Share your information with Anthology Travel Group

Anthology Travel Group

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		<field type="header" subtype="h2" label="Anthology Travel Group"/>&#13;
		<field type="paragraph" subtype="p" label="Welcome to ATG. Please click below to submit your trip inquiry. We look forward to working together."/>&#13;
		<field type="text" required="true" label="First name" placeholder="Enter your name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" placeholder="Enter your name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email address" placeholder="Enter your email address" name="email" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What destination(s) are you considering? What are you envisioning for your trip? Who is traveling with you?" placeholder="Enter your answer" name="trip-destination-description" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Do you have an estimated date range or a confirmed date range? Please include departure day of travel for airfare." name="date-flexibility">&#13;
			<option label="My dates are confirmed, please see below." value="confirmed">My dates are confirmed, please see below.</option>&#13;
			<option label="I have flexible dates. My estimated range is below." value="flexible">I have flexible dates. My estimated range is below.</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Date Range" placeholder="Enter date range" name="date-range" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Which ATG Advisor would you like to work with? You may select Match Me." name="preferred-advisor">&#13;
			<option label="Courtney Mesmer" value="courtney-mesmer">Courtney Mesmer</option>&#13;
			<option label="Kate Sullivan and Madeline Steuber" value="kate-sullivan-madeline-steuber">Kate Sullivan and Madeline Steuber</option>&#13;
			<option label="Nikita Rood" value="nikita-rood">Nikita Rood</option>&#13;
			<option label="Laura Sullivan" value="laura-sullivan">Laura Sullivan</option>&#13;
			<option label="Rachel Soleil Lerch" value="rachel-soleil-lerch">Rachel Soleil Lerch</option>&#13;
			<option label="Sarah Small" value="sarah-small">Sarah Small</option>&#13;
			<option label="Unsure: Match Me" value="unsure-match-me">Unsure: Match Me</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Priorities: What matters most for this specific trip? [select all that apply]" name="trip-priorities">&#13;
			<option label="Unique experiences" value="unique-experiences">Unique experiences</option>&#13;
			<option label="Food and culture" value="food-culture">Food and culture</option>&#13;
			<option label="Nature/outdoor experiences" value="nature-outdoor-experiences">Nature/outdoor experiences</option>&#13;
			<option label="Pacing" value="pacing">Pacing</option>&#13;
			<option label="Celebration/milestone" value="celebration-milestone">Celebration/milestone</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your travel investment for all travelers, excluding international airfare?" name="travel-budget">&#13;
			<option label="$15,000-$20,000" value="1500020000">$15,000-$20,000</option>&#13;
			<option label="$20,000-$25,000" value="20000-25000">$20,000-$25,000</option>&#13;
			<option label="$25,000-$35,000" value="25000-35000">$25,000-$35,000</option>&#13;
			<option label="$35,000-$45,000" value="35000-45000">$35,000-$45,000</option>&#13;
			<option label="$45,000-$55,000" value="45000-55000">$45,000-$55,000</option>&#13;
			<option label="$55,000-$75,000" value="55000-75000">$55,000-$75,000</option>&#13;
			<option label="$75,000-$100,000" value="75000-100000">$75,000-$100,000</option>&#13;
			<option label="$100,000+" value="100000-plus">$100,000+</option>&#13;
			<option label="Unsure : A hotel is just a place to sleep " value="unsure-a-hotel-is-just-a-place-to-sleep-">Unsure : A hotel is just a place to sleep </option>&#13;
			<option label="Unsure : 4 Star hotels — Please advise me " value="unsure-4-star-hotels-please-advise-me-">Unsure : 4 Star hotels — Please advise me </option>&#13;
			<option label="Unsure : 5 Star hotels — Please advise me " value="unsure-5-star-hotels-please-advise-me-">Unsure : 5 Star hotels — Please advise me </option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Our custom trip design fees begin at $150 per day of travel and are based on scope and complexity. Our veteran advisors bill at $250 per day of travel. Fees will be discussed before any planning begins. More information about our fees can be found here: https://www.anthologytravel.com/services"/>&#13;
		<field type="checkbox-group" required="true" label="Planning Fees" name="fee-understanding">&#13;
			<option label="I understand and am comfortable proceeding." value="understand-proceed">I understand and am comfortable proceeding.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Will you need assistance with airfare?" name="airfare-assistance">&#13;
			<option label="No, I will be booking with miles or points." value="booking-with-miles-points">No, I will be booking with miles or points.</option>&#13;
			<option label="Yes, please advise." value="yes-please-advise">Yes, please advise.</option>&#13;
		</field>&#13;
		<field type="text" label="Who can we thank for referring you?" placeholder="Enter your answer" name="referral-source" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Before we proceed, please note: (1) Passports must be valid for at least 6 months beyond your return date; (2) Travelers are responsible for meeting all entry requirements; (3) We do not service bookings without accommodation booked through ATG; Airbnb bookings are not part of our service suite."/>&#13;
		<field type="checkbox-group" required="true" label="Entry requirements:" name="service-understanding">&#13;
			<option label="I understand and am comfortable proceeding." value="understand-proceed">I understand and am comfortable proceeding.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Can we subscribe you to our newsletter?" name="newsletter-subscription">&#13;
			<option label="No, thank you." value="no-thank-you">No, thank you.</option>&#13;
			<option label="Yes, I’d love to receive the ATG take on hotels, destinations, and more." value="yes-subscribe">Yes, I’d love to receive the ATG take on hotels, destinations, and more.</option>&#13;
		</field>&#13;
	</fields>&#13;
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