Share your information with Victoria Middleton

Victoria Middleton

Grace Resorts

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="GRACE RESORTS TRAVEL INTEREST &amp;amp; BOOKING REQUEST FORM"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for your interest in traveling with Grace Resorts! Please complete the form below so we can better assist you."/>&#13;
		<field type="header" subtype="h3" label="TRIP INFORMATION"/>&#13;
		<field type="select" label="Trip Name" description="Examples: Europe Couples Getaway 2026  Thailand Escape 2027  Bali Experience 2027  Kenya Safari  Greece Getaway 2027  NFL Brazil Experience  Other" name="trip-name" className="form-control">&#13;
			<option label="Bali Experience 2027" value="bali-experience-2027">Bali Experience 2027</option>&#13;
			<option label="Thailand Escape 2027" value="thailand-escape-2027">Thailand Escape 2027</option>&#13;
			<option label="Kenya Safari 2027" value="kenya-safari-2027">Kenya Safari 2027</option>&#13;
			<option label="Greece Getaway 2027" value="greece-getaway-2027">Greece Getaway 2027</option>&#13;
		</field>&#13;
		<field type="text" label="Destination(s) of Interest" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="TRAVELER INFORMATION"/>&#13;
		<field type="text" label="Traveler 1 Full Name" name="traveler-1-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Traveler 2 Full Name" name="traveler-2-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email Address" name="email" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Phone Number" name="phone-number" className="form-control"/>&#13;
		<field type="select" required="true" label="Preferred Contact Method" name="preferred-contact-method" className="form-control">&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="WhatsApp" value="whatsapp">WhatsApp</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="City &amp;amp; State" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="TRAVEL DETAILS"/>&#13;
		<field type="radio-group" label="How many travelers will be traveling?" name="number-of-travelers" className="radio-group">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5+" value="5+">5+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do all travelers have valid passports?" name="all-have-valid-passports" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Some Travelers Do" value="some-travelers-do">Some Travelers Do</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have you traveled internationally before?" name="traveled-internationally" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="BOOKING READINESS"/>&#13;
		<field type="radio-group" label="Where are you in the booking process?" name="booking-process-stage" className="radio-group">&#13;
			<option label="Ready to Book" value="ready-to-book">Ready to Book</option>&#13;
			<option label="Need More Information" value="need-more-information">Need More Information</option>&#13;
			<option label="Comparing Options" value="comparing-options">Comparing Options</option>&#13;
			<option label="Just Exploring" value="just-exploring">Just Exploring</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How soon would you like to make a deposit?" name="deposit-timeline" className="radio-group">&#13;
			<option label="Today" value="today">Today</option>&#13;
			<option label="Within 30 Days" value="within-30-days">Within 30 Days</option>&#13;
			<option label="Within 60 Days" value="within-60-days">Within 60 Days</option>&#13;
			<option label="More Than 60 Days" value="more-than-60-days">More Than 60 Days</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like information about payment plans?" name="payment-plan-info" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What budget range are you comfortable with per person?" name="budget" className="radio-group">&#13;
			<option label="Under $1,500" value="under-1500">Under $1,500</option>&#13;
			<option label="$1,500—$2,500" value="1500-2500">$1,500—$2,500</option>&#13;
			<option label="$2,500-$4,000" value="2500-4000">$2,500-$4,000</option>&#13;
			<option label="$4,000+" value="4000-plus">$4,000+</option>&#13;
			<option label="Depends on Destination" value="depends-on-destination">Depends on Destination</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="TRAVEL PREFERENCES"/>&#13;
		<field type="checkbox-group" label="Experiences of Interest" name="experiences-of-interest" className="checkbox-group">&#13;
			<option label="Beaches" value="beaches">Beaches</option>&#13;
			<option label="Culture &amp; History" value="culture-history">Culture &amp; History</option>&#13;
			<option label="Food &amp; Wine" value="food-wine">Food &amp; Wine</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Wellness &amp; Relaxation" value="wellness-relaxation">Wellness &amp; Relaxation</option>&#13;
			<option label="Wildlife &amp; Safari" value="wildlife-safari">Wildlife &amp; Safari</option>&#13;
			<option label="Cruises" value="cruises">Cruises</option>&#13;
		</field>&#13;
		<field type="text" label="Bucket List Destination" name="bucket-list-destination" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="FOLLOW-UP REQUEST"/>&#13;
		<field type="radio-group" label="Would you like a Grace Resorts Travel Advisor to contact you?" name="advisor-contact-request" className="radio-group">&#13;
			<option label="Yes, I'm ready to book" value="yes-ready-to-book">Yes, I'm ready to book</option>&#13;
			<option label="Yes, I would like more information" value="yes-more-information">Yes, I would like more information</option>&#13;
			<option label="Not at this time" value="not-at-this-time">Not at this time</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Best Time to Contact You" name="best-time-to-contact" className="radio-group">&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
		</field>&#13;
		<field type="textarea" label="Additional Comments or Questions" name="additional-comments-or-questions" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>