<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's get you on a trip!"/> <field type="header" subtype="h3" label="We are your partner in travel. When you book with us you have only one name and number you need to know for all your travel needs. No waiting for hours for someone to pick up to answer your travel questions. Text or give us a call and we’ll be happy to help. We are here for you before during and after travel. Our services are FREE to you. That means booking with us does not cost you extra! Our travel suppliers pay us when we book your trip! However we do not get paid when you do not book with us. If you intend to travel please consider utilizing our services. If we send you a quote and you do not like the options, please let us know what you may like instead so that we can earn your business. Our goal is to make you a happy client. It’s a win all around! That’s the Countdown to Bliss difference. So book with us, having the peace of mind and the confidence that we are in this together!"/> <field type="textarea" required="true" label="Tell us about your desired trip. The more details you give, the better the results we can provide.&nbsp;" name="tell-us-about-your-desired-cruise-the-more-details-you-give-the-better-the-results-we-can-provide-" className="form-control"/> <field type="text" label="Are you celebrating anything?" name="are-you-celebrating-anything" subtype="text" className="form-control"/> <field type="text" required="true" label="What is most important to you for this trip?" description="Relaxation adventure etc" name="what-price-range-per-person-would-you-like-to-spend-on-the-cruise-portion" subtype="text" className="form-control"/> <field type="text" required="true" label="Which destination(s) are you considering? If multiple destinations, please list out each below." name="what-travel-dates-would-you-like-to-travel-between" subtype="text" className="form-control"/> <field type="textarea" label="Are there any specific tours, cities, museums or experiences you would like to see most on this trip.&nbsp;" name="are-there-any-specific-tours-cities-museums-or-experiences-you-would-like-to-see-most-on-this-trip-" className="form-control"/> <field type="checkbox-group" required="true" label="What will you need for this trip?&nbsp;" name="what-will-you-need-for-this-trip-" other="true"> <option label="All-Inclusive (Food and Drinks included)" value="allinclusive-food-and-drinks-included">All-Inclusive (Food and Drinks included)</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Villa" value="villa">Villa</option> <option label="Rail Trip" value="rail-trip">Rail Trip</option> <option label="Escorted Tour" value="escorted-tour">Escorted Tour</option> <option label="Independent Tour " value="independent-tour-">Independent Tour </option> </field> <field type="checkbox-group" label="What pace do you prefer this trip to be?" name="what-pace-do-you-prefer-this-trip-to-be" other="true"> <option label="Fast-paced - See as much as possible during my trip" value="fastpaced-see-as-much-as-possible-during-my-trip">Fast-paced - See as much as possible during my trip</option> <option label="A Mix - Some days to relax; Some for activities" value="a-mix-some-days-to-relax-some-for-activities">A Mix - Some days to relax; Some for activities</option> <option label="Slower-paced - Not too rushed" value="slowerpaced-not-too-rushed">Slower-paced - Not too rushed</option> </field> <field type="textarea" label="Where have you traveled to previously that you enjoyed?&nbsp;" name="where-have-you-traveled-to-previously-that-you-enjoyed-" className="form-control"/> <field type="text" required="true" label="How many travelers total for this trip?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="Any kids under the age of 18? If so, please list their ages at time of trip start date." name="list-ages-at-time-of-departure-for-any-passengers-under-the-age-of-18" subtype="text" className="form-control"/> <field type="textarea" required="true" label="How many rooms ideally will you need to book for you and your group? (More important for small and large groups traveling together)" name="how-many-rooms-ideally-will-you-need-to-book-for-you-and-your-group-more-important-for-small-and-large-groups-traveling-together" className="form-control"/> <field type="radio-group" required="true" label="What ideal price range per person are you looking for" name="what-ideal-price-range-per-person-are-you-looking-for" other="true"> <option label="$5,000+ per Person" value="5000-per-person">$5,000+ per Person</option> <option label="Up to $5,000 per Person" value="up-to-5000-per-person">Up to $5,000 per Person</option> <option label="Up to $4,000 per Person" value="up-to-4000-per-person">Up to $4,000 per Person</option> <option label="Up to $3,000 per Person" value="up-to-3000-per-person">Up to $3,000 per Person</option> <option label="Up to $2,500 per Person" value="up-to-2500-per-person">Up to $2,500 per Person</option> <option label="Up to $2,000 per Person" value="up-to-2000-per-person">Up to $2,000 per Person</option> <option label="Up to $1,500 per Person" value="up-to-1500-per-person">Up to $1,500 per Person</option> <option label="Up to $1,000 per Person" value="up-to-1000-per-person">Up to $1,000 per Person</option> </field> <field type="text" required="true" label="Which dates of travel will work best for you?" name="which-dates-of-travel-will-work-best-for-you" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How many nights ideally would you like?" name="how-many-nights-ideally-would-you-like" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you need flights for this booking?" name="do-you-need-flights-for-this-booking" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If you need flights, which airports are you open to departing from?" name="if-you-need-flights-which-airports-are-you-open-to-departing-from" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Do all guests have valid US passports? **Not expiring within 6 months of the end of the trip**" name="do-all-guests-have-valid-us-passports-not-expiring-within-6-months-of-the-end-of-the-trip" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No - Needs to be renewed" value="no-needs-to-be-renewed">No - Needs to be renewed</option> <option label="No - we need 1st time passports" value="no-we-need-1st-time-passports">No - we need 1st time passports</option> <option label="No Passport Required - Traveling within US, Puerto Rico or US Virgin Islands" value="no-passport-required-traveling-within-us-puerto-rico-or-us-virgin-islands">No Passport Required - Traveling within US, Puerto Rico or US Virgin Islands</option> </field> <field type="checkbox-group" required="true" label="COVID-19 VACCINATIONS: Are you fully covid-19 vaccinated? Some cruise lines, tour operators and destinations are still requiring clients receive their full vaccine series. **If you are not full covid vaccinated and do not intend to be by at least 15 days or more prior to your trip, it is totally fine. We will just present options which do not presently require covid vaccination.&nbsp;" name="covid19-vaccinations-are-you-fully-covid19-vaccinated-some-cruise-lines-tour-operators-and-ports-of-call-are-still-requiring-clients-receive-their-full-vaccine-series-if-you-are-not-full-covid-vaccinated-and-do-not-intend-to-be-by-at-least-15-days-or-more-prior-to-your-trip-it-is-totally-fine-we-will-just-present-options-which-do-not-presently-require-covid-vaccination-"> <option label="Yes - everyone in my party is (or will be within 15 days or more of travel) fully vaccinated" value="yes-everyone-in-my-party-is-or-will-be-within-15-days-or-more-of-travel-fully-vaccinated">Yes - everyone in my party is (or will be within 15 days or more of travel) fully vaccinated</option> <option label="No - my entire party is not fully vaccinated" value="no-my-entire-party-is-not-fully-vaccinated">No - my entire party is not fully vaccinated</option> </field> <field type="text" label="Does anyone in your travel party have any food allergies we should be aware of?" name="does-anyone-in-your-travel-party-have-any-food-allergies-we-should-be-aware-of" subtype="text" className="form-control"/> <field type="text" label="Is there anyone in the travel party who has limited mobility?&nbsp;" name="is-there-anyone-in-the-travel-party-who-has-limited-mobility-" subtype="text" className="form-control"/> <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="radio-group" required="true" label="Are you ready to deposit on your trip if we are able to find something that fits your request?" name="are-you-ready-to-deposit-on-your-cruise-if-we-are-able-to-find-something-that-fits-your-request" other="true"> <option label="Yes - Immediately" value="yes-immediately">Yes - Immediately</option> <option label="Within the next few days" value="within-the-next-few-days">Within the next few days</option> <option label="Within the next 2 weeks" value="within-the-next-2-weeks">Within the next 2 weeks</option> <option label="More than 2 weeks from now" value="more-than-2-weeks-from-now">More than 2 weeks from now</option> </field> <field type="header" subtype="h2" label="Full name"/> <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" label="Middle name" name="middle-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="Suffix" name="suffix" 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="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <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"/> <field type="textarea" label="Any other details you would like to share?" name="any-other-details-you-would-like-to-share" className="form-control"/> <field type="header" subtype="h1" label="Your wish, is our command! Thanks for sharing these details with us! We'll be in touch within the next 1-2 business days."/> </fields> </form-template> </body> </html>
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