<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Travel Request Form"/> <field type="paragraph" subtype="p" label="Thank you for contacting us to start your travel planning. We provide agent support before and during our client's trip. We will advise on travel alerts, itinerary changes due to weather or other circumstances. We manage the itinerary, payments, changes or cancellation request. We research preferred supplies to ensure our clients receive the best rates. We offer stress-free travel planning. Our Travel Advisors are very knowledgeable. We can provide a customized special touch if the supplier can accommodate. Our goal is to plan a Pleasant Escape for all clients."/> <field type="header" subtype="h2" label="Lead Passenger 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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" label="Lead Passenger Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h1" label="Passenger Information"/> <field type="text" label="Passenger First, Middle, Last name" name="passenger-first-middle-last-name" subtype="text" className="form-control"/> <field type="text" label="Passenger Date of Birth (MMDDYY)" name="passenger-date-of-birth-mmddyy" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Passengers"/> <field type="textarea" label="Additional Passengers &amp; Date of Birth (MMDDYY)" name="additional-passengers-date-of-birth-mmddyy" className="form-control"/> <field type="radio-group" label="Text message ok?" name="text-message-ok"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="Please submit all request and communication through email.&nbsp; &nbsp;We will text to ask a quick question or if the Travel Client is not responding to email, but method of communication is preferred by email or phone call.&nbsp;&nbsp;"/> <field type="text" label="Best time to call?" name="best-time-to-call-in-the-evening" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <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"/> <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"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Airline preference?" name="airline-preference" subtype="text" className="form-control"/> <field type="text" label="What is your departure city or cities&nbsp;" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="radio-group" label="Airline ticket preference?" name="airline-ticket-preference-"> <option label="Basic Economy " value="basic-economy-">Basic Economy </option> <option label="Economy " value="economy-">Economy </option> <option label="Main Cabin" value="main-cabin">Main Cabin</option> <option label="First Class" value="first-class">First Class</option> <option label="Business Class" value="business-class">Business Class</option> </field> <field type="text" label="How many travelers?" name="how-many-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="Airplane seat preference?" name="airplane-seat-preference-"> <option label="Aisle " value="aisle-">Aisle </option> <option label="Middle " value="middle-">Middle </option> <option label="Window" value="window">Window</option> </field> <field type="radio-group" label="What is your budget for all travelers per person?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$100 to $1,500" value="100-to-1500">$100 to $1,500</option> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="text" label="You can enter a budget per person&nbsp;" name="you-can-enter-a-budget-per-person-" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" 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="radio-group" label="Vacation Package Type" name="vacation-package-tyoe"> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="All-Inclusive Caribbean " value="allinclusive-caribbean-">All-Inclusive Caribbean </option> <option label="Girlfriend's Trip" value="girlfriends-trip">Girlfriend's Trip</option> <option label="Group Travel" value="group-travel">Group Travel</option> <option label="Essence Music Festival" value="essence-music-festival">Essence Music Festival</option> <option label="Airfare " value="airfare-">Airfare </option> <option label="Hotel & Airfare" value="hotel-airfare">Hotel & Airfare</option> <option label="Solo Travel" value="solo-travel">Solo Travel</option> <option label="Spa Self-care " value="spa-selfcare-">Spa Self-care </option> <option label="Couples Travel" value="couples-travel">Couples Travel</option> <option label="Fit Travel" value="fit-travel">Fit Travel</option> <option label="Guided Tour Travel" value="guided-tour-travel">Guided Tour Travel</option> <option label="Africa travel " value="africa-travel-">Africa travel </option> <option label="Cruise" value="cruise">Cruise</option> <option label="Europe " value="europe-">Europe </option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="radio-group" label="Europe multi destination?" name="europe-multi-destination"> <option label="1 to 3 locations" value="1-to-3-locations">1 to 3 locations</option> <option label="1 to 5 locations" value="1-to-5-locations">1 to 5 locations</option> </field> <field type="textarea" label="Europe multi destinations, please add dates for each location.&nbsp;" name="european-multi-destinations-please-add-dates-locations-for-each-location-" className="form-control"/> <field type="textarea" label="Continue multiple Europe destinations information." name="continue-multiple-europe-destinations-information-" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference"> <option label="Economy " value="economy-">Economy </option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury " value="luxury-">Luxury </option> <option label="Boutique" value="boutique">Boutique</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Hotel preference&nbsp;" name="hotel" subtype="text" className="form-control"/> <field type="radio-group" label="How many rooms are needed?" name="how-many-rooms-are-needed"> <option label="1 to 5" value="1-to-5">1 to 5</option> <option label="5 to 9" value="5-to-9">5 to 9</option> <option label="10 or more" value="10-or-more">10 or more</option> </field> <field type="text" label="Number of rooms required" name="number-of-rooms-required" subtype="text" className="form-control"/> <field type="radio-group" label="How many people per room" name="how-many-people-per-room"> <option label="Single Occupancy " value="single-occupancy-">Single Occupancy </option> <option label="Double Occupancy " value="double-occupancy-">Double Occupancy </option> <option label="Triple Occupancy " value="triple-occupancy-">Triple Occupancy </option> <option label="Quad Occupancy " value="quad-occupancy-">Quad Occupancy </option> </field> <field type="radio-group" label="Hotel room type" name="hotel-room-type"> <option label="Standard Two Queens" value="standard-two-queens">Standard Two Queens</option> <option label="Standard King" value="standard-king">Standard King</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="What kind of vibe are you looking for?" name="what-kind-of-vibe-are-you-looking-for"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation " value="rest-and-relaxation-">Rest and relaxation </option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture " value="local-culture-">Local culture </option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="Warm tropical " value="warm-tropical-">Warm tropical </option> <option label="Winter vacation" value="winter-vacation">Winter vacation</option> </field> <field type="radio-group" label="Would you like excursions included in the quote?" name="would-you-like-excursions-included-in-the-quote"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Separate quote" value="separate-quote">Separate quote</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="radio-group" label="Would you like Travel Insurance?" name="would-you-like-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="More details " value="more-details-">More details </option> </field> <field type="text" label="Would you like information about the Uplift Payment option?" name="would-you-like-information-about-the-uplift-payment-option" subtype="text" className="form-control"/> <field type="text" label="Do you and everyone in your party have valid Passports?" name="do-you-have-a-passport" subtype="text" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="radio-group" label="Vaccination status" name="vaccination-status"> <option label="All Guest Vaccinated" value="all-guest-vaccinated">All Guest Vaccinated</option> <option label="All Guest Unvaccinated" value="all-guest-unvaccinated">All Guest Unvaccinated</option> </field> <field type="text" label="Additional vaccination details&nbsp;" name="additional-vaccination-details-" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Travel Client Information"/> <field type="paragraph" subtype="p" label="A professional fee of $35 is due prior to researching and preparing a new quote proposal. The fee will cover up to 1 to 10 Travelers in your party. This is a one-time fee. For groups of 11 or more the fee is $65.00. Please review our policy above or the website. Payment will be charged via our host agency (Nexion). The quote fee includes up to 6 proposals. For any additional proposals after 6, we charge an additional $25.00. Please allow 3 to 5 business day for quote proposals to be emailed through our client portal Traveljoy/ Pleasant Escape Travel. If the demand is high for your destination, quotes can take up to 10 days.&nbsp;"/> <field type="text" label="A valid Passport or Government Issues ID&nbsp;" name="a-valid-passport-or-government-issues-id-" value="A valid Passport or Government Issues ID is required to verify cardholders." subtype="text" className="form-control"/> <field type="file" required="true" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/> </fields> </form-template> </body> </html>
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