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Tyrone Bowie
Authentic Travel Connections
<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" required="true" 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" required="true" 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="header" subtype="h2" label="Questions for your trip"/> <field type="select" required="true" label="What's the occassion?" name="whats-the-occassion" className="form-control"> <option label="Just need a getaway" value="just-need-a-getaway">Just need a getaway</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Girls Trip" value="girls-trip">Girls Trip</option> <option label="Milestone Birthday" value="milestone-birthday">Milestone Birthday</option> <option label="Anniversary " value="anniversary-">Anniversary </option> <option label="Hanging with the guys" value="hanging-with-the-guys">Hanging with the guys</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Where would you like to go?" description="If location is not a featured resort. Feel free to give a couple of destinations." 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" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" required="true" label="Include Flights" name="include-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</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="text" label="Preferred Airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Flight Time" name="preferred-flight-time"> <option label="Early Morning" value="early-morning">Early Morning</option> <option label="Mid-Morning" value="midmorning">Mid-Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Will Book My Own Flight" value="will-book-my-own-flight">Will Book My Own Flight</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="Name of Preferred Resort/Hotel" name="name-of-preferred-resorthotel" subtype="text" className="form-control"/> <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> <option label="LGBT" value="lgbt">LGBT</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="select" required="true" label="Is this a Group Booking? (more than 10)" name="is-this-a-group-booking" className="form-control"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> <field type="select" label="Group Leader" description="Person within group who is organizing this trip" name="group-leader" className="form-control"> <option label="" value=""/> <option label="Tyrone Bowie (Agent)" value="tyrone-bowie-agent">Tyrone Bowie (Agent)</option> <option label="Shay Bowie (Agent)" value="shay-bowie-agent">Shay Bowie (Agent)</option> <option label="Jacque Gross (Agent)" value="jacque-gross-agent">Jacque Gross (Agent)</option> <option label="Chris Jones (Agent)" value="chris-jones-agent">Chris Jones (Agent)</option> <option label="Jacquette Diggs (Agent)" value="jacquette-diggs-agent">Jacquette Diggs (Agent)</option> <option label="Tina Jefferson (Agent)" value="tina-jefferson-agent">Tina Jefferson (Agent)</option> <option label="Chrystal Robinson (Agent)" value="chrystal-robinson-agent">Chrystal Robinson (Agent)</option> <option label="Other" value="other">Other</option> </field> <field type="text" required="true" label="Number of Travelers? Adults? Children?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many kids?" name="how-many-kids" subtype="text" className="form-control"/> <field type="text" label="Kids age at the time of travel?" name="how-many-adults" subtype="text" className="form-control"/> <field type="text" label="How many rooms?" name="how-many-rooms" subtype="text" className="form-control"/> <field type="text" label="Is anyone traveling over the age of 55?" name="is-anyone-traveling-over-the-age-of-55" subtype="text" className="form-control"/> <field type="checkbox-group" label="Military" name="military"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="CRUISE INFORMATION-ONLY IF YOUR INTERESTED IN CRUISES"/> <field type="radio-group" label="Cruise Line" inline="true" name="cruise-line"> <option label="Carnival Cruise" value="carnival-cruise">Carnival Cruise</option> <option label="Celebrity Cruise" value="celebrity-cruise">Celebrity Cruise</option> <option label="Disney Cruise" value="disney-cruise">Disney Cruise</option> <option label="Holland America" value="holland-america">Holland America</option> <option label="Norwegian Cruise " value="norwegian-cruise-">Norwegian Cruise </option> <option label="Royal Caribbean " value="royal-caribbean-">Royal Caribbean </option> <option label="Princess" value="princess">Princess</option> <option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option> <option label="MCS Cruise " value="mcs-cruise-">MCS Cruise </option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Cruise Length" inline="true" name="cruise-length"> <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 or More Days" value="14-or-more-days">14 or More Days</option> </field> <field type="text" label="Destination" name="destinat" subtype="text" className="form-control"/> <field type="text" label="Departure Port" name="departure-port" subtype="text" className="form-control"/> <field type="checkbox-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"/> <field type="checkbox-group" label="Number of Staterooms Needed" inline="true" name="number-of-staterooms-needed"> <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="Other" value="other">Other</option> </field> <field type="checkbox-group" label="How many Guests in your Stateroom" inline="true" name="how-many-guests-in-your-stateroom"> <option label="1-2" value="12">1-2</option> <option label="3-4" value="34">3-4</option> <option label="5 Deluxe Family Suite" value="5-deluxe-family-suite">5 Deluxe Family Suite</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Stateroom Category Preference" inline="true" name="stateroom-category-preference"> <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="Varandah Room (Balcony)" value="varandah-room-balcony">Varandah Room (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> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="Vacation Budget $ (Per&nbsp; Person)" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$750 to $1000" value="750-to-1000">$750 to $1000</option> <option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option> <option label="$1,500 to $2,000" value="1500-to-2000">$1,500 to $2,000</option> <option label="$2,000 to $2,500" value="2000-to-2500">$2,000 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="$4,000 to $5,000" value="4000-to-5000">$4,000 to $5,000</option> <option label="$5,000 to $6,000 " value="5000-to-6000-">$5,000 to $6,000 </option> <option label="$8,000 +" value="8000-">$8,000 +</option> </field> <field type="radio-group" required="true" label="Are you prepared to make a deposit if quote meet your expectation?&nbsp; (Quotes is only valid for 24hours)" name="are-you-prepared-to-make-a-minimum-deposit-of-200-per-person-quote-is-only-valid-for-24hours-"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" label="Travel Agent Request" name="travel-agent-request" className="form-control"> <option label="" value=""/> <option label="Tina Jefferson" value="tina-jefferson">Tina Jefferson</option> <option label="Tyrone Bowie" value="tyrone-bowie">Tyrone Bowie</option> <option label="Shay Bowie" value="shay-bowie">Shay Bowie</option> <option label="Chris Jones" value="chris-jones">Chris Jones</option> <option label="Jacque Gross" value="jacque-gross">Jacque Gross</option> <option label="Jacquette Diggs" value="jacquette-diggs">Jacquette Diggs</option> <option label="Chrystal Roberson" value="chrystal-roberson">Chrystal Roberson</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" required="true" 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="checkbox-group" 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="h2" 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> </field> </fields> </form-template> </body> </html>
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