<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="CLIENT INFORMATION"/> <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" 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="ABOUT YOUR TRIP"/> <field type="text" required="true" label="Where would you like to go?" description="If you do not know no worries! We will help you find the perfect location!" placeholder="Ex: Italy Tahiti Caribbean Cruise etc..." name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" label="How many nights will you be traveling for?" name="how-many-nights-will-you-be-traveling-for" subtype="text" className="form-control"/> <field type="text" label="What are your preferred travel dates?" placeholder="mm/dd/yy - mm/dd/yy" name="what-are-your-preferred-travel-dates" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe " value="maybe-">Maybe </option> </field> <field type="text" required="true" label="What is your preferred airport/departure city?&nbsp; Please note any others you are open to as well" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you require direct flights?" name="do-you-require-direct-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Is this vacation to celebrate anything special?" placeholder="Ex: Honeymoon Birthday Anniversary Retirement etc..." name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="textarea" label="Who will be traveling? Please include names &amp; ages" placeholder="Please list all names and birthdates/ages of people travelling" name="who-will-be-traveling" className="form-control"/> <field type="select" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in" className="form-control"> <option label="We are just starting and are open to suggestions" value="we-are-just-starting-and-are-open-to-suggestions">We are just starting and are open to suggestions</option> <option label="We have dates and place, but we need everything else" value="we-have-dates-and-place-but-we-need-everything-else">We have dates and place, but we need everything else</option> <option label="Flights and/or hotels are booked - now help us fill in the blanks!" value="flights-andor-hotels-are-booked-now-help-us-fill-in-the-blanks">Flights and/or hotels are booked - now help us fill in the blanks!</option> </field> <field type="radio-group" label="What are you thinking in terms of total budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$2,500-$5,000" value="25005000">$2,500-$5,000</option> <option label="$5,000-$7,500" value="50007500">$5,000-$7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="checkbox-group" label="What travel components would you like us to assist you with?" name="what-travel-components-would-you-like-us-to-assist-you-with" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (transfers, car rental, train)" value="transportation-transfers-car-rental-train">Transportation (transfers, car rental, train)</option> <option label="Excursions & Tours" value="excursions-tours">Excursions & Tours</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" inline="true" name="what-kind-of-vibe-are-you-looking-for" other="true"> <option label="Rest & Relaxation" value="rest-relaxation">Rest & Relaxation</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Off the Beaten Path" value="off-the-beaten-path">Off the Beaten Path</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Food & Wine" value="food-wine">Food & Wine</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Party" value="party">Party</option> </field> <field type="checkbox-group" label="What type of activities best describe your travel style &amp; priorities?" description="Check all that apply" inline="true" name="activity-preferences" other="true"> <option label="Guided Tours" value="guided-tours">Guided Tours</option> <option label="Beach" value="beach">Beach</option> <option label="Water Sports (Scuba, Snorkeling, Boating)" value="water-sports-scuba-snorkeling-boating">Water Sports (Scuba, Snorkeling, Boating)</option> <option label="Hiking & Biking" value="hiking-biking">Hiking & Biking</option> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="Golf" value="golf">Golf</option> <option label="City & Nightlife" value="city-nightlife">City & Nightlife</option> <option label="Music" value="music">Music</option> <option label="Arts & Theater" value="arts-theater">Arts & Theater</option> <option label="History & Museums" value="history-museums">History & Museums</option> <option label="Sporting Events" value="sporting-events">Sporting Events</option> <option label="Food & Wine" value="food-wine">Food & Wine</option> <option label="Architecture" value="architecture">Architecture</option> <option label="Landscapes & Nature" value="landscapes-nature">Landscapes & Nature</option> <option label="Spa & Wellness" value="spa-wellness">Spa & Wellness</option> <option label="Tourist Attractions" value="tourist-attractions">Tourist Attractions</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Shopping" value="shopping">Shopping</option> </field> <field type="radio-group" label="What best describes your accommodation style?" name="hotel-preference" other="true"> <option label="Moderate & Functional" value="moderate-functional">Moderate & Functional</option> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> <option label="Boutique & Intimate" value="boutique-intimate">Boutique & Intimate</option> </field> <field type="textarea" label="What are your "must have" amenities?" description="Is there anything you need your accommodation to have (i.e. bar restaurant pool fitness center spa etc...)?" name="what-are-your-must-have-amenities" className="form-control"/> <field type="textarea" label="Anything you absolutely must do or see?" name="anything-you-must-do-or-see" className="form-control"/> <field type="textarea" label="Share some things about the travelers (special interests, hobbies, likes/dislikes, fun facts, etc...).&nbsp; This will help us add some personal touches to your travel experience" name="notes" className="form-control"/> <field type="textarea" label="Anything else you would like to share that would be important for us to know?" description="We make travel dreams a reality so share your dreams and anything additional on your mind with us so we can design the perfect vacation just for you!" name="anything-else-you-would-like-to-share-that-would-be-important-for-us-to-know" className="form-control"/> <field type="text" label="How did you hear about us?&nbsp; Please let us know if there is anyone we should thank for the referral!" name="how-did-you-hear-about-us-tell-us-who-we-can-thank" subtype="text" className="form-control"/> <field type="checkbox-group" label="How do you prefer to be communicated with?" name="how-do-you-prefer-to-be-communicated-with"> <option label="via Email" value="via-email">via Email</option> <option label="via Phone Call" value="via-phone-call">via Phone Call</option> <option label="via Text" value="via-text">via Text</option> <option label="All the above" value="all-the-above">All the above</option> </field> <field type="checkbox-group" required="true" label="By submitting this form, I allow Luxury Travel Unlimited&nbsp; LLC to collect the information provided and consent to being contacted regarding this request. *" name="by-submitting-this-form-i-allow-luxury-travel-unlimited-llc-to-collect-the-information-provided-and-consent-to-being-contacted-regarding-this-request-"> <option label="I agree" value="i-agree">I agree</option> </field> </fields> </form-template> </body> </html>
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