Share your information with Unique Experiences Travel LLC

Unique Experiences Travel LLC

<html>
  <body>
    <form-template>&#13;
	<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>&#13;
		<field type="header" subtype="h1" label="Expedition Cruise Planner: Embark on a Journey of Discovery with Us!&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Are you ready for an unforgettable adventure to the world&#39;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&#39;re yearning to explore icy polar landscapes, discover the vibrant biodiversity of remote islands, or delve into the rich cultures of farflung communities, we&#39;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!&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="About You"/>&#13;
		<field type="text" label="Phone" name="phone" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Number of travelers" name="select-1748458331771" className="form-control">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5 or more" value="5-or-more">5 or more</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<field type="select" label="Is anyone under the age of 18?" name="is-anyone-under-the-age-of-18" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="If yes, please list ages:" name="if-yes-please-list-ages" rows="2" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="header" subtype="h1" label="&amp;nbsp;Expedition Dreams&amp;nbsp;"/>&#13;
		<field type="radio-group" label="What type of expedition cruise are you envisioning?" description="Choose the region or experience you&#39;re most excited about. You can select just one  and share more details below if you&#39;d like." name="what-type-of-expedition-cruise-are-you-envisioning">&#13;
			<option label="Polar Expedition (Arctic/Antarctica)" value="polar-expedition-arcticantarctica">Polar Expedition (Arctic/Antarctica)</option>&#13;
			<option label="South Pacific &amp; Oceania" value="south-pacific-oceania">South Pacific &amp; Oceania</option>&#13;
			<option label="South America &amp; Galápagos" value="south-america-galpagos">South America &amp; Galápagos</option>&#13;
			<option label="North America &amp; Alaska" value="north-america-alaska">North America &amp; Alaska</option>&#13;
			<option label="Africa &amp; Indian Ocean" value="africa-indian-ocean">Africa &amp; Indian Ocean</option>&#13;
			<option label="European Arctic &amp; Greenland" value="european-arctic-greenland">European Arctic &amp; Greenland</option>&#13;
			<option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<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">&#13;
			<option label="Antarctica" value="antarctica">Antarctica</option>&#13;
			<option label="Arctic Circle" value="arctic-circle">Arctic Circle</option>&#13;
			<option label="Galápagos Islands" value="galpagos-islands">Galápagos Islands</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Patagonia" value="patagonia">Patagonia</option>&#13;
			<option label="Greenland" value="greenland">Greenland</option>&#13;
			<option label="Madagascar" value="madagascar">Madagascar</option>&#13;
			<option label="Papua New Guinea" value="papua-new-guinea">Papua New Guinea</option>&#13;
			<option label="Other (not listed)" value="other-not-listed">Other (not listed)</option>&#13;
		</field>&#13;
		<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">&#13;
			<option label="Wildlife Viewing" value="wildlife-viewing">Wildlife Viewing</option>&#13;
			<option label="Photography" value="photography">Photography</option>&#13;
			<option label="Hiking &amp; Trekking" value="hiking-trekking">Hiking &amp; Trekking</option>&#13;
			<option label="Kayaking &amp; Zodiac Cruising" value="kayaking-zodiac-cruising">Kayaking &amp; Zodiac Cruising</option>&#13;
			<option label="Cultural Interactions" value="cultural-interactions">Cultural Interactions</option>&#13;
			<option label="Learning &amp; Education" value="learning-education">Learning &amp; Education</option>&#13;
			<option label="Adventure &amp; Exploration" value="adventure-exploration">Adventure &amp; Exploration</option>&#13;
			<option label="Other (please specify)" value="other-please-specify">Other (please specify)</option>&#13;
		</field>&#13;
		<field type="text" label="If you choose&amp;nbsp; Other (please specify)" name="if-you-choose-other-please-specify" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="&amp;nbsp;Cruise &amp;amp; Ship Preferences"/>&#13;
		<field type="checkbox-group" label="&amp;nbsp;Do you have any preferred expedition cruise lines?" name="-do-you-have-any-preferred-expedition-cruise-lines">&#13;
			<option label="Quark Expeditions" value="quark-expeditions">Quark Expeditions</option>&#13;
			<option label="Lindblad Expeditions (Nat Geo)" value="lindblad-expeditions-nat-geo">Lindblad Expeditions (Nat Geo)</option>&#13;
			<option label="Aurora Expeditions" value="aurora-expeditions">Aurora Expeditions</option>&#13;
			<option label="G Adventures" value="g-adventures">G Adventures</option>&#13;
			<option label="Oceanwide Expeditions" value="oceanwide-expeditions">Oceanwide Expeditions</option>&#13;
			<option label="Poseidon Expeditions" value="poseidon-expeditions">Poseidon Expeditions</option>&#13;
			<option label="Hurtigruten" value="hurtigruten">Hurtigruten</option>&#13;
			<option label="Silversea Expeditions" value="silversea-expeditions">Silversea Expeditions</option>&#13;
			<option label="Scenic Eclipse" value="scenic-eclipse">Scenic Eclipse</option>&#13;
			<option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option>&#13;
		</field>&#13;
		<field type="text" label="If you choose&amp;nbsp; Other (please specify)" name="text-1748458897082" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="&amp;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">&#13;
			<option label="Smaller &amp; More Intimate (under 100 passengers)" value="smaller-more-intimate-under-100-passengers">Smaller &amp; More Intimate (under 100 passengers)</option>&#13;
			<option label="Mid-Size (100–200 passengers)" value="midsize-100200-passengers">Mid-Size (100–200 passengers)</option>&#13;
			<option label="Larger Expedition Vessel (200+ passengers)" value="larger-expedition-vessel-200-passengers">Larger Expedition Vessel (200+ passengers)</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<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">&#13;
			<option label="Basic &amp; Functional" value="basic-functional">Basic &amp; Functional</option>&#13;
			<option label="Comfortable &amp; Well-Appointed" value="comfortable-wellappointed">Comfortable &amp; Well-Appointed</option>&#13;
			<option label="Luxury Expedition" value="luxury-expedition">Luxury Expedition</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Approximate Budget (per person)" name="approximate-budget-per-person" className="form-control">&#13;
			<option label="$20,000+" value="20000">$20,000+</option>&#13;
			<option label="$15,000 – $20,000" value="15000-20000">$15,000 – $20,000</option>&#13;
			<option label="$10,000 – $15,000" value="10000-15000">$10,000 – $15,000</option>&#13;
			<option label="$7,500 – $10,000" value="7500-10000">$7,500 – $10,000</option>&#13;
			<option label="$5,000 – $7,500" value="5000-7500">$5,000 – $7,500</option>&#13;
			<option label="Under $5,000" value="under-5000">Under $5,000</option>&#13;
		</field>&#13;
		<field type="select" label="&amp;nbsp;Desired Trip Length" name="-desired-trip-length" className="form-control">&#13;
			<option label="7–9 days (1 week)" value="79-days-1-week">7–9 days (1 week)</option>&#13;
			<option label="10–14 days (2 weeks)" value="1014-days-2-weeks">10–14 days (2 weeks)</option>&#13;
			<option label="15–21 days" value="1521-days">15–21 days</option>&#13;
			<option label="Over 3 weeks" value="over-3-weeks">Over 3 weeks</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="date" label="Preferred Travel Dates" name="preferred-travel-dates" className="form-control"/>&#13;
		<field type="select" label="Number of Cabins Needed" name="number-of-cabins-needed" className="form-control">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5 or more" value="5-or-more">5 or more</option>&#13;
			<option label="10 or more" value="10-or-more">10 or more</option>&#13;
			<option label="15 or more" value="15-or-more">15 or more</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Cabin Type Preferences" name="cabin-type-preferences">&#13;
			<option label="Single Cabin" value="single-cabin">Single Cabin</option>&#13;
			<option label="Twin/Double Cabin" value="twindouble-cabin">Twin/Double Cabin</option>&#13;
			<option label="Triple Cabin" value="triple-cabin">Triple Cabin</option>&#13;
			<option label="Quad Cabin" value="quad-cabin">Quad Cabin</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Connecting Cabins" value="connecting-cabins">Connecting Cabins</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<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">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Flexible/Maybe" value="flexiblemaybe">Flexible/Maybe</option>&#13;
		</field>&#13;
		<field type="radio-group" label="&amp;nbsp;If airfare is included, do you prefer nonstop flights (when available)?" name="-if-airfare-is-included-do-you-prefer-nonstop-flights-when-available">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Open to Suggestions" value="open-to-suggestions">Open to Suggestions</option>&#13;
		</field>&#13;
		<field type="radio-group" label="&amp;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">&#13;
			<option label="Pre-Cruise Only" value="precruise-only">Pre-Cruise Only</option>&#13;
			<option label="Post-Cruise Only" value="postcruise-only">Post-Cruise Only</option>&#13;
			<option label="Both" value="both">Both</option>&#13;
			<option label="Neither" value="neither">Neither</option>&#13;
		</field>&#13;
		<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">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I’m already covered" value="im-already-covered">I’m already covered</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="&amp;nbsp;Expedition Activities &amp;amp; Experiences&amp;nbsp;"/>&#13;
		<field type="checkbox-group" label="&amp;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">&#13;
			<option label="Wildlife Viewing &amp; Photography" value="wildlife-viewing-photography">Wildlife Viewing &amp; Photography</option>&#13;
			<option label="Hiking &amp; Trekking" value="hiking-trekking">Hiking &amp; Trekking</option>&#13;
			<option label="Camping &amp; Backpacking" value="camping-backpacking">Camping &amp; Backpacking</option>&#13;
			<option label="Zodiac &amp; Kayak Cruising" value="zodiac-kayak-cruising">Zodiac &amp; Kayak Cruising</option>&#13;
			<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>&#13;
			<option label="Scuba Diving &amp; Snorkeling" value="scuba-diving-snorkeling">Scuba Diving &amp; Snorkeling</option>&#13;
			<option label="Mountaineering &amp; Ice Climbing" value="mountaineering-ice-climbing">Mountaineering &amp; Ice Climbing</option>&#13;
			<option label="Cultural Immersion &amp; Community Visits" value="cultural-immersion-community-visits">Cultural Immersion &amp; Community Visits</option>&#13;
			<option label="Photography Workshops" value="photography-workshops">Photography Workshops</option>&#13;
			<option label="Citizen Science Projects" value="citizen-science-projects">Citizen Science Projects</option>&#13;
			<option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Are there specific wildlife species you are hoping to see?"/>&#13;
		<field type="checkbox-group" label="Polar Regions" name="polar-regions">&#13;
			<option label="Penguins" value="penguins">Penguins</option>&#13;
			<option label="Polar Bears" value="polar-bears">Polar Bears</option>&#13;
			<option label="Seals" value="seals">Seals</option>&#13;
			<option label="Arctic Foxes" value="arctic-foxes">Arctic Foxes</option>&#13;
			<option label="Narwhals" value="narwhals">Narwhals</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Marine Life" name="marine-life">&#13;
			<option label="Whales (Orcas, Humpbacks, Blue Whales, etc.)" value="whales-orcas-humpbacks-blue-whales-etc">Whales (Orcas, Humpbacks, Blue Whales, etc.)</option>&#13;
			<option label="Dolphins" value="dolphins">Dolphins</option>&#13;
			<option label="Sea Turtles" value="sea-turtles">Sea Turtles</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Tropical &amp;amp; Coastal Regions" name="tropical-coastal-regions">&#13;
			<option label="Birds (Albatross, Macaws, etc.)" value="birds-albatross-macaws-etc">Birds (Albatross, Macaws, etc.)</option>&#13;
			<option label="Iguanas" value="iguanas">Iguanas</option>&#13;
			<option label="Giant Tortoises (Galápagos)" value="giant-tortoises-galpagos">Giant Tortoises (Galápagos)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="General" name="general">&#13;
			<option label="“Anything and Everything!”" value="anything-and-everything">“Anything and Everything!”</option>&#13;
			<option label="Other (please specify below)" value="other-please-specify-below">Other (please specify below)</option>&#13;
		</field>&#13;
		<field type="text" label="If you select Other&amp;nbsp; (please specify below)" name="if-you-select-other-please-specify-below" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="&amp;nbsp;What kind of physical activity level are you comfortable with?" name="-what-kind-of-physical-activity-level-are-you-comfortable-with">&#13;
			<option label="Relaxed &amp; Easygoing" value="relaxed-easygoing">Relaxed &amp; Easygoing</option>&#13;
			<option label="Moderate Activity (daily walks, short hikes)" value="moderate-activity-daily-walks-short-hikes">Moderate Activity (daily walks, short hikes)</option>&#13;
			<option label="Strenuous &amp; Challenging (long hikes, climbs, etc.)" value="strenuous-challenging-long-hikes-climbs-etc">Strenuous &amp; Challenging (long hikes, climbs, etc.)</option>&#13;
			<option label="Open to Suggestions" value="open-to-suggestions">Open to Suggestions</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Special Considerations"/>&#13;
		<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"/>&#13;
		<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.&amp;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"/>&#13;
		<field type="text" label="Do you have any special requests, celebrations (honeymoon, anniversary, birthday), or personal touches you&#39;d like us to include in your expedition cruise?&amp;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"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>