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Stacey Wharton
Sioux Empire Travel
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="A Decade in Bloom: Avalon Tulip Time Cruise Inquiry"/> <field type="header" subtype="h3" label="AVALON PANORAMA"/> <field type="paragraph" subtype="p" label="Tulip Time River Cruise | April 3-10, 2027 | 8 Days / 7 Nights Amsterdam | Rotterdam | Antwerp | Ghent | Middelburg | Veere | Willemstad | Amsterdam&nbsp;"/> <field type="paragraph" subtype="p" label="Thank you for your interest in joining Stacey and Tyson as Sioux Empire Travel celebrates 10 years! We will be sailing aboard Avalon Panorama on a beautiful Tulip Time river cruise through Holland and Belgium, departing April 3, 2027. Complete this short form so I can learn more about your travel plans and send the cabin options and information most relevant to you. Submitting this form does not secure a reservation or guarantee pricing or availability."/> <field type="header" subtype="h3" label="CONTACT AND TRAVELER 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" subtype="email" required="true" label="Email address" name="email" className="form-control"/> <field type="text" subtype="tel" required="true" label="Mobile phone number" name="phone-number" className="form-control"/> <field type="radio-group" required="true" label="Preferred method of communication" name="preferred-method-of-communication" className="radio-group"> <option label="Email" value="email">Email</option> <option label="Phone call" value="phone_call">Phone call</option> <option label="Text message" value="text_message">Text message</option> </field> <field type="text" required="true" label="How many adults will be traveling?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Will any travelers be under age 18 at the time of sailing?" name="travelers-under-18" className="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If yes, please list each child's age at the time of sailing." description="Show only if previous answer is Yes" name="children-ages" className="form-control"/> <field type="text" label="Who will be sharing your cabin?" description="Optional at inquiry stage" name="cabin-sharing" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="CURRENT LEVEL OF INTEREST"/> <field type="radio-group" required="true" label="Which best describes where you are in the process?" name="interest-level" className="radio-group"> <option label="I am ready to secure my cabin" value="ready">I am ready to secure my cabin</option> <option label="I am seriously interested and want to review cabin options" value="serious">I am seriously interested and want to review cabin options</option> <option label="I am gathering information" value="information">I am gathering information</option> </field> <field type="radio-group" required="true" label="When would you ideally like to make a decision?" name="decision-timeline" className="radio-group"> <option label="As soon as possible" value="asap">As soon as possible</option> <option label="Within 1-2 weeks" value="1-2_weeks">Within 1-2 weeks</option> <option label="Within a month" value="month">Within a month</option> <option label="I am not sure yet" value="not_sure">I am not sure yet</option> </field> <field type="radio-group" required="true" label="Are you interested in a Panorama Suite starting at $7,050 per person based on double occupancy?" name="panorama-suite-interest" className="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="Maybe" value="maybe">Maybe</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="What cabin arrangement are you considering?" name="cabin-arrangement" className="radio-group"> <option label="Double occupancy" value="double">Double occupancy</option> <option label="Single occupancy" value="single">Single occupancy</option> <option label="More than one cabin" value="multiple">More than one cabin</option> <option label="Not sure" value="not_sure">Not sure</option> </field> <field type="checkbox-group" label="What is most important to you when choosing a cabin?" name="cabin-priorities" other="true" className="checkbox-group"> <option label="Price" value="price">Price</option> <option label="Deck location" value="deck">Deck location</option> <option label="View" value="view">View</option> <option label="Space" value="space">Space</option> <option label="Proximity to traveling companions" value="proximity">Proximity to traveling companions</option> <option label="I need guidance" value="guidance">I need guidance</option> </field> <field type="textarea" label="What questions can I answer for you?" description="Optional" name="questions-for-advisor" className="form-control"/> <field type="header" subtype="h3" label="FLIGHTS AND ADDITIONAL TRAVEL"/> <field type="paragraph" subtype="p" label="Use conditional questions so travelers only see the sections that apply to them."/> <field type="header" subtype="h1" label="Flight Planning"/> <field type="radio-group" required="true" label="Would you like help arranging your flights?" name="flight-assistance" className="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not sure" value="not_sure">Not sure</option> </field> <field type="text" label="If yes or not sure, which airport or city will you be flying from?" description="Show conditionally" name="departure-airport-city" subtype="text" className="form-control"/> <field type="textarea" label="Do you have an airline preference, loyalty status, points, or seating needs I should know about?" description="Show conditionally; optional" name="airline-preferences-details" className="form-control"/> <field type="checkbox-group" label="What cabin class would you like me to consider?" name="cabin-class" className="checkbox-group"> <option label="Main Cabin" value="main_cabin">Main Cabin</option> <option label="Premium Economy" value="premium_economy">Premium Economy</option> <option label="Business Class" value="business_class">Business Class</option> <option label="Show me the best options" value="best_options">Show me the best options</option> </field> <field type="header" subtype="h1" label="Pre- and Post-Cruise Planning"/> <field type="radio-group" required="true" label="Would you like help planning time in Europe before or after the cruise?" name="pre-post-cruise-planning" className="radio-group"> <option label="Yes, before" value="before">Yes, before</option> <option label="Yes, after" value="after">Yes, after</option> <option label="Yes, both" value="both">Yes, both</option> <option label="No" value="no">No</option> <option label="I am not sure" value="not_sure">I am not sure</option> </field> <field type="text" label="How many additional nights are you considering?" description="Show if any Yes or Not sure" name="additional-nights" subtype="text" className="form-control"/> <field type="textarea" label="Are there destinations or experiences you already have in mind?" description="Show conditionally" name="additional-destinations-experiences" className="form-control"/> <field type="checkbox-group" label="What style of pre- or post-cruise experience interests you?" name="pre-post-experience-style" className="checkbox-group"> <option label="Independent stay" value="independent_stay">Independent stay</option> <option label="Guided sightseeing" value="guided_sightseeing">Guided sightseeing</option> <option label="Private tours" value="private_tours">Private tours</option> <option label="Rail itinerary" value="rail">Rail itinerary</option> <option label="Luxury experience" value="luxury">Luxury experience</option> <option label="I need recommendations" value="recommendations">I need recommendations</option> </field> <field type="header" subtype="h3" label="TRAVEL PREFERENCES"/> <field type="radio-group" required="true" label="Have you taken a river cruise before?" name="river-cruise-experience" className="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Do you have any mobility considerations or accessibility needs that may affect cabin or excursion recommendations?" description="Optional but recommended" name="mobility-accessibility-needs" className="form-control"/> <field type="textarea" label="Please share any dietary restrictions, allergies, or other important travel needs." description="Optional but recommended" name="dietary-allergies-special-needs" className="form-control"/> <field type="radio-group" required="true" label="Are you interested in receiving information about travel protection?" name="travel-protection-interest" className="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I have questions" value="questions">I have questions</option> </field> <field type="radio-group" label="How did you hear about this sailing?" name="referral-source" other="true" className="radio-group"> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Email" value="email">Email</option> <option label="Friend or family referral" value="friend_family">Friend or family referral</option> <option label="Existing client" value="existing_client">Existing client</option> </field> <field type="textarea" label="Is there anyone else you may be inviting to join the sailing?" description="Optional; helps identify potential linked bookings" name="inviting-others" className="form-control"/> <field type="header" subtype="h3" label="SERVICE FEES AND ACKNOWLEDGMENTS"/> <field type="paragraph" subtype="p" label="Cruise-only reservation Planning fee waive |&nbsp; Flight assistance $50 per adult | Pre- or post-cruise experience planning $100 per adult"/> <field type="checkbox-group" required="true" label="I have read and agree to the planning-fee terms listed above." name="agree-planning-fee-terms" className="checkbox-group"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> </field> <field type="paragraph" subtype="p" label="I understand that the planning fee is waived when booking the cruise only. If I request flight assistance, a $50 per adult planning fee will apply. If I request help planning pre- or post-cruise experiences, a $100 per adult planning fee will apply. Applicable planning fees must be paid before research or planning services begin."/> <field type="checkbox-group" required="true" label="I understand and acknowledge the pricing and availability terms." name="acknowledge-pricing-availability" className="checkbox-group"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> </field> <field type="paragraph" subtype="p" label="I understand that submitting this inquiry form does not hold a cabin. Pricing and availability are subject to change until a reservation is confirmed with the required deposit. The starting price of $7,050 per person is based on double occupancy, and supplements apply for single cabins. Airfare, travel protection, optional excursions, and additional features are not included unless specifically stated in my quote."/> </fields> </form-template> </body> </html>
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