<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Start Planning Your Trip!"/> <field type="header" subtype="h1" label="Your 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="header" subtype="h1" 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" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="Your Trip Information"/> <field type="date" 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" 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="header" subtype="h1" label="Travel Information"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs (including TSA PreCheck and GlobalEntry, airlines, hotels, and rental car programs)" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="header" subtype="h1" label="Passport Info"/> <field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/> <field type="header" subtype="h3" label="Please upload a photo above. If you have any issues please email to holly@starmandstravel.com"/> <field type="header" subtype="h1" label="Travel Preferences and Interests"/> <field type="checkbox-group" label="Interests- Cruises" name="checkbox-group-1674150258425"> <option label="Barge" value="barge">Barge</option> <option label="Classic" value="classic">Classic</option> <option label="Expedition" value="expedition">Expedition</option> <option label="Large Ship" value="large-ship">Large Ship</option> <option label="River" value="river">River</option> <option label="Small Ship" value="small-ship">Small Ship</option> </field> <field type="checkbox-group" label="Destinations- Regions" inline="true" name="vibe-preference"> <option label="Africa" value="africa">Africa</option> <option label="Africa-Northern" value="africanorthern">Africa-Northern</option> <option label="Antartica" value="antartica">Antartica</option> <option label="Artic" value="artic">Artic</option> <option label="Asia" value="asia">Asia</option> <option label="Australia" value="australia">Australia</option> <option label="Australia/New Zealand" value="australianew-zealand">Australia/New Zealand</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Central Africa" value="central-africa">Central Africa</option> <option label="Central America" value="central-america">Central America</option> <option label="East Africa" value="east-africa">East Africa</option> <option label="Europe" value="europe">Europe</option> <option label="Europe-Eastern" value="europeeastern">Europe-Eastern</option> <option label="Europe-Western" value="europewestern">Europe-Western</option> <option label="Galapagos Islands" value="galapagos-islands">Galapagos Islands</option> <option label="Latin America" value="latin-america">Latin America</option> <option label="Mediterranean Region" value="mediterranean-region">Mediterranean Region</option> <option label="North Africa" value="north-africa">North Africa</option> <option label="North America" value="north-america">North America</option> <option label="Panama Canal Voyages" value="panama-canal-voyages">Panama Canal Voyages</option> <option label="Polar Regions" value="polar-regions">Polar Regions</option> <option label="Scandinavia" value="scandinavia">Scandinavia</option> <option label="Seychelles/Mauritius/Maldives" value="seychellesmauritiusmaldives">Seychelles/Mauritius/Maldives</option> <option label="South Africa" value="south-africa">South Africa</option> <option label="South America" value="south-america">South America</option> <option label="South East Asia" value="south-east-asia">South East Asia</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="TransAtlantic Voyages" value="transatlantic-voyages">TransAtlantic Voyages</option> <option label="US-New England" value="usnew-england">US-New England</option> <option label="US-Continental" value="uscontinental">US-Continental</option> <option label="US-Southwest" value="ussouthwest">US-Southwest</option> <option label="US-Northwest" value="usnorthwest">US-Northwest</option> <option label="US-Southeast/FL" value="ussoutheastfl">US-Southeast/FL</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="US-West/CA" value="uswestca">US-West/CA</option> <option label="England Scotland Ireland" value="england-scotland-ireland">England Scotland Ireland</option> <option label="World Grand Voyages" value="world-grand-voyages">World Grand Voyages</option> </field> <field type="checkbox-group" label="Destinations- Countries and Cities" inline="true" name="activity-preferences" other="true"> <option label="Alaska" value="alaska">Alaska</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Canada" value="canada">Canada</option> <option label="China" value="china">China</option> <option label="Continental US" value="continental-us">Continental US</option> <option label="Costa Rica" value="costa-rica">Costa Rica</option> <option label="Cuba" value="cuba">Cuba</option> <option label="Egypt" value="egypt">Egypt</option> <option label="France" value="france">France</option> <option label="Germany" value="germany">Germany</option> <option label="Greece" value="greece">Greece</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Hong Kong" value="hong-kong">Hong Kong</option> <option label="India" value="india">India</option> <option label="Italy" value="italy">Italy</option> <option label="Mexico" value="mexico">Mexico</option> <option label="New Zealand" value="new-zealand">New Zealand</option> <option label="Pacific Rim/Japan" value="pacific-rimjapan">Pacific Rim/Japan</option> <option label="Portugal" value="portugal">Portugal</option> <option label="South East Asia" value="south-east-asia">South East Asia</option> <option label="Spain" value="spain">Spain</option> <option label="Turkey" value="turkey">Turkey</option> <option label="UK/Ireland" value="ukireland">UK/Ireland</option> </field> <field type="checkbox-group" label="Interests- Sports" inline="true" name="checkbox-group-1674149215268" other="true"> <option label="Basketball" value="basketball">Basketball</option> <option label="Cycling" value="cycling">Cycling</option> <option label="Diving" value="diving">Diving</option> <option label="Equestrian" value="equestrian">Equestrian</option> <option label="Extreme Sports" value="extreme-sports">Extreme Sports</option> <option label="Fishing" value="fishing">Fishing</option> <option label="Golf" value="golf">Golf</option> <option label="Hiking" value="hiking">Hiking</option> <option label="Hunting" value="hunting">Hunting</option> <option label="Rafting/Kayak" value="raftingkayak">Rafting/Kayak</option> <option label="Sailing" value="sailing">Sailing</option> <option label="Snow Sports" value="snow-sports">Snow Sports</option> <option label="Sports Enthusiast" value="sports-enthusiast">Sports Enthusiast</option> <option label="Tennis" value="tennis">Tennis</option> <option label="Trekking" value="trekking">Trekking</option> <option label="Water Sports" value="water-sports">Water Sports</option> <option label="Gaming" value="gaming">Gaming</option> </field> <field type="checkbox-group" label="Interests- Entertainment" inline="true" name="checkbox-group-1674149479325" other="true"> <option label="Antiques" value="antiques">Antiques</option> <option label="Architechture" value="architechture">Architechture</option> <option label="Ballet" value="ballet">Ballet</option> <option label="Classic Music" value="classic-music">Classic Music</option> <option label="Fashion" value="fashion">Fashion</option> <option label="Festivals" value="festivals">Festivals</option> <option label="Gaming" value="gaming">Gaming</option> <option label="History" value="history">History</option> <option label="Live performance" value="live-performance">Live performance</option> <option label="Local Music" value="local-music">Local Music</option> <option label="Luxury Shopping" value="luxury-shopping">Luxury Shopping</option> <option label="Monuments" value="monuments">Monuments</option> <option label="Museums" value="museums">Museums</option> <option label="Spas and Salons" value="spas-and-salons">Spas and Salons</option> <option label="Sporting Events" value="sporting-events">Sporting Events</option> <option label="Theatre" value="theatre">Theatre</option> </field> <field type="checkbox-group" label="Interests- Experience" inline="true" name="checkbox-group-1674149823372"> <option label="4-Wheel Drive Expedition " value="4wheel-drive-expedition-">4-Wheel Drive Expedition </option> <option label="Adult Education" value="adult-education">Adult Education</option> <option label="Adventure" value="adventure">Adventure</option> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Archaeology" value="archaeology">Archaeology</option> <option label="Backpacking" value="backpacking">Backpacking</option> <option label="Ballooning" value="ballooning">Ballooning</option> <option label="Beaches" value="beaches">Beaches</option> <option label="Birding" value="birding">Birding</option> <option label="Camping" value="camping">Camping</option> <option label="Celebration Travel" value="celebration-travel">Celebration Travel</option> <option label="Climbing" value="climbing">Climbing</option> <option label="Destination Weddings/Romantic" value="destination-weddingsromantic">Destination Weddings/Romantic</option> <option label="Ecotourism" value="ecotourism">Ecotourism</option> <option label="Family Adventures" value="family-adventures">Family Adventures</option> <option label="Family Vacations" value="family-vacations">Family Vacations</option> <option label="Gastronomy" value="gastronomy">Gastronomy</option> <option label="Gardens" value="gardens">Gardens</option> <option label="Health/Fitness" value="healthfitness">Health/Fitness</option> <option label="Honeymoon/Anniversary" value="honeymoonanniversary">Honeymoon/Anniversary</option> <option label="Hotels" value="hotels">Hotels</option> <option label="Independent Traveler" value="independent-traveler">Independent Traveler</option> <option label="Indigenous Cultures" value="indigenous-cultures">Indigenous Cultures</option> <option label="Jungle" value="jungle">Jungle</option> <option label="Mountains" value="mountains">Mountains</option> <option label="Music" value="music">Music</option> <option label="Photography" value="photography">Photography</option> <option label="Private Jet" value="private-jet">Private Jet</option> <option label="Rail Travel" value="rail-travel">Rail Travel</option> <option label="Ranch/Lodges" value="ranchlodges">Ranch/Lodges</option> <option label="Religious Tourism" value="religious-tourism">Religious Tourism</option> <option label="Resorts" value="resorts">Resorts</option> <option label="Rural" value="rural">Rural</option> <option label="Safari" value="safari">Safari</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Space Travel" value="space-travel">Space Travel</option> <option label="Sun/Sand" value="sunsand">Sun/Sand</option> <option label="Sustainable Tourism" value="sustainable-tourism">Sustainable Tourism</option> <option label="Ultraluxe" value="ultraluxe">Ultraluxe</option> <option label="Villas/Private Islands" value="villasprivate-islands">Villas/Private Islands</option> <option label="Walking" value="walking">Walking</option> <option label="Wellness" value="wellness">Wellness</option> <option label="Wildlife" value="wildlife">Wildlife</option> <option label="Wine" value="wine">Wine</option> </field> <field type="header" subtype="h1" label="Notes"/> <field type="textarea" label="What else would you like us to know?" description="What else would you like us to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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