Kathy Ngo

Accompanie Travel | TICO#50021282

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Tell us about your group travel needs"/>&#13;
		<field type="select" required="true" label="What is the nature of your group?" name="what-is-the-nature-of-your-group" className="form-control">&#13;
			<option label="Corporate" value="corporate">Corporate</option>&#13;
			<option label="Family &amp; Friends" value="family-friends">Family &amp; Friends</option>&#13;
			<option label="Social Group" value="social-group">Social Group</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the estimated number of travellers, including ages of kids (if any)?&amp;nbsp;" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<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: Jamaica" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many nights are you looking to travel?&amp;nbsp;" name="how-many-nights-are-you-looking-to-travel-" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When is the earliest you'd like to depart?&amp;nbsp;" 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"/>&#13;
		<field type="date" label="When is your latest return date?" 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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is the departure city that most of the group is travelling from?" description="Where will you be flying from?" placeholder="ex: Toronto" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your travel budget per person?" placeholder="ex: $2000-$2500" name="what-is-your-budget-per-traveller" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your event budget?" placeholder="IE: for your wedding or corporate event. This is not including the travel portion for each guest." name="what-is-your-event-budget" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="All inclusive" value="all-inclusive">All inclusive</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<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?" placeholder="If you've done prior research for your trip  please share what you've found." name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Contact Details"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="By submitting this form, I understand there are fees in using Accompanie's travel management services. For details of our fees, please visit https://www.accompanie.ca/services. I also agree to receive occasional promotional emails from Accompanie (you can unsubscribe at any time)." name="by-submitting-this-form-i-understand-there-are-fees-in-using-accompanies-travel-management-services-for-details-of-our-fees-please-visit-httpswwwaccompaniecaservices">&#13;
			<option label="I agree" value="i-agree">I agree</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>