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<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="PRIMARY TRAVELER"/> <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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" 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="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="pageBreak" name="pageBreak-1769287511148" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="select" required="true" label="Trip Type" name="whats-the-occassion" className="form-control"> <option label="" value=""/> <option label="Business Travel " value="business-travel-">Business Travel </option> <option label="Friends & Family Getaway" value="friends-family-getaway">Friends & Family Getaway</option> <option label="Birthday & Milestone Celebrations" value="birthday-milestone-celebrations">Birthday & Milestone Celebrations</option> <option label="Bachelor / Bachelorette Getaway" value="bachelor-bachelorette-getaway">Bachelor / Bachelorette Getaway</option> <option label="Wedding & Destination Vow Renewals" value="wedding-destination-vow-renewals">Wedding & Destination Vow Renewals</option> <option label="Individual (One Primary Travel)" value="individual-one-primary-travel">Individual (One Primary Travel)</option> <option label="Other" value="other">Other</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769281721405" 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<field type="select" required="true" label="Package Type" name="select-1769282889154" className="form-control"> <option label="" value=""/> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Hotel + Flight" value="hotel-flight">Hotel + Flight</option> <option label="Cruise Only" value="cruise-only">Cruise Only</option> <option label="Cruise + Flight" value="cruise-flight">Cruise + Flight</option> </field> <field type="text" required="true" label="Destination" placeholder="ex: Dubai; Miami; London; Jamaica" name="destination" subtype="text" className="form-control"/> <field type="text" label="Name of Preferred Resort/Hotel" name="text-1769283280816" subtype="text" className="form-control"/> <field type="select" label="Preferred Cruise Line&nbsp;" name="preferred-cruise-line-" className="form-control field-hidden"> <option label="" value=""/> <option label="Carnival Cruise Line – Mass-market leader, high volume, budget-friendly" value="carnival-cruise-line-massmarket-leader-high-volume-budgetfriendly">Carnival Cruise Line – Mass-market leader, high volume, budget-friendly</option> <option label="Celebrity Cruises – Modern premium experience, upscale dining and design" value="celebrity-cruises-modern-premium-experience-upscale-dining-and-design">Celebrity Cruises – Modern premium experience, upscale dining and design</option> <option label="Disney Cruise Line – Family-focused, premium pricing, high guest loyalty" value="disney-cruise-line-familyfocused-premium-pricing-high-guest-loyalty">Disney Cruise Line – Family-focused, premium pricing, high guest loyalty</option> <option label="Holland America Line – Traditional premium, older demographic, strong enrichment" value="holland-america-line-traditional-premium-older-demographic-strong-enrichment">Holland America Line – Traditional premium, older demographic, strong enrichment</option> <option label="Norwegian Cruise Line (NCL) – Freestyle cruising, flexible dining, modern ships" value="norwegian-cruise-line-ncl-freestyle-cruising-flexible-dining-modern-ships">Norwegian Cruise Line (NCL) – Freestyle cruising, flexible dining, modern ships</option> <option label="Royal Caribbean International – Largest ships, strong itineraries, broad demographic appeal" value="royal-caribbean-international-largest-ships-strong-itineraries-broad-demographic-appeal">Royal Caribbean International – Largest ships, strong itineraries, broad demographic appeal</option> <option label="Princess Cruises – Premium mainstream, strong Alaska and international routes" value="princess-cruises-premium-mainstream-strong-alaska-and-international-routes">Princess Cruises – Premium mainstream, strong Alaska and international routes</option> <option label="Virgin Voyages – Adults-only, modern lifestyle brand, all-inclusive feel" value="virgin-voyages-adultsonly-modern-lifestyle-brand-allinclusive-feel">Virgin Voyages – Adults-only, modern lifestyle brand, all-inclusive feel</option> <option label="MSC Cruises – Rapidly growing global brand, competitive pricing, European style" value="msc-cruises-rapidly-growing-global-brand-competitive-pricing-european-style">MSC Cruises – Rapidly growing global brand, competitive pricing, European style</option> <option label="Other" value="other">Other</option> </field> <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" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="Any Children? If yes, please list their ages" description="17 or under" placeholder="5:7:11" name="number-of-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Room Details"/> <field type="radio-group" label="Occupany Type" inline="true" name="occupany-type"> <option label="Single " value="single-">Single </option> <option label="Double" value="double">Double</option> <option label="Triple" value="triple">Triple</option> <option label="Quad" value="quad">Quad</option> <option label="Group" value="group">Group</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769282236608" 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value="premium-economy-">Premium Economy </option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="text" label="What is your departure airport" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control field-hidden"/> <field type="radio-group" label="Is everyone departing from the same airport?" description="10 passengers on the same flight qualify for group rates" inline="true" name="is-everyone-departing-from-the-same-airport" className="field-hidden"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769284288364" 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<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769282563551" rule="eyJ3aGVuRmllbGQiOiJpcy1ldmVyeW9uZS1kZXBhcnRpbmctZnJvbS10aGUtc2FtZS1haXJwb3J0Iiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6Im5vIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbImxpc3Qtb3RoZXItYWlycG9ydHMiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJsaXN0LW90aGVyLWFpcnBvcnRzIiwibGFiZWwiOiJMaXN0IE90aGVyIEFpcnBvcnRzIn1dfQ=="/> <field type="text" label="List Other Airports" name="list-other-airports" subtype="text" className="form-control field-hidden"/> <field type="text" label="What is your preferred airlines?" name="what-is-your-preferred-airlines" subtype="text" className="form-control field-hidden"/> <field type="select" label="Most Important Flight Option" name="most-important-flight-options" className="form-control field-hidden"> <option label="" value=""/> <option label="Nonstop Only" value="nonstop-only">Nonstop Only</option> <option label="Budget Friendly" value="budget-friendly">Budget Friendly</option> </field> <field type="select" label="Destination Arrival Time" name="destination-arrival-time" className="form-control field-hidden"> <option label="" value=""/> <option label="Morning Arrival" value="morning-arrival">Morning Arrival</option> <option label="Afternoon Arrival" value="afternoon-arrival">Afternoon Arrival</option> <option label="Evening Arrival" value="evening-arrival">Evening Arrival</option> </field> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="checkbox-group" label="All Inclusive Resort" name="all-inclusive-resort"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="radio-group" label="Hotel preference" inline="true" name="hotel-preference"> <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="checkbox-group" label="Vibe preferences" inline="true" name="vibe-preference"> <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> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" label="Activity preferences" inline="true" name="activity-preferences"> <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 theatre" value="art-theatre">Arts and theatre</option> </field> <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="pageBreak" name="pageBreak-1769368260087" next="Next" previous="Previous"/> <field type="header" subtype="h1" label="Budget For This Trip"/> <field type="radio-group" required="true" label="What is the estimated budget per traveler?" name="budget"> <option label="$750 to $1500" value="750-to-1500">$750 to $1500</option> <option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option> <option label="$2,500 to $3,000" value="2500-to-3000">$2,500 to $3,000</option> <option label="$3,000 to $4,000" value="3000-to-4000">$3,000 to $4,000</option> <option label="$5,000 to $6,000" value="5000-to-6000">$5,000 to $6,000</option> <option label="$6,000 to $8,000" value="6000-to-8000">$6,000 to $8,000</option> <option label="$8,000 to $9,000" value="8000-to-9000">$8,000 to $9,000</option> <option label="$10,000 + " value="10000-">$10,000 + </option> </field> <field type="radio-group" required="true" label="Are you prepared to make a minimum deposit of $200 per person (quote is only valid for 48 hours)" name="are-you-prepared-to-make-a-minimum-deposit-of-200-per-person-quote-is-only-valid-for-48-hours"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to Include Travel Insurance" description="Provides financial protection against unexpected events such as trip cancellations medical emergencies lost luggage and other travel-related mishaps." name="would-you-like-to-include-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Payment Options (select the ones that would best suit you)&nbsp;" name="payment-options-select-the-ones-that-would-best-suit-you-"> <option label="Deposit with Payment Plan " value="deposit-with-payment-plan-">Deposit with Payment Plan </option> <option label="Finance with UPLIFT (Book Now, Pay Later) " value="finance-with-uplift-book-now-pay-later-">Finance with UPLIFT (Book Now, Pay Later) </option> <option label="Full Payment " value="full-payment-">Full Payment </option> </field> <field type="header" subtype="h1" label="CRUISE INFORMATION" className="field-hidden"/> <field type="checkbox-group" label="Cruise Length" inline="true" name="cruise-length" className="field-hidden"> <option label="3 Days" value="3-days">3 Days</option> <option label="4-5 Days" value="45-days">4-5 Days</option> <option label="6 Days" value="6-days">6 Days</option> <option label="7 Days" value="7-days">7 Days</option> <option label="8-13 Days" value="813-days">8-13 Days</option> <option label="14 +" value="14-">14 +</option> </field> <field type="text" label="Cruise Destination" name="destinat" subtype="text" className="form-control field-hidden"/> <field type="text" label="Departure Port" name="departure-port" subtype="text" className="form-control field-hidden"/> <field type="radio-group" label="Is anyone traveling over the age of 55?" name="is-anyone-traveling-over-the-age-of-55"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Dining Preference" name="dining-preference"> <option label="Early Time " value="early-time-">Early Time </option> <option label="Late Time " value="late-time-">Late Time </option> <option label="Anytime Dining" value="anytime-dining">Anytime Dining</option> </field> <field type="header" subtype="h1" label="Stateroom Specifics" className="field-hidden"/> <field type="checkbox-group" label="Number of Staterooms Needed" inline="true" name="number-of-staterooms-needed" other="true" className="field-hidden"> <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" value="5">5</option> <option label="Group (8+)" value="group-8">Group (8+)</option> </field> <field type="checkbox-group" label="How many Guests in your Stateroom" inline="true" name="how-many-guests-in-your-stateroom" className="field-hidden"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3-4" value="34">3-4</option> <option label="5 (Suite)" value="5-suite">5 (Suite)</option> </field> <field type="checkbox-group" label="Stateroom Category Preference" inline="true" name="stateroom-category-preference" other="true" className="field-hidden"> <option label="Interior Room (No window or port hole" value="interior-room-no-window-or-port-hole">Interior Room (No window or port hole</option> <option label="Ocean View (Window or port hole)" value="ocean-view-window-or-port-hole">Ocean View (Window or port hole)</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Concierge Level (Family suites with living area)" value="concierge-level-family-suites-with-living-area">Concierge Level (Family suites with living area)</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769283053947" 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name="pageBreak-1769288178549" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Additional Information&nbsp;"/> <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="header" subtype="h1" label="Important Dates"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="ADDITIONAL TRAVELERS"/> <field type="text" label="2ND TRAVELER FULL NAME" name="2nd-traveler-full-name" subtype="text" className="form-control"/> <field type="date" label="Date of Birth" name="date-of-birth" className="form-control"/> <field type="text" label="Email Address" name="email-address" subtype="text" className="form-control"/> <field type="text" label="Phone Number" name="phone" subtype="text" className="form-control"/> <field type="text" label="3rd TRAVELER FULL NAME" name="3rd-traveler-full-name" subtype="text" className="form-control"/> <field type="date" label="Date of Birth" name="date-1706192344277" className="form-control"/> <field type="text" label="Email Address" name="text-1706192351415" subtype="text" className="form-control"/> <field type="text" label="Phone Number" name="ph" subtype="text" className="form-control"/> <field type="text" label="4th TRAVELER FULL NAME" name="4th-traveler-full-name" subtype="text" className="form-control"/> <field type="date" label="Date of Birth" name="date-1706192440328" className="form-control"/> <field type="text" label="Email Address" name="text-1706192446056" subtype="text" className="form-control"/> <field type="text" label="Phone Number" name="text-1706192453380" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="How Did You Hear About Authentic Travel Connections?"/> <field type="radio-group" required="true" label="Please select below" name="please-select-below" other="true"> <option label="Social Media" value="social-media">Social Media</option> <option label="Google" value="google">Google</option> <option label="Direct Mail" value="direct-mail">Direct Mail</option> <option label="Website" value="website">Website</option> </field> <field type="select" required="true" label="Travel Agent Request" name="travel-agent-request" className="form-control"> <option label="" value=""/> <option label="Chris Jones" value="chris-jones">Chris Jones</option> <option label="Chrystal Robinson" value="chrystal-robinson">Chrystal Robinson</option> <option label="Doug Conner" value="doug-conner">Doug Conner</option> <option label="Jamekia Lewis" value="jamekia-lewis">Jamekia Lewis</option> <option label="Jacquette Diggs" value="jacquette-diggs">Jacquette Diggs</option> <option label="Jacque Gross" value="jacque-gross">Jacque Gross</option> <option label="Michael Lewis" value="michael-lewis">Michael Lewis</option> <option label="Shay Bowie" value="shay-bowie">Shay Bowie</option> <option label="Tyrone Bowie" value="tyrone-bowie">Tyrone Bowie</option> <option label="Tina Jefferson " value="tina-jefferson-">Tina Jefferson </option> <option label="No Preference" value="no-preference">No Preference</option> </field> </fields> </form-template> </body> </html>
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