<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Your Contact Information"/> <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="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <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="Zip" name="address-zip" 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="Economy" value="economy">Economy</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 hotel 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" value="lifestyle">Lifestyle</option> <option label="Boutique" value="boutique">Boutique</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="checkbox-group" required="true" label="I understand that Global Travel Moments charges a planning fee for most services and have reviewed the "How we do it page" of the website." name="i-understand-that-global-travel-moments-charges-a-planning-fee-for-most-services-and-have-reviewed-the-how-we-do-it-page-of-the-website"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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