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Samantha Crouch
Never JUST a Trip Travel LLC
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Name"/> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="radio-group" label="Preferred Method of Contact" name="preferred-method-of-contact"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Either" value="either">Either</option> </field> <field type="header" subtype="h2" label="Questions for your trip"/> <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="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</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="text" label="How many adults?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many children?" name="how-many-children" subtype="text" className="form-control"/> <field type="text" label="What are the ages of the children at the time of travel?" name="what-are-the-ages-of-the-children-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="text" label="How many rooms?" name="how-many-rooms" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Complete this section if you need a Hotel/Resort."/> <field type="radio-group" label="Resort Type" name="radio-group-1765766860004"> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Standard Hotel" value="standard-hotel">Standard Hotel</option> <option label="Resort" value="resort">Resort</option> <option label="Bed & Breakfast" value="bed-breakfast">Bed & Breakfast</option> <option label="Condo" value="condo">Condo</option> </field> <field type="radio-group" label="Preferred Room View" name="preferred-room-view"> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Beach Front" value="beach-front">Beach Front</option> <option label="Swim Up" value="swim-up">Swim Up</option> <option label="Standard" value="standard">Standard</option> </field> <field type="radio-group" label="Preferred Bedding" name="preferred-bedding"> <option label="King Bed" value="king-bed">King Bed</option> <option label="2 Beds" value="2-beds">2 Beds</option> <option label="2 Beds & a pull out sofa" value="2-beds-a-pull-out-sofa">2 Beds & a pull out sofa</option> </field> <field type="radio-group" label="Want an adult only resort?" name="want-an-adult-only-resort"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</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="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="header" subtype="h2" label="Your budget is very important."/> <field type="paragraph" subtype="p" label="I will do my best to search for the most value for your price point, but I ask that your expectations to be realistic to match your budget.&nbsp;"/> <field type="radio-group" label="Which best describes your price point?" name="which-best-describes-your-price-point"> <option label="I am all about quality, price is not a concern" value="i-am-all-about-quality-price-is-not-a-concern">I am all about quality, price is not a concern</option> <option label="I am looking for the most economical deal" value="i-am-looking-for-the-most-economical-deal">I am looking for the most economical deal</option> </field> <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"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" label="How soon can you make a deposit?" name="how-soon-can-you-make-a-deposit"> <option label="Today" value="today">Today</option> <option label="1-2 Weeks" value="12-weeks">1-2 Weeks</option> <option label="30 Days" value="30-days">30 Days</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Complete this section if flights are needed."/> <field type="radio-group" label="What do you prefer?" name="what-do-you-prefer"> <option label="FIrst class" value="first-class">FIrst class</option> <option label="Business class" value="business-class">Business class</option> <option label="Economy" value="economy">Economy</option> </field> <field type="radio-group" label="Will you require transportation?" name="radio-group-1765765957031"> <option label="shuttle to and from airport" value="shuttle-to-and-from-airport">shuttle to and from airport</option> <option label="rental car" value="rental-car">rental car</option> <option label="limousine" value="limousine">limousine</option> <option label="not needed" value="not-needed">not needed</option> </field> <field type="header" subtype="h1" label="Complete this section for Cruises Only"/> <field type="radio-group" label="Type of Cruise" name="radio-group-1765766152632"> <option label="Personal" value="personal">Personal</option> <option label="Family" value="family">Family</option> <option label="Organized Group Cruise" value="organized-group-cruise">Organized Group Cruise</option> </field> <field type="text" label="Do you have a specific cruise in mind? Do you know the cruise line/ship?" name="text-1765766198439" subtype="text" className="form-control"/> <field type="text" label="Cruise Destination" name="text-1765766363936" subtype="text" className="form-control"/> <field type="text" label="What state, city would you like to depart from?" name="text-1765766399587" subtype="text" className="form-control"/> <field type="text" label="How many passengers?" name="text-1765766425046" subtype="text" className="form-control"/> <field type="text" label="How many passengers are children?" name="text-1765766445715" subtype="text" className="form-control"/> <field type="text" label="What are the children's ages? (At the time of travel)" name="text-1765766487826" subtype="text" className="form-control"/> <field type="radio-group" label="What is your Cabin Preference?" name="radio-group-1765766542283"> <option label="Interior (no window)" value="interior-no-window">Interior (no window)</option> <option label="Ocean View (window)" value="ocean-view-window">Ocean View (window)</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="text" label="Are you interested in excursions?" name="text-1765766654327" subtype="text" className="form-control"/> <field type="radio-group" label="Would you need hotel accommodations?" name="radio-group-1765766701743"> <option label="Before cruise" value="before-cruise">Before cruise</option> <option label="After cruise" value="after-cruise">After cruise</option> <option label="Both nights" value="both-nights">Both nights</option> <option label="Not needed" value="not-needed">Not needed</option> </field> <field type="textarea" label="What else would you like me to know? (ex. Birthday, Special Accommodations)&nbsp;" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="header" subtype="h1" label="This is a quote request only. Quotes are subject to change until the time of booking. Please keep in mind, as you review/discuss/research other options; airfare may increase, rooms and cabins may otherwise be reserved. We suggest planning your trip well in advance to take advantage of flexible payment plans."/> </fields> </form-template> </body> </html>
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