<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Kelley Waldman with Come and See Travel- General Trip Inquiry form"/> <field type="header" subtype="h3" label="Thank you for your request to book a trip with me! Below is a form to gather information so we can start the planning process. Once your inquiry is reviewed, I'll touch base with you to gather any additional information needed before I start designing your trip. I look forward to working with you! Questions? Email: kwaldman@comeandseetravel.com"/> <field type="header" subtype="h2" label="Lead Traveler"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Your date of birth" description="ex: 8/12/1980" placeholder="ex: 8/12/1980" name="your-date-of-birth" subtype="text" className="form-control"/> <field type="header" subtype="h2" 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" required="true" label="Country" name="address-country" 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="h2" label="Traveler Information"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please enter full names AND dates of birth for all travelers. Please be sure they match exactly as they appear on passports." name="please-enter-full-names-as-they-appear-on-passports-and-dates-of-birth-for-each-traveler" className="form-control"/> <field type="header" subtype="h1" label="Let's get started!"/> <field type="text" label="How did you hear about Kelley Waldman with Come and See Travel?" name="how-did-you-hear-about-kelley-waldman-with-come-and-see-travel" subtype="text" className="form-control"/> <field type="radio-group" label="Have you ever worked with a travel advisor before?" name="have-you-ever-worked-with-a-travel-advisor-before"> <option label="Yes!" value="yes">Yes!</option> <option label="No, it is my first time." value="no-it-is-my-first-time">No, it is my first time.</option> </field> <field type="radio-group" required="true" label="What is your preferred method of communication?" name="what-is-your-preferred-method-of-communication"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="radio-group" required="true" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process"> <option label="Just getting started." value="just-getting-started">Just getting started.</option> <option label="I have some ideas, but need help with research and planning." value="i-have-some-ideas-but-need-help-with-research-and-planning">I have some ideas, but need help with research and planning.</option> <option label="I know just what I want, but I need help finalizing the details." value="i-know-just-what-i-want-but-i-need-help-finalizing-the-details">I know just what I want, but I need help finalizing the details.</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Is this trip for a special occasion (birthday, anniversary, etc)?" name="is-this-trip-for-a-special-occasion-birthday-anniversary-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Italy-Rome for 4 nights and Florence for 4 nights" name="destination" 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" 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 departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you need assistance with flights? Please note that in most cases, I do not handle purchasing flights, but I am happy to advise." name="do-you-need-assistance-with-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How many rooms do you need?" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your ideal budget for all travelers? This price does not include airfare." description="Budget encompases logistics, on the ground accommodations, and activities. It does not include airfare, meals, or personal expenses." name="what-is-your-ideal-budget-for-all-travelers-this-price-does-not-include-airfare"> <option label="$8,000-$10,000" value="800010000">$8,000-$10,000</option> <option label="$10,000-$12,000" value="1000012000">$10,000-$12,000</option> <option label="$12,000-$14,000" value="1200014000">$12,000-$14,000</option> <option label="$14,000-$16,000" value="1400016000">$14,000-$16,000</option> <option label="$16,000-$18,000" value="1600018000">$16,000-$18,000</option> <option label="$18,000-$20,000" value="1800020000">$18,000-$20,000</option> <option label="$20,000-$25,000" value="2000025000">$20,000-$25,000</option> <option label="$25,000-$30,000" value="2500030000">$25,000-$30,000</option> <option label="over $30,000" value="over-30000">over $30,000</option> </field> <field type="text" label="Is there anything else I should know about your price range?" name="is-there-anything-else-i-should-know-about-your-price-range" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your priority for this trip?" name="what-is-your-priority-for-this-trip"> <option label="Budget" value="budget">Budget</option> <option label="Experience" value="experience">Experience</option> </field> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water sports" value="beach-and-water-sports">Beach and water sports</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Cooking classes " value="cooking-classes-">Cooking classes </option> <option label="Wine tastings" value="wine-tastings">Wine tastings</option> <option label="Arts and theater" value="arts-and-theater">Arts and theater</option> <option label="History and architecture" value="history-and-architecture">History and architecture</option> <option label="Privately lead tours" value="privately-lead-tours">Privately lead tours</option> <option label="Group tours" value="group-tours">Group tours</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Does your traveling party have valid passports with expirations dates at least 6 months post travel?" name="does-your-traveling-party-have-valid-passports-with-expirations-dates-at-least-6-months-post-travel" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No, but I am working on them." value="no-but-i-am-working-on-them">No, but I am working on them.</option> </field> <field type="radio-group" required="true" label="Is everyone in the traveling party fully vaccinated? We only ask so that we can advise you properly. All information is confidential." name="is-everyone-in-the-traveling-party-fully-vaccinated-we-only-ask-so-that-we-can-advise-you-properly-all-information-is-confidential" other="true"> <option label="We are all fully vaccinated with either Pfizer/BioNTech, Moderna, or J&J and it has been at least two weeks since my last shot." value="we-are-all-fully-vaccinated-with-either-pfizerbiontech-moderna-or-jj-and-it-has-been-at-least-two-weeks-since-my-last-shot">We are all fully vaccinated with either Pfizer/BioNTech, Moderna, or J&J and it has been at least two weeks since my last shot.</option> <option label="We have had our first shot of Pfizer/BioNTech or Moderna." value="we-have-had-our-first-shot-of-pfizerbiontech-or-moderna">We have had our first shot of Pfizer/BioNTech or Moderna.</option> <option label="We are not vaccinated" value="we-are-not-vaccinated">We are not vaccinated</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" placeholder="ex: food allergies mobility issues" name="notes" className="form-control"/> <field type="select" required="true" label="Would you like a quote for travel insurance?" name="would-you-like-travel-insurance" className="form-control"> <option label="Yes, I would like a quote for travel insurance." value="yes-i-would-like-a-quote-for-travel-insurance" selected="selected">Yes, I would like a quote for travel insurance.</option> <option label="No, I am declining travel insurance and understand the consequences outlined below*" value="no-i-am-declining-travel-insurance-and-understand-the-consequences-outlined-below">No, I am declining travel insurance and understand the consequences outlined below*</option> </field> <field type="paragraph" subtype="p" label="*By clicking "No" I understand I am declining insurance coverage and assume all responsibility for any fees or penalties that may arise from changing or canceling my reservation. I understand that changing dates or canceling my trip may result in the loss of all money paid or require more money to be paid as a result. I accept that Come and See Travel and my agent Kelley Waldman, are not to be liable for any losses or extra costs from changing or cancelling my reservation."/> <field type="header" subtype="h1" label="Package Pricing"/> <field type="checkbox-group" required="true" label="I work with many wholesalers suppliers who offer "package prices". These are contracted industry rates and individual component pricing cannot be disclosed. The contracted bundled packages rates are offered to the travel advisor for the benefit of our clients. You will be provided a total price for the package proposed. In this, I am able to provide the best possible value to my client.&nbsp;" name="i-work-with-many-wholesalers-suppliers-who-offer-package-prices-these-are-contracted-industry-rates-and-individual-component-pricing-cannot-be-disclosed-these-contracted-bundled-packages-rates-are-offered-to-the-travel-advisor-for-the-benefit-of-our-clients-you-will-be-provided-a-total-price-for-the-package-proposed-in-this-i-am-able-to-provide-the-best-possible-value-to-my-client-"> <option label="I agree" value="i-agree">I agree</option> <option label="I do not agree" value="i-do-not-agree">I do not agree</option> </field> <field type="header" subtype="h1" label="Planning Fees"/> <field type="radio-group" required="true" label="Please note: We charge a non-refundable travel planning fee for all custom travel packages, starting at $250. This fee covers the time involved in researching, preparing, and executing a completely customized travel experience for you. &nbsp;I will do the research, find the best options to fit your needs, book and service your reservation and provide guidance along the way all while making sure you are getting the best value. This form collects your name, email address, physical address, and phone number information so that we may communicate with you and provide assistance.&nbsp;" name="-i-have-requested-that-come-and-see-travel-make-one-or-more-travel-bookings-on-my-behalf-by-planning-travel-with-come-see-travel-you-agree-to-be-bound-by-these-terms-and-acknowledge-that-come-see-travel-acts-solely-as-a-booking-agent-for-disclosed-principal-supplier-tour-operators-cruise-lines-hotels-airlines-air-charters-bus-companies-ground-transportation-boat-purveyors-or-owners-and-other-independent-contractors-providing-accommodations-transportation-and-other-services-suppliers-and-is-not-the-source-or-provider-of-the-travel-services-these-terms-include-warranties-and-disclaimers-and-exclusions-of-liability-and-may-restrict-your-rights-and-remedies-and-provide-protection-to-come-see-travel-as-the-worldwide-covid19-coronavirus-pandemic-remains-ongoing-at-this-time-i-acknowledge-that-for-this-reason-and-other-reasons-not-reasonably-foreseeable-at-this-time-these-travel-plans-may-be-interrupted-or-cancelled-by-the-supplier-that-is-providing-them-a-government-entity-or-other-third-party-over-which-come-and-see-travel-has-no-control-i-further-acknowledge-that-the-suppliers-own-cancellation-rebooking-and-refund-policies-subject-to-any-applicable-law-that-is-now-or-may-later-be-in-effect-will-govern-my-rights-and-remedies-including-my-right-to-receive-a-refund-in-such-an-event-moreover-i-understand-that-should-i-elect-to-purchase-travel-insurance-the-terms-of-the-policy-will-dictate-whether-and-to-what-extent-coverage-for-any-financial-loss-may-exist-under-the-circumstances-by-signing-below-i-hereby-agree-to-hold-come-and-see-travel-harmless-and-release-it-from-any-and-all-liability-for-any-damages-including-but-not-limited-to-monetary-losses-i-may-incur-as-a-result-of-such-interruption-or-cancellation-of-these-travel-plans-"> <option label="I agree" value="i-agree">I agree</option> <option label="I do not agree" value="i-do-not-agree">I do not agree</option> </field> </fields> </form-template> </body> </html>
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