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Unique Experiences Travel LLC
Unique Experiences Travel LLC
<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="Expedition Cruise Planner: Embark on a Journey of Discovery with Us!&nbsp;"/> <field type="paragraph" subtype="p" label="Are you ready for an unforgettable adventure to the world's most remote and captivating destinations? At Unique Experiences Travel, we specialize in creating personalized expedition cruise experiences to fulfill your wildest travel dreams. Whether you're yearning to explore icy polar landscapes, discover the vibrant biodiversity of remote islands, or delve into the rich cultures of farflung communities, we'll work with you to curate the perfect expedition cruise for your unique interests and travel style. Let’s chart a course for an unforgettable expedition! Let’s Go!&nbsp;"/> <field type="header" subtype="h1" label="About You"/> <field type="text" label="Phone" name="phone" subtype="text" className="form-control"/> <field type="select" label="Number of travelers" name="select-1748458331771" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5 or more" value="5-or-more">5 or more</option> </field> <field type="textarea" label="Names of Travelers" description="Please list names as listed on their valid passport" name="names-of-travelers" rows="2" className="form-control"/> <field type="select" label="Is anyone under the age of 18?" name="is-anyone-under-the-age-of-18" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If yes, please list ages:" name="if-yes-please-list-ages" rows="2" className="form-control"/> <field type="textarea" label="Tell us a little more about the people in your traveling party..." name="tell-us-a-little-more-about-the-people-in-your-traveling-party" rows="2" className="form-control"/> <field type="header" subtype="h1" label="&nbsp;Expedition Dreams&nbsp;"/> <field type="radio-group" label="What type of expedition cruise are you envisioning?" description="Choose the region or experience you're most excited about. You can select just one and share more details below if you'd like." name="what-type-of-expedition-cruise-are-you-envisioning"> <option label="Polar Expedition (Arctic/Antarctica)" value="polar-expedition-arcticantarctica">Polar Expedition (Arctic/Antarctica)</option> <option label="South Pacific & Oceania" value="south-pacific-oceania">South Pacific & Oceania</option> <option label="South America & Galápagos" value="south-america-galpagos">South America & Galápagos</option> <option label="North America & Alaska" value="north-america-alaska">North America & Alaska</option> <option label="Africa & Indian Ocean" value="africa-indian-ocean">Africa & Indian Ocean</option> <option label="European Arctic & Greenland" value="european-arctic-greenland">European Arctic & Greenland</option> <option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option> </field> <field type="text" label="Do you have specific interests—like certain wildlife, cultural traditions, or geographic features—you’d love to experience?" name="do-you-have-specific-interestslike-certain-wildlife-cultural-traditions-or-geographic-featuresyoud-love-to-experience" subtype="text" className="form-control"/> <field type="select" label="Is there a specific region or destination you have in mind?" name="is-there-a-specific-region-or-destination-you-have-in-mind" className="form-control"> <option label="Antarctica" value="antarctica">Antarctica</option> <option label="Arctic Circle" value="arctic-circle">Arctic Circle</option> <option label="Galápagos Islands" value="galpagos-islands">Galápagos Islands</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Patagonia" value="patagonia">Patagonia</option> <option label="Greenland" value="greenland">Greenland</option> <option label="Madagascar" value="madagascar">Madagascar</option> <option label="Papua New Guinea" value="papua-new-guinea">Papua New Guinea</option> <option label="Other (not listed)" value="other-not-listed">Other (not listed)</option> </field> <field type="checkbox-group" label="What aspects of expedition travel are most appealing to you?" name="what-aspects-of-expedition-travel-are-most-appealing-to-you"> <option label="Wildlife Viewing" value="wildlife-viewing">Wildlife Viewing</option> <option label="Photography" value="photography">Photography</option> <option label="Hiking & Trekking" value="hiking-trekking">Hiking & Trekking</option> <option label="Kayaking & Zodiac Cruising" value="kayaking-zodiac-cruising">Kayaking & Zodiac Cruising</option> <option label="Cultural Interactions" value="cultural-interactions">Cultural Interactions</option> <option label="Learning & Education" value="learning-education">Learning & Education</option> <option label="Adventure & Exploration" value="adventure-exploration">Adventure & Exploration</option> <option label="Other (please specify)" value="other-please-specify">Other (please specify)</option> </field> <field type="text" label="If you choose&nbsp; Other (please specify)" name="if-you-choose-other-please-specify" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="&nbsp;Cruise &amp; Ship Preferences"/> <field type="checkbox-group" label="&nbsp;Do you have any preferred expedition cruise lines?" name="-do-you-have-any-preferred-expedition-cruise-lines"> <option label="Quark Expeditions" value="quark-expeditions">Quark Expeditions</option> <option label="Lindblad Expeditions (Nat Geo)" value="lindblad-expeditions-nat-geo">Lindblad Expeditions (Nat Geo)</option> <option label="Aurora Expeditions" value="aurora-expeditions">Aurora Expeditions</option> <option label="G Adventures" value="g-adventures">G Adventures</option> <option label="Oceanwide Expeditions" value="oceanwide-expeditions">Oceanwide Expeditions</option> <option label="Poseidon Expeditions" value="poseidon-expeditions">Poseidon Expeditions</option> <option label="Hurtigruten" value="hurtigruten">Hurtigruten</option> <option label="Silversea Expeditions" value="silversea-expeditions">Silversea Expeditions</option> <option label="Scenic Eclipse" value="scenic-eclipse">Scenic Eclipse</option> <option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option> </field> <field type="text" label="If you choose&nbsp; Other (please specify)" name="text-1748458897082" subtype="text" className="form-control"/> <field type="checkbox-group" label="&nbsp;What kind of ship size are you most comfortable with for an expedition cruise?" name="-what-kind-of-ship-size-are-you-most-comfortable-with-for-an-expedition-cruise"> <option label="Smaller & More Intimate (under 100 passengers)" value="smaller-more-intimate-under-100-passengers">Smaller & More Intimate (under 100 passengers)</option> <option label="Mid-Size (100–200 passengers)" value="midsize-100200-passengers">Mid-Size (100–200 passengers)</option> <option label="Larger Expedition Vessel (200+ passengers)" value="larger-expedition-vessel-200-passengers">Larger Expedition Vessel (200+ passengers)</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="What level of comfort are you seeking in your expedition cruise accommodations?" name="what-level-of-comfort-are-you-seeking-in-your-expedition-cruise-accommodations"> <option label="Basic & Functional" value="basic-functional">Basic & Functional</option> <option label="Comfortable & Well-Appointed" value="comfortable-wellappointed">Comfortable & Well-Appointed</option> <option label="Luxury Expedition" value="luxury-expedition">Luxury Expedition</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="select" required="true" label="Approximate Budget (per person)" name="approximate-budget-per-person" className="form-control"> <option label="$20,000+" value="20000">$20,000+</option> <option label="$15,000 – $20,000" value="15000-20000">$15,000 – $20,000</option> <option label="$10,000 – $15,000" value="10000-15000">$10,000 – $15,000</option> <option label="$7,500 – $10,000" value="7500-10000">$7,500 – $10,000</option> <option label="$5,000 – $7,500" value="5000-7500">$5,000 – $7,500</option> <option label="Under $5,000" value="under-5000">Under $5,000</option> </field> <field type="select" label="&nbsp;Desired Trip Length" name="-desired-trip-length" className="form-control"> <option label="7–9 days (1 week)" value="79-days-1-week">7–9 days (1 week)</option> <option label="10–14 days (2 weeks)" value="1014-days-2-weeks">10–14 days (2 weeks)</option> <option label="15–21 days" value="1521-days">15–21 days</option> <option label="Over 3 weeks" value="over-3-weeks">Over 3 weeks</option> <option label="Not sure yet" value="not-sure-yet">Not sure yet</option> </field> <field type="date" label="Preferred Travel Dates" name="preferred-travel-dates" className="form-control"/> <field type="select" label="Number of Cabins Needed" name="number-of-cabins-needed" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5 or more" value="5-or-more">5 or more</option> <option label="10 or more" value="10-or-more">10 or more</option> <option label="15 or more" value="15-or-more">15 or more</option> </field> <field type="radio-group" required="true" label="Cabin Type Preferences" name="cabin-type-preferences"> <option label="Single Cabin" value="single-cabin">Single Cabin</option> <option label="Twin/Double Cabin" value="twindouble-cabin">Twin/Double Cabin</option> <option label="Triple Cabin" value="triple-cabin">Triple Cabin</option> <option label="Quad Cabin" value="quad-cabin">Quad Cabin</option> <option label="Suite" value="suite">Suite</option> <option label="Connecting Cabins" value="connecting-cabins">Connecting Cabins</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="Would you like us to include airfare in your quote?" name="would-you-like-us-to-include-airfare-in-your-quote"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Flexible/Maybe" value="flexiblemaybe">Flexible/Maybe</option> </field> <field type="radio-group" label="&nbsp;If airfare is included, do you prefer nonstop flights (when available)?" name="-if-airfare-is-included-do-you-prefer-nonstop-flights-when-available"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Open to Suggestions" value="open-to-suggestions">Open to Suggestions</option> </field> <field type="radio-group" label="&nbsp;Are you interested in pre- or post-cruise extensions or land tours?" name="-are-you-interested-in-pre-or-postcruise-extensions-or-land-tours"> <option label="Pre-Cruise Only" value="precruise-only">Pre-Cruise Only</option> <option label="Post-Cruise Only" value="postcruise-only">Post-Cruise Only</option> <option label="Both" value="both">Both</option> <option label="Neither" value="neither">Neither</option> </field> <field type="radio-group" required="true" label="Are you interested in purchasing travel insurance?" description="At Unique Experiences Travel we send everyone a quote for travel protection it is HIGHLY recommended." name="are-you-interested-in-purchasing-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I’m already covered" value="im-already-covered">I’m already covered</option> </field> <field type="header" subtype="h1" label="&nbsp;Expedition Activities &amp; Experiences&nbsp;"/> <field type="checkbox-group" label="&nbsp;Select the activities you’re most excited about (check all that apply)" name="-select-the-activities-youre-most-excited-about-check-all-that-apply"> <option label="Wildlife Viewing & Photography" value="wildlife-viewing-photography">Wildlife Viewing & Photography</option> <option label="Hiking & Trekking" value="hiking-trekking">Hiking & Trekking</option> <option label="Camping & Backpacking" value="camping-backpacking">Camping & Backpacking</option> <option label="Zodiac & Kayak Cruising" value="zodiac-kayak-cruising">Zodiac & Kayak Cruising</option> <option label="Polar Plunge or Other Cold Weather Activities" value="polar-plunge-or-other-cold-weather-activities">Polar Plunge or Other Cold Weather Activities</option> <option label="Scuba Diving & Snorkeling" value="scuba-diving-snorkeling">Scuba Diving & Snorkeling</option> <option label="Mountaineering & Ice Climbing" value="mountaineering-ice-climbing">Mountaineering & Ice Climbing</option> <option label="Cultural Immersion & Community Visits" value="cultural-immersion-community-visits">Cultural Immersion & Community Visits</option> <option label="Photography Workshops" value="photography-workshops">Photography Workshops</option> <option label="Citizen Science Projects" value="citizen-science-projects">Citizen Science Projects</option> <option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option> </field> <field type="header" subtype="h1" label="Are there specific wildlife species you are hoping to see?"/> <field type="checkbox-group" label="Polar Regions" name="polar-regions"> <option label="Penguins" value="penguins">Penguins</option> <option label="Polar Bears" value="polar-bears">Polar Bears</option> <option label="Seals" value="seals">Seals</option> <option label="Arctic Foxes" value="arctic-foxes">Arctic Foxes</option> <option label="Narwhals" value="narwhals">Narwhals</option> </field> <field type="checkbox-group" label="Marine Life" name="marine-life"> <option label="Whales (Orcas, Humpbacks, Blue Whales, etc.)" value="whales-orcas-humpbacks-blue-whales-etc">Whales (Orcas, Humpbacks, Blue Whales, etc.)</option> <option label="Dolphins" value="dolphins">Dolphins</option> <option label="Sea Turtles" value="sea-turtles">Sea Turtles</option> </field> <field type="checkbox-group" label="Tropical &amp; Coastal Regions" name="tropical-coastal-regions"> <option label="Birds (Albatross, Macaws, etc.)" value="birds-albatross-macaws-etc">Birds (Albatross, Macaws, etc.)</option> <option label="Iguanas" value="iguanas">Iguanas</option> <option label="Giant Tortoises (Galápagos)" value="giant-tortoises-galpagos">Giant Tortoises (Galápagos)</option> </field> <field type="checkbox-group" label="General" name="general"> <option label="“Anything and Everything!”" value="anything-and-everything">“Anything and Everything!”</option> <option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option> </field> <field type="text" label="If you select Other&nbsp; (please specify below)" name="if-you-select-other-please-specify-below" subtype="text" className="form-control"/> <field type="checkbox-group" label="&nbsp;What kind of physical activity level are you comfortable with?" name="-what-kind-of-physical-activity-level-are-you-comfortable-with"> <option label="Relaxed & Easygoing" value="relaxed-easygoing">Relaxed & Easygoing</option> <option label="Moderate Activity (daily walks, short hikes)" value="moderate-activity-daily-walks-short-hikes">Moderate Activity (daily walks, short hikes)</option> <option label="Strenuous & Challenging (long hikes, climbs, etc.)" value="strenuous-challenging-long-hikes-climbs-etc">Strenuous & Challenging (long hikes, climbs, etc.)</option> <option label="Open to Suggestions" value="open-to-suggestions">Open to Suggestions</option> </field> <field type="header" subtype="h1" label="Special Considerations"/> <field type="text" label="Do you have any food allergies, dietary restrictions, or specific preferences (e.g., vegetarian, gluten-free, kosher, diabetic meals, etc.)?" name="do-you-have-any-food-allergies-dietary-restrictions-or-specific-preferences-eg-vegetarian-glutenfree-kosher-diabetic-meals-etc" subtype="text" className="form-control"/> <field type="text" label="Please let us know if you or anyone in your group has mobility concerns, accessibility needs, or medical considerations that we should be aware of to ensure a comfortable and safe journey.&nbsp;" name="please-let-us-know-if-you-or-anyone-in-your-group-has-mobility-concerns-accessibility-needs-or-medical-considerations-that-we-should-be-aware-of-to-ensure-a-comfortable-and-safe-journey-" subtype="text" className="form-control"/> <field type="text" label="Do you have any special requests, celebrations (honeymoon, anniversary, birthday), or personal touches you'd like us to include in your expedition cruise?&nbsp;" name="do-you-have-any-special-requests-celebrations-honeymoon-anniversary-birthday-or-personal-touches-youd-like-us-to-include-in-your-expedition-cruise-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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