<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="CLIENT INFORMATION"/> <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="Preferred name" name="preferred-name" subtype="text" 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="h1" label="ABOUT YOUR TRIP"/> <field type="select" required="true" label="Select Your Preferred Travel Advisor" name="select-your-preferred-travel-advisor" className="form-control"> <option label="Shelley Rapp - Founder" value="shelley-rapp-founder">Shelley Rapp - Founder</option> <option label="Heather James" value="heather-james">Heather James</option> <option label="Any advisor" value="any-advisor">Any advisor</option> </field> <field type="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city/preferred starting airport?" name="what-is-your-departure-citypreferred-starting-airport" subtype="text" className="form-control"/> <field type="radio-group" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in"> <option label="Just getting started with no details defined" value="just-getting-started-with-no-details-defined">Just getting started with no details defined</option> <option label="We have dates, but we need everything else." value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else.</option> <option label="Flights are all booked...now help us fill in the blanks." value="flights-are-all-bookednow-help-us-fill-in-the-blanks">Flights are all booked...now help us fill in the blanks.</option> <option label="We have hotels and flights already booked." value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked.</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers not including airfare? This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later" other="true"> <option label="$10,000 - $20,000" value="10000-20000">$10,000 - $20,000</option> <option label="$20,000 - $30,000" value="20000-30000">$20,000 - $30,000</option> <option label="$30,000 - $40,000" value="30000-40000">$30,000 - $40,000</option> <option label="$40,000 - $50,000" value="40000-50000">$40,000 - $50,000</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="checkbox-group" label="What travel components would you like us to assist you with? Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (transfers, trains, etc.)" value="transportation-transfers-trains-etc">Transportation (transfers, trains, 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="textarea" required="true" label="Who all will be traveling with you? Please list names and ages of kids." name="who-all-will-be-traveling-with-you-please-list-all-full-names-including-middle-and-birthdates-as-listed-on-passport" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Upon receiving your client form and once we understand the full scope of work, we will quote the design and management fee for your trip request.&nbsp;"/> <field type="paragraph" subtype="p" label="By submitting this client inquiry form, you consent to receive travel related content via email from Rapture Travels."/> </fields> </form-template> </body> </html>
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