJlbCI6IkRvIHlvdSBoYXZlIGFueSBwcmVmZXJyZWQgY3J1aXNlIGxpbmVzPyJ9LHsibmFtZSI6IndoYXQtaXMteW91ci1wcmVmZXJyZWQtY3J1aXNlLXBvcnQiLCJsYWJlbCI6IldoYXQgaXMgeW91ciBwcmVmZXJyZWQgY3J1aXNlIHBvcnQ/In0seyJuYW1lIjoiaXMtdGhpcy1jcnVpc2UtdG8tY2VsZWJyYXRlLWFueXRoaW5nLXNwZWNpYWwiLCJsYWJlbCI6IklzIHRoaXMgY3J1aXNlIHRvIGNlbGVicmF0ZSBhbnl0aGluZyBzcGVjaWFsPyJ9LHsibmFtZSI6InRleHQtMTc2ODE1ODgzOTIzMyIsImxhYmVsIjoiV2hhdCBzdGF0ZXJvb20gdHlwZSB3b3VsZCB5b3UgbGlrZT8ifSx7Im5hbWUiOiJ3aWxsLXlvdS1iZS1uZWVkaW5nLW1vcmUtdGhhdC1vbmUtc3RhdGVyb29tIiwibGFiZWwiOiJXaWxsIHlvdSBiZSBuZWVkaW5nIG1vcmUgdGhhdCBvbmUgc3RhdGVyb29tPyJ9LHsibmFtZSI6IndpbGwteW91LWJlLW5lZWRpbmctbW9yZS10aGFuLW9uZS1wcmUtYW5kb3ItcG9zdC1jcnVpc2UtbmlnaHQtaG90ZWwtcm9vbXMiLCJsYWJlbCI6IldpbGwgeW91IGJlIG5lZWRpbmcgbW9yZSB0aGFuIG9uZSBwcmUgYW5kL29yIHBvc3QgY3J1aXNlIG5pZ2h0IGhvdGVsIHJvb21zPyJ9LHsibmFtZSI6IndpbGwteW91LWJlLW5lZWRpbmctYW5kLXByZS1hbmRvci1wb3N0LW5pZ2h0LWhvdGVsLXN0YXlzIiwibGFiZWwiOiJXaWxsIHlvdSBiZSBuZWVkaW5nIGFuZCBwcmUgYW5kL29yIHBvc3QgbmlnaHQgaG90ZWwgc3RheXM/In1dfQ=="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768167319134" rule="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"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768165053973" rule="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"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768163091206" rule="eyJ3aGVuRmllbGQiOiJ3aGF0LXdvdWxkLXlvdS1saWtlLXRvLWJvb2siLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoiZmxpZ2h0LWhvdGVscmVzb3J0IiwidGhlbkFjdGlvbiI6ImhpZGUiLCJ0aGVuRmllbGRzIjpbIndpbGwteW8tYmUtbmVlZGluZy1hLWZsaWdodHMiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJ3aWxsLXlvLWJlLW5lZWRpbmctYS1mbGlnaHRzIiwibGFiZWwiOiJXaWxsIHlvIGJlIG5lZWRpbmcgdG8gYm9vayBmbGlnaHRzPyJ9XX0="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768168003367" rule="eyJ3aGVuRmllbGQiOiJ3aGF0LXdvdWxkLXlvdS1saWtlLXRvLWJvb2siLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoiaG90ZWxyZXNvcnQtb25seSIsInRoZW5BY3Rpb24iOiJoaWRlIiwidGhlbkZpZWxkcyI6W10sInRoZW5GaWVsZHNJbmZvIjpbXX0="/>&#13;
		<field type="text" required="true" label="Where would you like to go?" placeholder="Cancun" name="text-1768151151595" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="radio-group" label="Are your travel dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes - I am flexible based on availability" value="yes-i-am-flexible-based-on-availability">Yes - I am flexible based on availability</option>&#13;
			<option label="No - I have specific dates that I must maintain" value="no-i-have-specific-dates-that-i-must-maintain">No - I have specific dates that I must maintain</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city? Preferred starting airport?" name="what-is-your-departure-city-preferred-starting-airport" subtype="text" className="form-control"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768165310350" rule="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"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768164354651" rule="eyJ3aGVuRmllbGQiOiJkby15b3UtaGF2ZS1hbnktcHJlZmVycmVkLWFpcmxpbmVzIiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJkby15b3UtaGF2ZS1hLXByZWZlcnJlZC1haXJsaW5lIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiZG8teW91LWhhdmUtYS1wcmVmZXJyZWQtYWlybGluZSIsImxhYmVsIjoiUGxlYXNlIGxpc3QgeW91IHByZWZlcnJlZCBhaXJsaW5lcy4ifV19"/>&#13;
		<field type="radio-group" required="true" label="Do you have any preferred airlines?" name="do-you-have-any-preferred-airlines">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Please list you preferred airlines." name="do-you-have-a-preferred-airline" subtype="text" className="form-control"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768164355990" rule="eyJ3aGVuRmllbGQiOiJkby15b3UtaGF2ZS1hbnktcHJlZmVycmVkLWhvdGVsc3Jlc29ydHMiLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbImRvLXlvdS1oYXZlLWEtcHJlZmVycmVkLWhvdGVscmVzb3J0Il0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiZG8teW91LWhhdmUtYS1wcmVmZXJyZWQtaG90ZWxyZXNvcnQiLCJsYWJlbCI6IlBsZWFzZSBsaXN0IHlvdXIgcHJlZmVycmVkIGhvdGVscy9yZXNvcnRzLiJ9XX0="/>&#13;
		<field type="radio-group" required="true" label="Do you have any preferred hotels/resorts?" name="do-you-have-any-preferred-hotelsresorts">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Please list your preferred hotels/resorts." name="do-you-have-a-preferred-hotelresort" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768164364995" rule="eyJ3aGVuRmllbGQiOiJkby15b3UtaGF2ZS1hbnktcHJlZmVycmVkLWNydWlzZS1saW5lcyIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJ5ZXMiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsid2hhdC1pcy15b3VyLXByZWZlcnJlZC1jcnVpc2UtbGluZSJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6IndoYXQtaXMteW91ci1wcmVmZXJyZWQtY3J1aXNlLWxpbmUiLCJsYWJlbCI6IlBsZWFzZSB5b3VyIHByZWZlcnJlZCBjcnVpc2UgbGluZXMuIn1dfQ=="/>&#13;
		<field type="radio-group" required="true" label="Do you have any preferred cruise lines?" name="do-you-have-any-preferred-cruise-lines" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Please your preferred cruise lines." name="what-is-your-preferred-cruise-line" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="What is your preferred cruise port?" name="what-is-your-preferred-cruise-port" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="radio-group" required="true" label="Do you have any preferred rental car companies?" name="do-you-have-any-preferred-rental-car-companies" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1768164547680" rule="eyJ3aGVuRmllbGQiOiJkby15b3UtaGF2ZS1hbnktcHJlZmVycmVkLXJlbnRhbC1jYXItY29tcGFuaWVzIiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJkby15b3UtaGF2ZS1hLXByZWZlcnJlZC1yZW50YWwtY2FyLWNvbXBhbnkiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJkby15b3UtaGF2ZS1hLXByZWZlcnJlZC1yZW50YWwtY2FyLWNvbXBhbnkiLCJsYWJlbCI6IlBsZWFzZSBsaXN0IHlvdXIgcHJlZmVycmVkIHJlbnRhbCBjYXIgY29tcGFuaWVzLiJ9XX0="/>&#13;
		<field type="text" required="true" label="Please list your preferred rental car companies." name="do-you-have-a-preferred-rental-car-company" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="What is your preferred rental car class?" name="what-is-your-preferred-rental-car-class" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="how-many-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Will you be needing more than one room?" name="will-you-be-needing-more-than-one-room">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many rooms would you like?" name="text-1768158886764" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="radio-group" required="true" label="Will you be needing more that one stateroom?" name="will-you-be-needing-more-that-one-stateroom" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
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		<field type="text" required="true" label="How many staterooms would you like?" name="how-many-cabins-would-you-like" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="What stateroom type would you like?" name="text-1768158839233" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="radio-group" required="true" label="Will you be needing and pre and/or post night hotel stays?" name="will-you-be-needing-and-pre-andor-post-night-hotel-stays" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many pre-stay cruise nights would you like?" name="how-many-prestay-nights-would-you-like" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" required="true" label="How many post-stay cruise nights would you like?" name="how-many-poststay-nights-would-you-like" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="radio-group" required="true" label="Will you be needing more than one pre and/or post cruise night hotel rooms?" name="will-you-be-needing-more-than-one-pre-andor-post-cruise-night-hotel-rooms" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many pre and/or post cruise night rooms would you like?" name="how-many-pre-andor-post-cruise-night-rooms-would-you-like" subtype="text" className="form-control"/>&#13;
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		<field type="textarea" required="true" label="What are the Full Names and DOBs of other travelers in the same room? Please provide the ages of all travelers to ensure eligibility for any age-specific deals and promotions. (Required for all cruises and trips involving children.)" name="text-1768158838162" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do ALL travelers have a valid passport?" name="do-all-travelers-have-a-valid-passport-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, but we'll have it before the trip" value="no-but-well-have-it-before-the-trip">No, but we'll have it before the trip</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
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		<field type="radio-group" required="true" label="What is your budget for all travelers? This just gives me a general starting point and can always be changed later." name="text-1768158843811">&#13;
			<option label="$1,500 - $3,000" value="1500-3000">$1,500 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option>&#13;
			<option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option>&#13;
			<option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
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		<field type="textarea" required="true" label="Is this vacation to celebrate anything special?" name="text-1768158842264" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Is this cruise to celebrate anything special?" name="is-this-cruise-to-celebrate-anything-special" className="form-control field-hidden"/>&#13;
		<field type="textarea" required="true" label="Do any travelers require handicap accessible accommodations, have special needs, dietary restrictions, allergies, or medical concerns you want me to be aware of?" name="do-any-travelers-require-handicap-accessible-accommodations-have-special-needs-dietary-restrictions-allergies-or-medical-concerns-you-want-me-to-be-aware-of" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are any of the travelers veterans or currently on active duty?" name="what-options-best-describe-your-travel-priorities-check-all-that-apply">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="checkbox-group" label="Are any of the travelers first responders?" name="checkbox-group-1767974557225">&#13;
			<option label="Police officers / Law enforcement" value="police-officers-law-enforcement">Police officers / Law enforcement</option>&#13;
			<option label="Firefighters" value="firefighters">Firefighters</option>&#13;
			<option label="Emergency Medical Technicians (EMTs)" value="emergency-medical-technicians-emts">Emergency Medical Technicians (EMTs)</option>&#13;
			<option label="N/A" value="na">N/A</option>&#13;
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		<field type="checkbox-group" label="What options best describe your travel priorities? Check all that apply." name="checkbox-group-1767974189534">&#13;
			<option label="Local culture &amp; education" value="local-culture-education">Local culture &amp; education</option>&#13;
			<option label="Art &amp; architecture" value="art-architecture">Art &amp; architecture</option>&#13;
			<option label="Food &amp; wine" value="food-wine">Food &amp; wine</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Dramatic views &amp; landscape" value="dramatic-views-landscape">Dramatic views &amp; landscape</option>&#13;
			<option label="Spa &amp; wellness" value="spa-wellness">Spa &amp; wellness</option>&#13;
			<option label="Rest &amp; relaxation" value="rest-relaxation">Rest &amp; relaxation</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know about your ideal vacation?" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Will you be booking any portion of your trip with points? If so, which pieces?" name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768151841435" next="Next" previous="Previous"/>&#13;
		<field type="radio-group" required="true" label="At what phase of planning are you currently in?" name="at-what-phase-of-planning-are-you-currently-in">&#13;
			<option label="I’m just beginning the planning process" value="im-just-beginning-the-planning-process">I’m just beginning the planning process</option>&#13;
			<option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option>&#13;
			<option label="We have hotels &amp; flights already booked" value="we-have-hotels-flights-already-booked">We have hotels &amp; flights already booked</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you Deposit Ready?" name="are-you-deposit-ready" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="Do you need a Payment Plan?" name="do-you-need-a-payment-plan" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="Are you Ready to Book?" name="are-you-ready-to-book" className="form-control">&#13;
			<option label="ASAP and Deposit Ready" value="asap-and-deposit-ready">ASAP and Deposit Ready</option>&#13;
			<option label="Within the nest 2 weeks" value="within-the-nest-2-weeks">Within the nest 2 weeks</option>&#13;
			<option label="Within the nest month" value="within-the-nest-month">Within the nest month</option>&#13;
			<option label="Just looking at my options" value="just-looking-at-my-options">Just looking at my options</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Pricing and Payment Disclaimer&amp;nbsp;" className="form-control"/>&#13;
		<field type="checkbox-group" label="I understand that prices are subject to change until a deposit is made. Any unpaid invoices will need to be updated before payment can be processed." name="i-understand-that-prices-are-subject-to-change-until-a-deposit-is-made-any-unpaid-invoices-will-need-to-be-updated-before-payment-can-be-processed">&#13;
			<option label="Yes, I understand and agree. " value="yes-i-understand-and-agree-">Yes, I understand and agree. </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Insurance"/>&#13;
		<field type="select" label="By selecting an insurance option below, I understand that declining coverage could lead to a loss of my travel costs and/or require additional funds to address unexpected issues. I also acknowledge that without insurance, I may be unable to recover any losses, costs, or expenses incurred." name="by-selecting-an-insurance-option-below-i-understand-that-declining-coverage-could-lead-to-a-loss-of-my-travel-costs-andor-require-additional-funds-to-address-unexpected-issues-i-also-acknowledge-that-without-insurance-i-may-be-unable-to-recover-any-losses-costs-or-expenses-incurred" className="form-control">&#13;
			<option label="Yes, add insurance to my package" value="yes-add-insurance-to-my-package">Yes, add insurance to my package</option>&#13;
			<option label="No, I decline insurance and will sign a waiver" value="no-i-decline-insurance-and-will-sign-a-waiver">No, I decline insurance and will sign a waiver</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="&amp;nbsp;Referral Appreciation"/>&#13;
		<field type="textarea" required="true" label="Who may I thank for referring you to us?" name="who-can-i-thank-for-referring-you-to-us" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Newsletter Subscription&amp;nbsp;"/>&#13;
		<field type="select" required="true" label="Would you like to subscribe to our company newsletter?&amp;nbsp;" name="would-you-like-to-be-subscribed-to-our-company-newsletter" className="form-control">&#13;
			<option label="Yes - sign me up!" value="yes-sign-me-up">Yes - sign me up!</option>&#13;
			<option label="No, I get too many emails." value="no-i-get-too-many-emails">No, I get too many emails.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="LET’S REVIEW THE “FINE PRINT”"/>&#13;
		<field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans. Do you agree and understand that your proposal will come as one packaged rate and itemized pricing will not be available?" name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundled-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-creates-a-seamless-and-holistic-approach-to-your-travel-plans-do-you-agree-and-understand-that-your-proposal-will-come-as-one-packaged-rate-and-itemized-pricing-will-not-be-available">&#13;
			<option label="Yes, I understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please understand that while planning your trip, we will primarily be in contact via email or scheduled phone calls. This approach provides you with the best level of service while ensuring that no important information is overlooked. We strongly discourage questions via text message in order to maintain accuracy and clarity while we plan your trip. In advance of your departure date, we will provide you the best local contact information for prompt assistance after business hours. Unscheduled calls and texts are of course available to you for any in-travel emergencies that arise." name="please-understand-that-while-planning-your-trip-we-will-primarily-be-in-contact-via-email-or-scheduled-phone-calls-this-approach-provides-you-with-the-best-level-of-service-while-ensuring-that-no-important-information-is-overlooked-we-strongly-discourage-questions-via-text-message-in-order-to-maintain-accuracy-and-clarity-while-we-plan-your-trip-in-advance-of-your-departure-date-we-will-provide-you-the-best-local-contact-information-for-prompt-assistance-after-business-hours-unscheduled-calls-and-texts-are-of-course-available-to-you-for-any-intravel-emergencies-that-arise">&#13;
			<option label="Yes, I understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Please be aware that there may be a planning fee associated with the creation of your personalized itinerary. During our complimentary intake call, we&#39;ll discuss your travel goals and provide you with a detailed understanding of any associated fees based upon the unique aspects and complexities of your trip request." name="please-be-aware-that-there-may-be-a-planning-fee-associated-with-the-creation-of-your-personalized-itinerary-during-our-complimentary-intake-call-well-discuss-your-travel-goals-and-provide-you-with-a-detailed-understanding-of-any-associated-fees-based-upon-the-unique-aspects-and-complexities-of-your-trip-request">&#13;
			<option label="Yes, I understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Consent for Email Communication" name="consent-for-email-communication">&#13;
			<option label="By submitting this client inquiry form, you agree to receive travel-related content via email from Twenty14 Travel." value="by-submitting-this-client-inquiry-form-you-agree-to-receive-travelrelated-content-via-email-from-twenty14-travel">By submitting this client inquiry form, you agree to receive travel-related content via email from Twenty14 Travel.</option>&#13;
		</field>&#13;
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