<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Thank you for considering Adrenaline-HQ Travel for your vacation! Please take a moment to review the questions and complete only those relevant to your travel plans. Completing this form will give us valuable insight into how we can tailor our services to meet your needs."/> <field type="paragraph" subtype="p"/> <field type="header" subtype="h1" label="Client 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" 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="text" required="true" label="Birthday Month" name="birthday-month" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would you like to receive exclusive travel content delivered to your inbox?" name="would-you-like-to-receive-exclusive-travel-content-delivered-to-your-inbox"> <option label="Yes! Hook me up" value="yes-hook-me-up">Yes! Hook me up</option> <option label="Nah, I'm good!" value="nah-im-good">Nah, I'm good!</option> </field> <field type="radio-group" required="true" label="How did you hear about Adrenaline-HQ Travel?" name="how-did-you-hear-about-adrenalinehq-travel" other="true"> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Google" value="google">Google</option> </field> <field type="header" subtype="h1" label="About your trip"/> <field type="textarea" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="date-1674716502806" className="form-control"/> <field type="text" required="true" label="What is your departure city/Airport Code?&nbsp; Ex: JFK&nbsp;" placeholder="Please tell us the airport code Ex: JFK LGA" name="what-is-your-departure-city-" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Are you celebrating a special occasion?&nbsp; Please provide the occasion.&nbsp; Or enter NA&nbsp;" name="what-are-you-celebrating" className="form-control"/> <field type="radio-group" required="true" label="How many people are traveling?" name="what-is-your-budget-per-person"> <option label="1 Person" value="1-person">1 Person</option> <option label="2 People" value="2-people">2 People</option> <option label="Couple" value="couple">Couple</option> <option label="3-6 People" value="36-people">3-6 People</option> <option label="6-9 People" value="69-people">6-9 People</option> <option label="10 or more People" value="10-or-more-people">10 or more People</option> </field> <field type="radio-group" required="true" label="What is your budget Per Person?" name="radio-group-1722314475186"> <option label="$3000 - $5000" value="3000-5000">$3000 - $5000</option> <option label="$5000 - $7500" value="5000-7500">$5000 - $7500</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="radio-group" required="true" label="What type of payment plan would you like?" name="radio-group-1722313700867"> <option label="Pay in full" value="pay-in-full">Pay in full</option> <option label="Monthly Payments" value="monthly-payments">Monthly Payments</option> <option label="financing" value="financing">financing</option> </field> <field type="radio-group" label="&nbsp;What star rating do you prefer for your hotel/resort stay?&nbsp; Answer ONLY if you are booking a hotel/resort." name="-what-best-describes-your-desired-accommodation-style"> <option label="3.5 " value="35-">3.5 </option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> </field> <field type="radio-group" label="What type of resort are you looking for? Answer ONLY if you are booking a resort." name="radio-group-1722312797628"> <option label="Adult-Only" value="adultonly">Adult-Only</option> <option label="Family/Kid - Friendly" value="familykid-friendly">Family/Kid - Friendly</option> <option label="Couples" value="couples">Couples</option> <option label="LGBTQ+ Friendly" value="lgbtq-friendly">LGBTQ+ Friendly</option> </field> <field type="radio-group" label="&nbsp;Which bed size do you prefer?&nbsp; Answer ONLY if you are booking a Hotel or Resort" name="radio-group-1674717283438"> <option label="Single/Twin Bed" value="singletwin-bed">Single/Twin Bed</option> <option label="Double Beds" value="double-beds">Double Beds</option> <option label="Queen Beds" value="queen-beds">Queen Beds</option> <option label="King Bed" value="king-bed">King Bed</option> </field> <field type="header" subtype="h1" label="Cruise"/> <field type="radio-group" label="&nbsp;Where would you like to sail?&nbsp; Answer ONLY if you are booking a cruise" name="radio-group-1722313091876" other="true"> <option label="Caribbean/Bahamas" value="caribbeanbahamas">Caribbean/Bahamas</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Europe" value="europe">Europe</option> </field> <field type="radio-group" label="&nbsp;Cabin Preference?&nbsp; Answer ONLY if you are booking a cruise" name="radio-group-1722313258997"> <option label="Inside" value="inside">Inside</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="What kind of vibe are you looking for?" name="what-options-best-describe-your-travel-priorities"> <option label="Adventure/Active" value="adventureactive">Adventure/Active</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Cultural Activities" value="cultural-activities">Cultural Activities</option> <option label="Food/Wine" value="foodwine">Food/Wine</option> <option label="Rest/Relaxation" value="restrelaxation">Rest/Relaxation</option> </field> <field type="textarea" label="Is there anything else that you “must do” or see?" name="is-there-anything-else-that-you-must-do-or-see" className="form-control"/> <field type="textarea" label="What else would you like me to know about your vacation?" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation" className="form-control"/> <field type="header" subtype="h3" label="Travel Planning Fee Structure"/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="Individual Travelers: $250 per person. This covers a consultation and detailed, personal planning—customized itineraries and hand-picked activities just for you. You’ll receive up to 3 options to choose from."/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="Groups: (10+ people): $2,000 base fee for 10 people - $100 per person for each additional up to 20 people - Tiered rates for larger groups - This covers a consultation and detailed planning—customized itineraries and hand-picked activities for your group."/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="Turnaround Time: You'll receive your itinerary options within 3-7 days. For more complex trips, it may take a bit longer.&nbsp;"/> <field type="radio-group" required="true" label="I am aware of the research fee and agree to pay it if I decide to move forward with the quoting process." name="i-am-aware-of-the-research-fee-and-agree-to-pay-it-if-i-decide-to-move-forward-with-the-quoting-process"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
SUBMIT
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Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
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Garuda (Frequent Flyer)
TripAdvisor
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Cosmopolitan Hotels (Identity)
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RIU Hotels & Resorts (RIU Class)
Easyjet
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