<html> <body> <form-template> <fields> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Instagram profile" name="instagram-profile" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="Is this trip to celebrate a special occasion?" description="For example: birthday anniversary honeymoon babymoon etc." name="is-this-trip-to-celebrate-a-special-occasion" subtype="text" className="form-control"/> <field type="text" required="true" label="Who will you be traveling with? How are they related to you? *Please list full names of all those traveling.&nbsp;" name="who-will-you-be-traveling-with-how-are-they-related-to-you" subtype="text" className="form-control"/> <field type="text" label="Does anyone traveling have any allergies or dietary restrictions ?" name="does-anyone-traveling-have-any-allergies-or-dietary-restrictions-" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" 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"/> <field type="date" required="true" label="When would you like to return?" 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"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departing airport?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you need assistance booking airfare? *Keep in mind we only book business and first class tickets" name="are-you-comfortable-booking-your-own-airfare-i-do-not-handle-purchasing-flights-but-i-am-happy-to-advise-"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="checkbox-group" label="What is the investment for this trip (excluding airfare) *Please read question button for assistance." description="Our experience is in Luxury travel and most of our partners are 5 star hotels and experiences. For Europe we need a minimum of $1200 per day for 2 people especially for destinations like Italy and Greece. This is land only which means all logistics on the ground. It does not include airfare or meals." name="checkbox-group-1671227330663"> <option label="Hotel only booking ($750+ per night)" value="hotel-only-booking-750-per-night">Hotel only booking ($750+ per night)</option> <option label="$10,000- $15,000" value="10000-15000">$10,000- $15,000</option> <option label="$15,000- $20,000" value="15000-20000">$15,000- $20,000</option> <option label="$20,000-$25,000" value="20000-25000">$20,000-$25,000</option> <option label="$25,000+" value="25000">$25,000+</option> </field> <field type="textarea" required="true" label="If you could have your dream vacation, what would it look like?" name="if-you-could-have-your-dream-vacation-what-would-it-look-like" className="form-control"/> <field type="text" required="true" label="How did you hear about The Constant Wayfarer?" name="how-did-you-hear-about-the-constant-wayfarer" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to receive our monthly newsletter?" name="would-you-like-to-receive-our-monthly-newsletter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="The Constant Wayfarer acts solely as a booking agent for disclosed principal Suppliers and is not the source or provider of any travel service. Each Supplier is an independent entity with its own management and is not subject to the control of The Constant Wayfarer. For this reason, you will typically see all pricing as bundled rates and not broken out by component. Our partners do not provide component pricing to protect their contracts. This is on a case by case basis as The Constant Wayfarer is not always able to provide /disclose component pricing. Do you agree and understand that you will receive all pricing as a "package rate."" name="the-constant-wayfarer-acts-solely-as-a-booking-agent-for-disclosed-principal-suppliers-and-is-not-the-source-or-provider-of-any-travel-service-each-supplier-is-an-independent-entity-with-its-own-management-and-is-not-subject-to-the-control-of-the-constant-wayfarer-for-this-reason-you-will-typically-see-all-pricing-as-bundled-rates-and-not-broken-out-by-component-our-partners-do-not-provide-component-pricing-to-protect-their-contracts-this-is-on-a-case-by-case-basis-as-the-constant-wayfarer-is-not-always-able-to-provide-disclose-component-pricing-do-you-agree-and-understand-that-you-will-receive-all-pricing-as-a-package-rate"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="checkbox-group" required="true" label="Please note: We charge a non-refundable travel planning fee, starting at $650 for trips over 5 days. Loyal client fee starts at $400. 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