Share your information with Melanated Adventurz

Melanated Adventurz

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Plan Your Private Trip!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing Melanated Adventurz. for your travel planning services. As we all know, putting together the perfect vacation can be stressful. No worries, we are here to help! We book international &amp;amp; domestic travel. We also offer full digital itineraries that include nightlife, excursions, activities, restaurants &amp;amp; bars. We can&#39;t wait to plan your trip!"/>&#13;
		<field type="text" required="true" label="What is your first name?" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Contact Method" name="preferred-contact-method">&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
			<option label="Text Message" value="text-message">Text Message</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children?" name="text-1763327846305" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Type of Adventure" name="type-of-escape-">&#13;
			<option label="Private Group Adventure " value="private-group-adventure-">Private Group Adventure </option>&#13;
			<option label="All Are Welcome" value="all-are-welcome">All Are Welcome</option>&#13;
			<option label="Charter Bus - Tour" value="charter-bus-tour">Charter Bus - Tour</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your accommodations preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Villa" value="villa">Villa</option>&#13;
			<option label="Vacation Home" value="vacation-home">Vacation Home</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Bus Tour" value="bus-tour">Bus Tour</option>&#13;
			<option label="International" value="international">International</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Group Dinner" value="group-dinner">Group Dinner</option>&#13;
			<option label="Customized Merch" value="customized-merch">Customized Merch</option>&#13;
			<option label="Cater to Elders" value="cater-to-elders">Cater to Elders</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have You Worked With Me Before?" name="have-you-worked-with-me-before">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="When are you available to discuss this trip?" name="when-are-you-available-to-discuss-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? (i.e. Anniversary, Birthday, Class or Family Reunion, Friends &amp;amp; Family, Girl&#39;s Getaway, Men&#39;s Getaway, Clubs &amp;amp; Organizations, etc.)" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" label="How did you hear about us?" name="radio-group-1763328504681">&#13;
			<option label="Website (MelanatedAdventurz.com)" value="website-melanatedadventurzcom">Website (MelanatedAdventurz.com)</option>&#13;
			<option label="Facebook or FB Group" value="facebook-or-fb-group">Facebook or FB Group</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="LinkedIn" value="linkedin">LinkedIn</option>&#13;
			<option label="Referral from a friend/family member" value="referral-from-a-friendfamily-member">Referral from a friend/family member</option>&#13;
			<option label="Tiktok" value="tiktok">Tiktok</option>&#13;
			<option label="I am a former client" value="i-am-a-former-client">I am a former client</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like to be added to our newsletter?" name="radio-group-1763328520650">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Melanated Adventurz charges a non-refundable Research &amp;amp; Design Fee for every trip we plan. Each Research &amp;amp; Design Fee is based on the number of travelers, the length of the trip, and the complexity of the trip. An invoice will be sent after the Discovery Call to begin your trip-planning process.*" name="checkbox-group-1763328357302">&#13;
			<option label="I understand" value="i-understand">I understand</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Thanks so much! I will be in contact with you soon!"/>&#13;
	</fields>&#13;
</form-template>
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