<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Plan Your Next Adventure with Global Travel Moments"/> <field type="header" subtype="h2" label="Full name"/> <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" 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="radio-group" label="Pronouns" name="pronouns"> <option label="She/Her/Hers" value="sheherhers">She/Her/Hers</option> <option label="He/Him/His" value="hehimhis">He/Him/His</option> <option label="They/Them/Theirs" value="theythemtheirs">They/Them/Theirs</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h2" label="Address"/> <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="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Which best describes how you like to receive information?" name="radio-group-1657791623500"> <option label="An email with bullet points and action items. Let me know exactly what you need at each step." value="an-email-with-bullet-points-and-action-items-let-me-know-exactly-what-you-need-at-each-step">An email with bullet points and action items. Let me know exactly what you need at each step.</option> <option label="A phone call is always welcome. The more we know each other the better trip we can create." value="a-phone-call-is-always-welcome-the-more-we-know-each-other-the-better-trip-we-can-create">A phone call is always welcome. The more we know each other the better trip we can create.</option> <option label="Text me the items you need a specific response to, otherwise, I trust you know what you’re doing." value="text-me-the-items-you-need-a-specific-response-to-otherwise-i-trust-you-know-what-youre-doing">Text me the items you need a specific response to, otherwise, I trust you know what you’re doing.</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Instagram" placeholder="Example @globaltravelmoments" name="instagram" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Your Travel Style &amp; Preferences"/> <field type="radio-group" required="true" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before"> <option label="Yes!" value="yes">Yes!</option> <option label="No, this will be the first time" value="no-this-will-be-the-first-time">No, this will be the first time</option> </field> <field type="text" required="true" label="What destination(s) do you have in mind? (It's okay to say "I don't know yet!" or "We're open to suggestions!"" description="If you're not sure just give me a few destinations you're considering." placeholder="For example: Bali Indonesia Thailand or South Africa" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your preferred travel dates? Are your travel dates flexible?" placeholder="For example: "December 2022" or April 3-15 2023" or "We can travel anytime from July onward"" name="what-are-your-preferred-travel-dates-are-your-travel-dates-flexible" subtype="text" className="form-control"/> <field type="text" required="true" label="How many total nights would you like to travel?" placeholder="For example: 10 nights" name="text-1657791958379" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Names and relationships of each traveler (for children, please include ages)" placeholder="Jason (husband/fiance/partner/etc) Julie (daughter 17yo) Paul (son - 7yo)" name="names-and-relationships-of-each-traveler-for-children-please-include-ages" className="form-control"/> <field type="radio-group" required="true" label="How much to you plan to invest on this travel experience? This total investment does not include airfare!" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="up to 9999" value="up-to-9999">up to 9999</option> <option label="10000 to 14999" value="10000-to-14999">10000 to 14999</option> <option label="15000 to 19999" value="15000-to-19999">15000 to 19999</option> <option label="20000+" value="20000">20000+</option> <option label="Other Amount" value="other-amount">Other Amount</option> </field> <field type="radio-group" required="true" label="What class of service would you like us to quote for airfare if available?" description="Please note airfare may not always be an option we can provide" name="what-class-of-service-would-you-like-us-to-quote-for-airfare"> <option label="I've already booked my flights" value="ive-already-booked-my-flights">I've already booked my flights</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> <option label="Private Jet" value="private-jet">Private Jet</option> <option label="Other" value="other">Other</option> </field> <field type="text" required="true" label="What airport will you be departing from?" description="Where will you be flying from?" placeholder="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your accommodation preference?" name="hotel-preference" other="true"> <option label="Upscale (4*)" value="upscale-4">Upscale (4*)</option> <option label="Luxury (5*)" value="luxury-5">Luxury (5*)</option> <option label="Lifestyle & Boutique" value="lifestyle-boutique">Lifestyle & Boutique</option> <option label="Private Villa" value="private-villa">Private Villa</option> </field> <field type="text" label="Describe a favourite hotel and why you love it." name="describe-a-favourite-hotel-and-why-you-love-it" subtype="text" className="form-control"/> <field type="text" required="true" label="What didn't you like or what disappointed you about your last trip?" name="what-didnt-you-like-or-what-disappointed-you-about-your-last-trip" subtype="text" className="form-control"/> <field type="checkbox-group" label="What kind of vibe are you looking for when you travel?" description="Check all that apply." name="vibe-preference" other="true"> <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-wine">Food and wine</option> </field> <field type="checkbox-group" required="true" label="How often do you travel for pleasure?" name="how-often-do-you-travel-for-pleasure" other="true"> <option label="Once every 1-3 years to celebrate big occasions" value="once-every-13-years-to-celebrate-big-occasions">Once every 1-3 years to celebrate big occasions</option> <option label="One international trip per year plus some domestic getaways" value="one-international-trip-per-year-plus-some-domestic-getaways">One international trip per year plus some domestic getaways</option> <option label="2-3 international trips per year plus some domestic getaways" value="23-international-trips-per-year-plus-some-domestic-getaways">2-3 international trips per year plus some domestic getaways</option> <option label="Big trips, small trips, we travel as often as possible" value="big-trips-small-trips-we-travel-as-often-as-possible">Big trips, small trips, we travel as often as possible</option> </field> <field type="textarea" label="In addition to this trip, what trips and/or destinations are at the top of your priority list for the next 3-5 years?&nbsp;" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="textarea" label="Is there anything else I should know?" name="is-there-anything-else-i-should-know" className="form-control"/> <field type="text" required="true" label="How did you hear about Global Travel Moments?" name="how-did-you-hear-about-global-travel-moments" subtype="text" className="form-control"/> <field type="checkbox-group" label="Would you like to receive Global Travel Moments Travel Newsletter?" name="would-you-like-to-receive-global-travel-moments-travel-newsletter"> <option label="Yes, please" value="yes-please">Yes, please</option> <option label="No, thank you" value="no-thank-you">No, thank you</option> </field> <field type="header" subtype="h3" label="ACKNOWLEDGEMENT OF SERVICE&nbsp;"/> <field type="checkbox-group" required="true" label="For all travel planning services, except for hotel-only bookings where you already have your accommodations and dates confirmed, we charge a research and trip design fee. During our complimentary discovery call, we’ll explore your travel goals and provide a clear breakdown of any applicable fees related to your trip planning." name="for-all-travel-planning-services-except-for-hotelonly-bookings-where-you-already-have-your-accommodations-and-dates-confirmed-we-charge-a-trip-design-fee-during-our-complimentary-discovery-call-well-explore-your-travel-goals-and-provide-a-clear-breakdown-of-any-applicable-fees-related-to-your-trip-planning"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> <field type="checkbox-group" required="true" label="Please be aware that some of our proposals come from suppliers who offer bundled pricing without itemizing each component. This approach safeguards our trusted partners' confidential rates with local vendors and provides a comprehensive view of your travel package. Do you acknowledge and agree that your proposal may reflect a packaged rate, and detailed itemized pricing may not be available?" name="please-be-aware-that-some-of-our-proposals-come-from-suppliers-who-offer-bundled-pricing-without-itemizing-each-component-this-approach-safeguards-our-trusted-partners-confidential-rates-with-local-vendors-and-provides-a-comprehensive-view-of-your-travel-package-do-you-acknowledge-and-agree-that-your-proposal-may-reflect-a-packaged-rate-and-detailed-itemized-pricing-may-not-be-available"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> <field type="checkbox-group" required="true" label="By proceeding with travel arrangements, I confirm that I have read and accept the Booking Terms outlined at www.globaltravelmoments.com." name="by-proceeding-with-travel-arrangements-i-confirm-that-i-have-read-and-accept-the-terms-and-conditions-outlined-on-the-global-travel-moments-website-at-wwwglobaltravelmomentscom"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> </fields> </form-template> </body> </html>
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