ELEGINCE TRAVEL

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Elegince Travel Inquiry Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for entrusting Elegince Travel to take care of your travel needs. The goal is so you are able to build memories as well as have the best vacation ever. Please be sure to schedule a travel consultation call and fill out the Travel Inquiry form in its entirety to the best of your ability. Once our consultation call is complete, I will begin formulating a quote for you. Please be sure to add (Insert your elegincetravel@yahoo.com to your primary email account or contacts, that way you don't miss any emails or so they don't end up in spam. I look forward to helping you with your travel plans.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill in all information accurately and with detail. *Make sure names and DOB are the same as your travel documents*"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" inline="true" name="gender">&#13;
			<option label="Female" value="female">Female</option>&#13;
			<option label="Male" value="male">Male</option>&#13;
		</field>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="text" required="true" 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"/>&#13;
		<field type="text" label="Is there an airline you won't travel on?" name="is-there-an-airline-you-wont-travel-on" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Seat preference" description="Only if requesting flight" inline="true" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" inline="true" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Packages (Flight &amp; Hotel)" value="packages-flight-hotel">Packages (Flight &amp; Hotel)</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Villas" value="villas">Villas</option>&#13;
			<option label="Wedding/Honeymoon" value="weddinghoneymoon">Wedding/Honeymoon</option>&#13;
			<option label="Escorted Tours (ex: Bali)" value="escorted-tours-ex-bali">Escorted Tours (ex: Bali)</option>&#13;
		</field>&#13;
		<field type="text" label="Cruise Only" placeholder="How many rooms or cruise cabins?" name="how-many-rooms-or-cruise-cabins" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Vibe preferences" inline="true" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What do you want your vacation to include?" description="Can select mulitiple" name="what-do-you-want-your-vacation-to-include" multiple="multiple" className="form-control">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
			<option label="Excursions (Suggestions" value="excursions-suggestions">Excursions (Suggestions</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Is your US PASSPORT active for travel for this trip" placeholder="Select" name="is-your-us-passport-active-for-travel-for-this-trip" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No- I need help/guidance" value="no-i-need-helpguidance">No- I need help/guidance</option>&#13;
			<option label="No, but it will be up to date in time for this trip" value="no-but-it-will-be-up-to-date-in-time-for-this-trip">No, but it will be up to date in time for this trip</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like TRAVEL INSURANCE included in your quote?" name="would-you-like-travel-insurance-included-in-your-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No-I will fill out a wavier denying travel insurance" value="noi-will-fill-out-a-wavier-denying-travel-insurance">No-I will fill out a wavier denying travel insurance</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you inquiring for 10+ people" name="are-you-inquiring-for-10-people">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How many travelers? Adults/Children" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Full names and DOB of other travelers you are booking for&amp;nbsp;" name="full-names-and-dob-of-other-travelers-you-are-booking-for-" className="form-control"/>&#13;
		<field type="text" required="true" label="Is this trip for a special occasion?" description="Anniversary  Birthday  Etc" name="is-this-trip-for-a-special-occasion" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What resorts or hotel brands have your enjoyed staying at in the past?" name="what-resorts-or-hotel-brands-have-your-enjoyed-staying-at-in-the-past" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Did you start researching on your own? Do you have a resort or cruise in mind?" name="did-you-start-researching-on-your-own-do-you-have-a-resort-or-cruise-in-mind" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" label="Medical issues/Allergies/Dietary restrictions I should be aware of?" name="medical-issuesallergiesdietary-restrictions-i-should-be-aware-of" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="I will do my best to search for the most value for your price point. It is important that your budget aligns with what you are interested in."/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="select" required="true" label="How Soon Can You Make A Deposit?" placeholder="Select" name="how-soon-can-you-make-a-deposit" className="form-control">&#13;
			<option label="1-3 Days" value="13-days">1-3 Days</option>&#13;
			<option label="1-2  Weeks" value="12-weeks">1-2  Weeks</option>&#13;
			<option label="30 Days" value="30-days">30 Days</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How did you hear about my service?" name="how-did-you-hear-about-my-service" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Privacy Consent" placeholder="Select" name="privacy-consent" className="form-control">&#13;
			<option label="Yes-I consent to having your business collect details via this form." value="yesi-consent-to-having-your-business-collect-details-via-this-form">Yes-I consent to having your business collect details via this form.</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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