Share your information with Lindsey Melichar

Lindsey Melichar

Melichar Travel by Nova Travel Collective

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Trip Planning Inquiry"/>&#13;
		<field type="header" subtype="h1" label="Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="text" label="How many total travelers? If traveling with kids please list their ages." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please list all full names and birthdates for all travelers." name="please-list-all-full-names-and-birthdates-for-all-travelers" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred method of communication" name="preferred-method-of-communication">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Style &amp;amp; Preferences&amp;nbsp;"/>&#13;
		<field type="checkbox-group" label="What trip components would you like help with?" description="Click all that apply" name="what-trip-components-would-you-like-help-with" other="true">&#13;
			<option label="Accommodations" value="accommodations">Accommodations</option>&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Tours and Activities" value="tours-and-activities">Tours and Activities</option>&#13;
			<option label="Transporation - transfers, car rental, trains, ferry, etc" value="transporation-transfers-car-rental-trains-ferry-etc">Transporation - transfers, car rental, trains, ferry, etc</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="It&#39;s okay to say &#39;I don&#39;t know yet&#39; or give your top 1-3 destinations" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" 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"/>&#13;
		<field type="date" 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"/>&#13;
		<field type="radio-group" label="Are your dates flexible?&amp;nbsp;" name="are-your-dates-flexible-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How many total nights would you like to travel?" name="how-many-total-nights-would-you-like-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Which airport(s) will you be flying from? You can list your top 1–2 preferences." name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many total rooms?" name="text-1724611677836" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Where are you in the planning process?&amp;nbsp;" name="where-are-you-in-the-planning-process-">&#13;
			<option label="Just getting started." value="just-getting-started">Just getting started.</option>&#13;
			<option label="I've done some research." value="ive-done-some-research">I've done some research.</option>&#13;
			<option label="I know what I want, I just need help finalizing the details." value="i-know-what-i-want-i-just-need-help-finalizing-the-details">I know what I want, I just need help finalizing the details.</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option>&#13;
			<option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option>&#13;
			<option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option>&#13;
			<option label="$15,000 to $30,000" value="15000-to-30000">$15,000 to $30,000</option>&#13;
			<option label="$30,000+" value="30000">$30,000+</option>&#13;
		</field>&#13;
		<field type="text" label="If you have an exact budget in mind, please share it!&amp;nbsp;" name="if-you-have-an-exact-budget-in-mind-please-share-it-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What options best describe your travel priorities?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="LGBTQ+ " value="lgbtq-">LGBTQ+ </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Mountain and hiking" value="mountain-and-hiking">Mountain and hiking</option>&#13;
			<option label="Local tours" value="local-tours">Local tours</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are you celebrating a special occasion?" name="are-you-celebrating-a-special-occasion" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What else would you like me to know?" description="Medical issues  dietary restrictions  allergies  additional requests  etc" name="what-else-would-you-like-me-to-know" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are the passports of everyone traveling valid &amp;amp; not expiring for at least 6 months prior to your return?&amp;nbsp;" name="are-the-passports-of-everyone-traveling-valid-not-expiring-for-at-least-6-months-prior-to-your-return-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, we are taking care of it already" value="no-we-are-taking-care-of-it-already">No, we are taking care of it already</option>&#13;
			<option label="No, I will get on it now" value="no-i-will-get-on-it-now">No, I will get on it now</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Acknowledgements&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans. Do you agree and understand that your proposal may come as one packaged rate and itemized pricing will not be available? **"/>&#13;
		<field type="checkbox-group" required="true" label="I understand" name="i-understand">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Please note that a planning fee may apply for the creation of your personalized itinerary. You’ll be informed of the approximate fee upfront before moving forward with your vacation planning.**"/>&#13;
		<field type="checkbox-group" required="true" label="I understand and agree" name="i-understand-and-agree">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="Terms &amp;amp; Conditions" placeholder="https://www.novavacations.com/terms-privacy" name="terms-conditions" value="https://www.novavacations.com/terms-privacy" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="I have read and agree to the terms and conditions outlined by Nova Vacations (link above)." name="i-have-read-and-agree-to-the-terms-and-conditions-outlined-by-nova-vacations">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>