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Lakisha D. Boyd
Boyd’s Travel Destinations
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Vacation Quote Request Form"/> <field type="text" label="Please complete entire form and its entirety so we can better assist you with your Vacation Planning!" name="please-complete-entire-form-and-its-entirety-so-we-can-better-assist-you-with-your-vacation-planning" value="Please allow us 48-72 hours for us to return your quote back to you for your review and approval." subtype="text" className="form-control"/> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What would you like us to Quote? (check all that apply)" name="what-would-you-like-us-to-quote-check-all-that-apply" other="true"> <option label="Hotel" value="hotel">Hotel</option> <option label="Flight" value="flight">Flight</option> <option label="Cruise" value="cruise">Cruise</option> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Guided Tour " value="guided-tour-">Guided Tour </option> <option label="Vacation Home /Villa" value="vacation-home-villa">Vacation Home /Villa</option> <option label="Cabin" value="cabin">Cabin</option> <option label="VRBO Property " value="vrbo-property-">VRBO Property </option> <option label="Theme Park Tickets " value="theme-park-tickets-">Theme Park Tickets </option> <option label="Concert Tickets/Show" value="concert-ticketsshow">Concert Tickets/Show</option> <option label="Honeymoon " value="honeymoon-">Honeymoon </option> </field> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" 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="Date Range/Number of Nights-If Answered Yes to Flexibility" name="date-rangenumber-of-nightsif-answered-yes-to-flexibility" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city? or Airport Code?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you Interested in an Alternative&nbsp; Airport with Better Price? Please Specify&nbsp;" inline="true" name="are-you-interested-in-an-alternative-closest-airport-with-better-price" other="true"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Which Alternative Airport is near you?" name="which-alternative-airport-is-near-you" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you have permission to Travel with Children that are not yours? ex. A Note from Parent&nbsp;" inline="true" name="do-you-have-permission-to-travel-with-children-that-are-not-yours-ex-a-note-from-parent-"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field type="textarea" required="true" label="Name of Children, Age of Children &amp; DOB at time of travel." name="name-of-children-age-of-children-dob-at-time-of-travel" className="form-control"/> <field type="select" required="true" label="Will there be anyone over 55 traveling?" name="will-there-be-anyone-over-55-traveling" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="select" required="true" label="Is there a Military Veteran or anyone on&nbsp; Active Duty&nbsp; Traveling?" name="is-there-a-military-veteran-or-anyone-on-active-duty-traveling" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="radio-group" required="true" label="What is your budget for each&nbsp; traveler?" name="budget"> <option label="$500-$1,000" value="5001000">$500-$1,000</option> <option label="$1,000 -$1,500" value="1000-1500">$1,000 -$1,500</option> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> <option label="Unlimited Budget " value="unlimited-budget-">Unlimited Budget </option> </field> <field type="radio-group" required="true" label="Are you Deposit Ready for your Vacation?&nbsp;" name="are-you-deposit-ready-for-your-vacation-"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> <option label="Interested in Payment Plan" value="interested-in-payment-plan">Interested in Payment Plan</option> <option label="Interested in Vacation Financing Options" value="interested-in-vacation-financing-options">Interested in Vacation Financing Options</option> </field> <field type="text" required="true" label="Reason for Travel&nbsp; (ie,Honeymoon,Anniversary,Birthday,Girls Trip,Family Trip,.etc.)" name="text-1702149942431" subtype="text" className="form-control"/> <field type="text" required="true" label="What research have you done on this Trip?" name="what-research-have-you-done-on-this-trip" subtype="text" className="form-control"/> <field type="select" required="true" label="Are you interested in Travel Protection?(Optional)" name="are-you-interested-in-travel-protectionoptional" className="form-control"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="text" required="true" label="Number of Hotel Rooms&nbsp;" name="number-of-hotel-rooms-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Bed preference" inline="true" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> <option label="Rollout Bed " value="rollout-bed-">Rollout Bed </option> </field> <field type="text" required="true" label="Meal preference / Breakfast Included?" name="meal-preference" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Flight Class Preferences" inline="true" name="flight-preferences"> <option label="First Class" value="first-class">First Class</option> <option label="Economy" value="economy">Economy</option> </field> <field type="radio-group" required="true" label="Flight Time Preferences- Departing&nbsp;" inline="true" name="flight-time-preferences-departing-"> <option label="5am-11am" value="5am11am">5am-11am</option> <option label="12pm-4pm" value="12pm4pm">12pm-4pm</option> <option label="5pm-Midnight" value="5pmmidnight">5pm-Midnight</option> </field> <field type="radio-group" required="true" label="Flight Time Preferences -Returning&nbsp;" inline="true" name="flight-time-preferences-returning-"> <option label="5am-11am" value="5am11am">5am-11am</option> <option label="12pm-4pm" value="12pm4pm">12pm-4pm</option> <option label="5pm- Midnight " value="5pm-midnight-">5pm- Midnight </option> </field> <field type="radio-group" label="Flight Preferences&nbsp;" inline="true" name="flight-preferences-"> <option label="Non-Stop /Direct Flight" value="nonstop-direct-flight">Non-Stop /Direct Flight</option> <option label="Layover Ok?" value="layover-ok">Layover Ok?</option> </field> <field type="radio-group" required="true" label="Seat Choice&nbsp; Preferences" inline="true" name="seat-preferences"> <option label="Window Seat " value="window-seat-">Window Seat </option> <option label="Middle Seat " value="middle-seat-">Middle Seat </option> <option label="Aisle Seat" value="aisle-seat">Aisle Seat</option> <option label="I'm Not Picky" value="im-not-picky">I'm Not Picky</option> </field> <field type="radio-group" required="true" label="Cruise&nbsp; State Room Preferences" inline="true" name="cruise-preferences"> <option label="Interior" value="interior">Interior</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="Do you want to add Prepaid Gratuities for your Cruise? They will be added automatically by the Cruise Line?(Optional)" inline="true" name="do-you-want-to-add-prepaid-gratuities-for-your-cruise-they-will-be-added-automatically-by-the-cruise-lineoptional"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field type="radio-group" required="true" label="Baggage Preferences" inline="true" name="baggage-preferences"> <option label="Personal Item " value="personal-item-">Personal Item </option> <option label="Carry On " value="carry-on-">Carry On </option> <option label=" 1st Checked Bags " value="-1st-checked-bags-"> 1st Checked Bags </option> <option label="2nd Checked Bag " value="2nd-checked-bag-">2nd Checked Bag </option> <option label="Stroller /Car Seat" value="stroller-car-seat">Stroller /Car Seat</option> </field> <field type="text" required="true" label="How Many Bags?" name="how-many-bags" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Transportation Preferences&nbsp;" name="transportation-preferences-" other="true"> <option label="AirPort Shuttle " value="airport-shuttle-">AirPort Shuttle </option> <option label="Train/Rail" value="trainrail">Train/Rail</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Uber/ RideShare " value="uber-rideshare-">Uber/ RideShare </option> </field> <field type="text" required="true" label="Any&nbsp; Special Disability Accommodations I should be Aware of ?ex. Wheelchair Accessible" name="any-special-disability-accommodations-i-should-be-aware-of-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you&nbsp; have a Valid Passport ?&nbsp;" inline="true" name="do-you-have-a-valid-passport-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Is Passport Valid for 6 months after Travel Date for all Travelers ?( International Travel)&nbsp;" inline="true" name="is-passport-valid-for-6-months-after-travel-date-for-all-travelers-international-travel-" other="true"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Passport Info (International Travel)"/> <field type="text" required="true" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" 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="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Excursions" value="excursions">Excursions</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" 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="header" subtype="h2" label="Important Dates"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="text" required="true" label="How did you find us?/Who should we Thank for the Referral?" name="how-did-you-find-uswho-should-we-thank-for-the-referral" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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