<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Client Information"/> <field type="header" subtype="h1" label="How does this work?&nbsp;"/> <field type="paragraph" subtype="p" label="Thank you for reaching out to me about your vacation! I look forward to helping you create an amazing experience. To learn more about your preferences and wishes, please take a few minutes to fill out the Vacation Request Form below. Once received, I will review your request and respond within 24-48 hours. My Travel Planning Services begin at $100, and we can discuss the full scope of your travel needs during our call. &nbsp;My services include: Expert destination and vendor knowledge to plan a vacation that is customized to you and your desires. I have relationship with hundreds of suppliers to provide value and amazing service during your trip. &nbsp;I am your secret weapon when something goes wrong. I will save you HOURS and HOURS of research and time so you can just enjoy the trip!&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="header" subtype="h2" label="Address"/> <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="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="header" subtype="h1" label="About your trip"/> <field type="text" required="true" label="Where would you like to go?&nbsp;" name="where-would-you-like-to-go-" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to leave?&nbsp;" name="when-would-you-like-to-leave-" className="form-control"/> <field type="date" required="true" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city?&nbsp;" name="what-is-your-departure-city-" subtype="text" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special?&nbsp;" name="is-this-vacation-to-celebrate-anything-special-" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Who will be traveling? Please list traveler full names &nbsp;and dates of birth" name="who-will-be-traveling-please-list-traveler-full-names-and-dates-of-birth" className="form-control"/> <field type="checkbox-group" required="true" label="At what stage of planning are you today?&nbsp;" name="at-what-stage-of-planning-are-you-today-"> <option label="I'm just beginning " value="im-just-beginning-">I'm just beginning </option> <option label="We have dates but nothing else confirmed" value="we-have-dates-but-nothing-else-confirmed">We have dates but nothing else confirmed</option> <option label="We have trip planned and need help booking " value="we-have-trip-planned-and-need-help-booking-">We have trip planned and need help booking </option> </field> <field type="radio-group" required="true" label="What is your approximate budget for all travelers?&nbsp;" description="This just gives me a general starting point and can always be changed later." name="what-is-your-approximate-budget-for-all-travelers-"> <option label="$3,000 $5,000" value="3000-5000">$3,000 $5,000</option> <option label="$5,000 - $7500" value="5000-7500">$5,000 - $7500</option> <option label="$7500 - $10,000" value="7500-10000">$7500 - $10,000</option> <option label="$10,000 - $15000" value="10000-15000">$10,000 - $15000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="textarea" label="Are you planning to use points for any part of the trip? If so, please provide details.&nbsp;" description="Which components do you want to try to use points for?" name="are-you-planning-to-use-points-for-any-part-of-the-trip-if-so-please-provide-details-" className="form-control"/> <field type="checkbox-group" required="true" label="What travel components would you like us to assist you with?" description="Check all that apply" name="what-travel-components-would-you-like-us-to-assist-you-with"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (car rental, transfers, etc.)" value="transportation-car-rental-transfers-etc">Transportation (car rental, transfers, etc.)</option> <option label="Excursions & Tours" value="excursions-tours">Excursions & Tours</option> <option label="Insurance " value="insurance-">Insurance </option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What best describes your desired accommodation style?" name="what-best-describes-your-desired-accommodation-style"> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> <option label="Boutique & Charming" value="boutique-charming">Boutique & Charming</option> <option label="Centrally located & functional " value="centrally-located-functional-">Centrally located & functional </option> <option label="Large resort" value="large-resort">Large resort</option> <option label="Other " value="other-">Other </option> </field> <field type="radio-group" label="For cruises - what is your desired accommodation preference?&nbsp;" name="for-cruises-what-is-your-desired-accommodation-preference-"> <option label="Suites with extra amenities" value="suites-with-extra-amenities">Suites with extra amenities</option> <option label="Balcnony" value="balcnony">Balcnony</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Inside" value="inside">Inside</option> <option label="Other " value="other-">Other </option> </field> <field type="textarea" label="What are your amenity must-haves?" description="Is there anything that you would want your hotels to have (i.e. bar on-site restaurant, pool, etc.)?" name="what-are-your-amenity-musthaves" className="form-control"/> <field type="checkbox-group" required="true" label="What options best describe your travel priorities?" description="Check all that apply" name="what-options-best-describe-your-travel-priorities"> <option label="Local culture & education" value="local-culture-education">Local culture & education</option> <option label="Art & architecture" value="art-architecture">Art & architecture</option> <option label="Food & wine" value="food-wine">Food & wine</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views & landscapes" value="dramatic-views-landscapes">Dramatic views & landscapes</option> <option label="Spa & wellness" value="spa-wellness">Spa & wellness</option> <option label="Rest & relaxation" value="rest-relaxation">Rest & relaxation</option> </field> <field type="text" label="Is there anything else that you “must do” or see?" name="is-there-anything-else-that-you-must-do-or-see" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know about your ideal vacation?" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation" className="form-control"/> <field type="text" label="Who can I thank for referring you?&nbsp;" name="who-can-i-thank-for-referring-you-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to be subscribed to our company newsletter for the latest deals and promotions?&nbsp;" name="would-you-like-to-be-subscribed-to-our-company-newsletter-for-the-latest-deals-and-promotions-"> <option label="Yes, sign me up! " value="yes-sign-me-up-">Yes, sign me up! </option> <option label="No, I get too many emails!" value="no-i-get-too-many-emails">No, I get too many emails!</option> </field> </fields> </form-template> </body> </html>
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