<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="WELCOME TO SAPPHIRE ADVENTURES"/> <field type="paragraph" subtype="output" label="Hello future adventurer! My name is Kerri and I'm your travel advisor. We'll work together to plan your next adventure!"/> <field type="paragraph" subtype="output" label="This form will help me create your customized adventure. Some fields are required but the more fields you can complete will help me create your adventure. I can't wait to start planning with you!"/> <field type="header" subtype="h3" label="Full Name"/> <field type="text" required="true" label="First Name" placeholder="Please use what matches your government issued ID." name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle Initial or Middle Name" placeholder="If using full middle name please use what matches your government issued ID." name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last Name" placeholder="Please use what matches your government issued ID." name="last-name" subtype="text" className="form-control"/> <field type="text" label="Suffix" placeholder="Please use what matches your government issued ID." name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" placeholder="This will be used in all communications between you & me." name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Mailing 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="h3" label="Email &amp; Phone Number"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" placeholder="555-123-4567" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="How did you hear about Sapphire Adventures LLC?"/> <field type="textarea" required="true" label="Let us know how you heard about Sapphire Adventures LLC. Did a friend or family member refer you? If so who was it so we can say thanks!" name="let-us-know-how-you-heard-about-sapphire-adventures-llc-did-a-friend-or-family-member-refer-you-if-so-who-was-it-so-we-can-say-thanks" className="form-control"/> <field type="header" subtype="h3" label="Preferred Contact Method"/> <field type="checkbox-group" required="true" label="Sapphire Adventures LLC will primarily communicate and conduct business through emails and phone calls. Occasionally, we will text if we've not heard from you. Please let us know if you prefer emails or calls." name="please-select-all-that-apply"> <option label="Email" value="email">Email</option> <option label="Phone Call" value="phone-call">Phone Call</option> </field> <field type="header" subtype="h3" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="TRAVEL DOCUMENTS &amp; PREFRENCES"/> <field type="header" subtype="h3" label="Government Issued Travel Documents &amp; Memberships"/> <field type="checkbox-group" required="true" label="Do you have a valid passport? Please make sure your passport is valid for at least 6 months past your anticipated travel date." name="checkbox-group-1639609572303"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Do you have a Known Traveler Number?" description="Let me know if you have TSA Pre-Check or Global Entry" name="known-traveler-number"> <option label="TSA Pre-Check" value="tsa-precheck">TSA Pre-Check</option> <option label="Global Entry" value="global-entry">Global Entry</option> <option label="I do not have a Known Traveler Number" value="no KTN">I do not have a Known Traveler Number</option> </field> <field type="text" label="If have a Known Traveler Number, what is it?" description="I need this so I can ensure the airline this info." name="if-have-a-known-traveler-number-what-is-it" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Airline" description="Let me know which airline you prefer to fly." name="preferred-airline" other="true"> <option label="Alaska Airlines" value="alaska-airlines">Alaska Airlines</option> <option label="American Airlines" value="american-airlines">American Airlines</option> <option label="Delta Airlines" value="delta-airlines">Delta Airlines</option> <option label="Southwest Airlines" value="southwest-airlines">Southwest Airlines</option> <option label="United Airlines" value="united-airlines">United Airlines</option> </field> <field type="checkbox-group" label="Preferred Hotel Brand" description="Let me know which hotel brand you prefer." name="preferred-hotel-brand" other="true"> <option label="Best Western" value="best-western">Best Western</option> <option label="Hilton Hotel & Resorts" value="hilton-hotel-resorts">Hilton Hotel & Resorts</option> <option label="Hyatt Hotels" value="hyatt-hotels">Hyatt Hotels</option> <option label="IHG" value="ihg">IHG</option> <option label="Marriott" value="marriott">Marriott</option> <option label="Wyndham" value="wyndham">Wyndham</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs (Airline, Hotel, Cruise Line, &amp; Rental Car Programs. Please enter All Programs you may have.)" description="Enter Any loyalty programs you may have." 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="h1" label="COVID-19"/> <field type="radio-group" required="true" label="Certain destinations and/or types of travel require proof of Covid-19 vaccination. To assist me with the planning of your adventure please let me know if members of your travel will be vaccinated at the time of travel." name="certain-destinations-require-proof-of-covid19-vaccination-to-assit-me-with-the-planning-of-your-adventure-please-let-me-know-if-members-of-your-travel-will-be-vaccinated-at-the-time-of-travel"> <option label="Yes, all members of the party will be vaccinated at the time of travel." value="yes-all-members-of-the-party-will-be-vaccinated-at-the-time-of-travel">Yes, all members of the party will be vaccinated at the time of travel.</option> <option label="No, some or all of the members of the party will not be vaccinated at the time of travel." value="no-some-or-all-of-the-members-of-the-party-will-not-be-vaccinated-at-the-time-of-travel">No, some or all of the members of the party will not be vaccinated at the time of travel.</option> </field> <field type="header" subtype="h1" label="ADVENTURE DETAILS"/> <field type="date" label="Preferred Departure Date" name="preferred-departure-date" className="form-control"/> <field type="date" label="Preferred Return Date" name="preferred-return-date" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible? Flexible Dates may allow for better pricing and/or availablity." name="are-your-dates-flexible-flexible-dates-may-allow-for-better-pricing-andor-availablity"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="How many people will be traveling? Please list everyone's legal name and date of birth. Having everyone's name and age will allow me to place reservations on hold for you." name="travel-party-size" className="form-control"/> <field type="textarea" label="Please let me know if any accomodations in the travel party might need. (Visual, auditory, mobility, ADA rooms, etc.)" name="please-let-me-know-if-any-accomodations-in-the-travel-party-might-need-visual-auditory-mobility-ada-rooms-etc" className="form-control"/> <field type="checkbox-group" required="true" label="What destination or type of adventure would you like? (Select all that appy)" name="what-destination-or-type-of-adventure-would-you-like-select-all-that-appy" other="true"> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Disney (Walt Disney World, Disneyland Resort, Disney Cruise Line, Adventures by Disney)" value="disney">Disney (Walt Disney World, Disneyland Resort, Disney Cruise Line, Adventures by Disney)</option> <option label="Universal (Orlando or Hollywood)" value="universal">Universal (Orlando or Hollywood)</option> <option label="Europe" value="europe">Europe</option> <option label="All-Inclusive Resort (Mostly in Mexico & the Caribbean)" value="AI Resort">All-Inclusive Resort (Mostly in Mexico & the Caribbean)</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> </field> <field type="textarea" label="To help us find the best fit for you, please let us know your budget." name="to-help-us-find-the-best-fit-for-you-please-let-us-know-your-budget" className="form-control"/> <field type="textarea" label="Please feel free to elaborate on where and what you envision your next adventure to be." name="next-adventure" className="form-control"/> <field type="checkbox-group" label="What would you like to have included in your adventure? (Select all that apply)" name="package-components" other="true"> <option label="Air" value="air">Air</option> <option label="Hotel/Resort/Cruise" value="hotelresortcruise">Hotel/Resort/Cruise</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Activities" value="activities">Activities</option> </field> <field type="checkbox-group" label="What type of vibe do you want your adventure to have? (Select all that apply)" name="vibe" other="true"> <option label="Romance/Anniversary" value="romanceanniversary">Romance/Anniversary</option> <option label="Rest & Relaxation" value="r-&-r">Rest & Relaxation</option> <option label="Food/Wine/Spirts" value="food-wine-spirts">Food/Wine/Spirts</option> <option label="Party" value="party">Party</option> <option label="Kid & Family Friendly" value="kid-family-friendly">Kid & Family Friendly</option> <option label="Adventure/Action" value="adventure-action">Adventure/Action</option> <option label="LGBTQ+ Friendly" value="lgbtq-friendly">LGBTQ+ Friendly</option> </field> <field type="checkbox-group" label="What type of activities would you like to experience on your adventure? (Select all that apply)" name="activity-types" other="true"> <option label="Beach & Water Activities" value="beach-water-activities">Beach & Water Activities</option> <option label="Pool" value="pool">Pool</option> <option label="Golf" value="golf">Golf</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Theater & Arts" value="theater-arts">Theater & Arts</option> <option label="Adventure Activities (Ziplining, ATV tours, etc)" value="adventure-activities">Adventure Activities (Ziplining, ATV tours, etc)</option> <option label="Food, Wine, & Spirts" value="food-wine">Food, Wine, & Spirts</option> <option label="Casinos" value="casinos">Casinos</option> </field> <field type="checkbox-group" label="Will you be celebrating a special occasion on your adventure? (Select all that apply)" name="celebration" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary or Honeymoon" value="anniversary-or-honeymoon">Anniversary or Honeymoon</option> <option label="Life Achievement Celebration (Graduation, New Job, etc)" value="life-achievement-celebration">Life Achievement Celebration (Graduation, New Job, etc)</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Marriage Proposal" value="marriage-proposal">Marriage Proposal</option> <option label="Destination Bachelor/Bachelorette Party" value="destination-bachelorbachelorette-party">Destination Bachelor/Bachelorette Party</option> <option label="Friend Vacation" value="friend-vacation">Friend Vacation</option> <option label="Multi-generational Family Vaction" value="multigenerational-family-vaction">Multi-generational Family Vaction</option> </field> <field type="textarea" label="Tell me about a previous vacation you absolutely loved and/or hated." name="textarea-1639611822053" className="form-control"/> <field type="textarea" label="Final thoughts? Did I miss anything you want me to know about your adventure?" name="final-thoughts-did-i-miss-anything-you-want-me-to-know-about-your-adventure" className="form-control"/> <field type="header" subtype="h1" label="THANK YOU"/> <field type="paragraph" subtype="output" label="I appreciate the time you took to fill this out. The next steps are for me to review this and then contact to you schedule time to discuss your adventure! I look forward to partnering with you to plan your adventure!"/> </fields> </form-template> </body> </html>
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