<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Travel Concierge Partners New Client Info"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty 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="radio-group" label="Type of request" name="type-of-request"> <option label="Domestic Travel Package" value="domestic-travel-package">Domestic Travel Package</option> <option label="International Travel Package" value="international-travel-package">International Travel Package</option> <option label="Cruise Package" value="cruise-package">Cruise Package</option> <option label="Hotel only" value="hotel-only">Hotel only</option> <option label="Flight only" value="flight-only">Flight only</option> <option label="Car Rental Only" value="car-rental-only">Car Rental Only</option> <option label="Group Package" value="group-package">Group Package</option> </field> <field type="text" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" label="Departure Date" name="departure-date" className="form-control"/> <field type="date" label="Return Date" name="return-date" className="form-control"/> <field type="select" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure airport preference?" description="Where will you be flying from?" name="what-is-your-departure-airport-preference" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="how-many-travelers" subtype="text" className="form-control"/> <field type="select" label="What is your idea budget for all travelers?" name="what-is-your-idea-budget-for-all-travelers" className="form-control"> <option label="$2500 - $4000" value="2500-4000">$2500 - $4000</option> <option label="$4000 - $5500" value="4000-5500">$4000 - $5500</option> <option label="$5500 - $7000" value="5500-7000">$5500 - $7000</option> <option label="$7000+" value="7000">$7000+</option> </field> <field type="text" label="What's the special occasion?&nbsp;" description="Birthday Anniversary Spring Break etc" name="whats-the-special-occasion-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle " value="middle-">Middle </option> <option label="First Class" value="first-class">First Class</option> </field> <field type="radio-group" label="Hotel preference" name="hotel-preference"> <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="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <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> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> </field> <field type="file" label="Passport photo" name="passport_photo" subtype="file" className="form-control"/> <field type="textarea" label="What else would you like us to know about this vacation getaway?" name="what-else-would-you-like-us-to-know-about-this-vacation-getaway" className="form-control"/> <field type="textarea" label="How did you hear of us?" description="Social Media friend coworker Google" name="how-did-you-hear-of-us" className="form-control"/> <field type="header" subtype="h2" label="Travel Concierge Partners Client Agreement&nbsp;"/> <field type="paragraph" subtype="p" label="When you retain Travel Concierge Partners to help plan your travel, you're hiring a professional travel advisor to ensure that your trip is tailored to your taste, preferences, and budget. You get the benefit of our skill, experience, and training, our professional relationships, and our industry connections. Our Professional Services Fee covers your consultation, our research, and recommendations, preparation of quotes and itineraries, reserving and booking each element of your trip, securing quotes for comprehensive travel insurance, administration of your booking from deposit to departure, and follow-up post-trip with suppliers (as needed).&nbsp;"/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="By checking the box below and submitting this form, you acknowledge that you are hiring us to plan your trip and that you have read and agree to our Terms and Conditions of booking, which are located at: https://www.travelconciergepartners.com/termsandconditions"/> <field type="checkbox-group" required="true" label="Client Agreement" name="client-agreement"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="header" subtype="h2" label="Professional Service Fees"/> <field type="paragraph" subtype="p" label="Travel Concierge Partners LLC reserves the right to charge professional service fees. See below for the fee schedule; contact your travel advisor for details. All fees are non-refundable and subject to change at the discretion of TCP.&nbsp;"/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="The standard turnaround to receive your quote is seven business days (ten business days for outside of US and the Caribbean) from the time we receive your research fee.&nbsp; Please be advised that pricing is subject to change at any time until your deposit is paid. If you like the quote we provide to you we highly recommend paying your deposit within 3 business days. Vendors update inventory hourly, and no rates are guaranteed until deposits are paid. If you pay the rush fee of an additional $200; then, it's 48hrs from the inquiry for US and the Caribbean. No rush quotes allowed outside of these destinations."/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="• Research and Planning fee, flight/ resort accommodations 1-4: $300, 5-8: $600, groups of 9+ to be determined after consultation."/> <field type="paragraph" subtype="p" label="• Rush quote fee, additional $200 (48-hr turnaround)"/> <field type="paragraph" subtype="p" label="• Change fee (after booking is confirmed): $50 per reservation"/> <field type="paragraph" subtype="p" label="• Rail booking only: $50"/> <field type="paragraph" subtype="p" label="• Hotel only booking: $100, Resort, Cabin or Vacation Rental Only $250"/> <field type="paragraph" subtype="p" label="• Rental car only: $50"/> <field type="paragraph" subtype="p" label="• Domestic Air only: $75 per ticket "/> <field type="paragraph" subtype="p" label="• International Air only: $100 per ticket "/> <field type="paragraph" subtype="p" label="• Late payment fee: $50 "/> <field type="checkbox-group" required="true" label="Service fee acknowledgement&nbsp;" name="service-fee-acknowledgement-"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="header" subtype="h2" label="Travel Insurance Acknowledgement&nbsp;"/> <field type="paragraph" subtype="p" label="Emergencies can happen when you least expect them. Travel Concierge Partners highly recommend that all clients purchase a travel insurance policy to protect their investment in their travel. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And, keep in mind that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, and Emergency Medical Transportation, among other unforeseen circumstances.&nbsp;"/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="Please also note that in order for you to obtain coverage for certain pre-existing conditions, or for supplier default, your policy must be purchased at the time of booking or shortly thereafter (depending on the terms of the policy).&nbsp;"/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="Please understand that we are not registered insurance agents and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if Travel Concierge Partners does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own."/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="I acknowledge that Travel Concierge Partners has recommended or offered travel insurance protection to me. Should I choose not to purchase such a policy, I accept all responsibility for declining to secure coverage."/> <field type="checkbox-group" required="true" label="Travel Insurance Acknowledgement&nbsp;" name="travel-insurance-acknowledgement-"> <option label="I agree" value="i-agree">I agree</option> </field> </fields> </form-template> </body> </html>
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