<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Traveler Information"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="text" required="true" 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" required="true" 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" required="true" label="Zip" name="address-zip" 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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Information"/> <field type="text" required="true" label="Number and make-up of travelers" placeholder="Example: 4 travelers: 2 adults and two children aged 7 (boy) and 9 (girl)" name="number-and-makeup-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Destination(s)" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="Estimated trip length and travel dates" name="estimated-trip-length-and-travel-dates" subtype="text" className="form-control"/> <field type="text" label="Feel free to provide additional details about your trip that you'd like us to know.&nbsp;&nbsp;" placeholder="Are you celebrating something special? Why did you pick this particular destination? Are there any special circumstances/issues I should be aware of (allergies, food intolerances, mobility issues, etc.)" name="feel-free-to-provide-additional-details-about-your-trip-that-youd-like-us-to-know-" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Budget"/> <field type="checkbox-group" required="true" label="Our expertise is luxury travel, and we work exclusively with the most preferred travel suppliers in the world to curate a travel experience designed specifically for you and your unique travel style. While trip costs can vary significantly based on travel location, type of trip, and components booked, you can expect a custom designed travel experience to cost between $750-$1,500 per person, per night, excluding international flights. This budget gives us enough to work with in terms of pairing you with exceptional accommodations and the kinds of hands-on experiences we’re known for curating.&nbsp;" name="our-expertise-is-luxury-travel-and-we-work-exclusively-with-the-most-preferred-travel-suppliers-in-the-world-to-curate-a-travel-experience-designed-specifically-for-you-and-your-unique-travel-style-while-trip-costs-can-vary-significantly-based-on-travel-location-type-of-trip-and-components-booked-you-can-expect-a-custom-designed-travel-experience-to-cost-between-7501500-per-person-per-night-excluding-international-flights-this-budget-gives-us-enough-to-work-with-in-terms-of-pairing-you-with-exceptional-accommodations-and-the-kinds-of-handson-experiences-were-known-for-curating-"> <option label="I understand" value="i-understand">I understand</option> </field> <field type="radio-group" required="true" label="What is your trip investment for this experience (per person, per night, not including airfare)?&nbsp;" name="estimated-budget-this-should-be-per-person-not-including-international-flights"> <option label="$300-500 (standalone hotel bookings only)" value="300500-standalone-hotel-bookings-only">$300-500 (standalone hotel bookings only)</option> <option label="$500-$750" value="500750">$500-$750</option> <option label="$750-$1,000" value="7501000">$750-$1,000</option> <option label="$1,000+" value="1000">$1,000+</option> </field> <field type="checkbox-group" required="true" label="Once we receive your form, we'll be in touch to schedule a complimentary trip consultation call to get to know more about you and your trip. After that, if we decide to move forward together, ATX World Travel requires signed client services contract and a non-refundable trip design fee before any work can begin on your trip.&nbsp;" name="i-understand-that-following-a-complimentary-trip-consultation-call-atx-world-travel-requires-a-signed-planning-fee-agreement-and-nonrefundable-travel-services-fee-before-any-work-begins-on-my-trip-"> <option label="I understand" value="i-understand">I understand</option> </field> </fields> </form-template> </body> </html>
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