Share your information with Carissa Davila

Carissa Davila

Hiraya Holidays

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="New Booking Inquiry"/>&#13;
		<field type="paragraph" subtype="p" label="Thanks for stopping by - I’m excited to help you plan your trip! The person filling out the form will be considered the primary traveler (18+)."/>&#13;
		<field type="paragraph" subtype="p" label="For packages that include flights, travel must begin and end in the United States. If your trip starts or ends outside the United States, our agency can assist with all other arrangements (hotels, rental cars, reservations, etc) EXCEPT flights."/>&#13;
		<field type="paragraph" subtype="p" label="If you’re already working with another agency, please refrain from submitting a form."/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" placeholder="ex: 000-000-0000" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" placeholder="ex: example@example.com" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you a new or returning client?" name="have-you-ever-worked-with-a-travel-agency-before">&#13;
			<option label="New Client" value="new-client">New Client</option>&#13;
			<option label="Returning" value="returning">Returning</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Which package suits you best? View our package types here www.hirayaholidays.com/faqs-packages" name="which-package-suits-you-best" className="form-control">&#13;
			<option label="Jetsetter Pass: Single City" value="jetsetter-pass-single-city">Jetsetter Pass: Single City</option>&#13;
			<option label="Jetsetter Pass: Multi-City" value="jetsetter-pass-multicity">Jetsetter Pass: Multi-City</option>&#13;
			<option label="Rate Radar (Hotel Only)" value="rate-radar-hotel-only">Rate Radar (Hotel Only)</option>&#13;
			<option label="Grand Voyagers (Group 8+)" value="grand-voyagers-group-8">Grand Voyagers (Group 8+)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of booking are you interested in? For &quot;Rate Radar&quot; Pacakage, please select &quot;Single Component Assistance&quot;" description="The term package indicates that flights will be quoted with the price." name="what-kind-of-booking-are-you-interested-in">&#13;
			<option label="International Destination Only Package" value="international-destination-only-package">International Destination Only Package</option>&#13;
			<option label="Within the U.S. Only Package (including HI, PR, AK &amp; other territories)" value="within-the-us-only-package-including-hi-pr-ak-other-territories">Within the U.S. Only Package (including HI, PR, AK &amp; other territories)</option>&#13;
			<option label="Domestic &amp; International Combo" value="domestic-international-combo">Domestic &amp; International Combo</option>&#13;
			<option label="All-Inclusive Resort Package" value="allinclusive-resort-package">All-Inclusive Resort Package</option>&#13;
			<option label="Cruise Package" value="cruise-package">Cruise Package</option>&#13;
			<option label="Hotel Room Block (Destination Weddings &amp; Events)" value="hotel-room-block-destination-weddings-events">Hotel Room Block (Destination Weddings &amp; Events)</option>&#13;
			<option label="Single Component Assistance (Hotel Only/Flights Only/Activity Only)" value="single-component-assistance-hotel-onlyflights-onlyactivity-only">Single Component Assistance (Hotel Only/Flights Only/Activity Only)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Greece  Mexico  Paris" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many travelers will be on this trip?&amp;nbsp;" description="We need the # of adults (18+) traveling under this booking (including yourself as the primary traveler) &amp;amp; the # of children along with their ages at the time of travel." placeholder="Room #1 - 2 adults  1 child (3 yo)  Room #2 - 1 adults, 1 child (16 yo)" name="how-many-travelers-will-be-on-this-trip-" className="form-control"/>&#13;
		<field type="text" required="true" label="How much are you looking to spend per person for this trip? &amp;nbsp;" description="This just gives me a general starting point budget for all travelers included in this form and can always be changed later." placeholder="ex. $1 500" name="what-is-your-total-budget-for-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure city? For &quot;Rate Radar&quot; Package or hotel only, please input &quot;N/A&quot;." description="Where will you (the primary traveler) be flying from?" placeholder="ex: San Antonio" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you (the primary traveler) would like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you (the primary traveler) would like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are your dates flexible? For &quot;Rate Radar&quot; Package, please input &quot;N/A&quot;." name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="If you&#39;d like flights included in your package, what class are you looking to book?" name="if-youd-like-flights-included-in-your-package-what-class-are-you-looking-to-book">&#13;
			<option label="Economy/Coach" value="economycoach">Economy/Coach</option>&#13;
			<option label="Premium Economy" value="premium-economy">Premium Economy</option>&#13;
			<option label="Business" value="business">Business</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
			<option label="I am providing my own flights." value="i-am-providing-my-own-flights">I am providing my own flights.</option>&#13;
			<option label="I do not need flights for this quote (roadtrip or rate radar)." value="i-do-not-need-flights-for-this-quote-roadtrip-or-rate-radar">I do not need flights for this quote (roadtrip or rate radar).</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="I am booking a &quot;Rate Radar&quot; Package." value="i-am-booking-a-rate-radar-package">I am booking a "Rate Radar" Package.</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control">&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Business Card" value="business-card">Business Card</option>&#13;
		</field>&#13;
		<field type="text" label="If this is a referral, please input the full name of the person who referred you:" placeholder="ex: John Smith" name="if-this-is-a-referral-please-input-the-name-of-the-person-who-referred-you" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Are there any additional details that would help with the planning process?" description="For &quot;Rate Radar&quot; Package  please input the hotel name  room type  bed size  and price that you see on Expedia to see if I can beat it." name="misc-notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>