<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Lead Passenger 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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" 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="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" 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="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="text" required="true" label="What is your departure city?" description="Where will you be flying from? If you are not flying where are you located?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Time preference for departure" name="time-preference-for-departure"> <option label="Morning departure" value="morning-departure">Morning departure</option> <option label="Afternoon departure" value="afternoon-departure">Afternoon departure</option> <option label="Early evening departure" value="early-evening-departure">Early evening departure</option> <option label="Late evening departure" value="late-evening-departure">Late evening departure</option> </field> <field type="radio-group" required="true" label="Time preference for return" name="time-preference-for-return"> <option label="Morning departure" value="morning-departure">Morning departure</option> <option label="Afternoon departure" value="afternoon-departure">Afternoon departure</option> <option label="Early evening departure" value="early-evening-departure">Early evening departure</option> <option label="Late evening departure" value="late-evening-departure">Late evening departure</option> </field> <field type="text" required="true" label="What is the trip occasion? (Ex. birthday, wedding, family reunion, etc)" name="what-is-the-trip-occasion-ex-birthday-wedding-family-reunion-etc" subtype="text" className="form-control"/> <field type="radio-group" 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="radio-group" required="true" label="Please select your preferred place to stay during your trip" name="please-select-your-preferred-place-to-stay-during-your-trip"> <option label="Hotel" value="hotel">Hotel</option> <option label="Resort" value="resort">Resort</option> <option label="Cabin" value="cabin">Cabin</option> <option label="Over-the-water Bungalow" value="overthewater-bungalow">Over-the-water Bungalow</option> <option label="Home/Villa" value="homevilla">Home/Villa</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="Please select your preferred type of transportation" name="please-select-your-preferred-type-of-transportation"> <option label="Shared" value="shared">Shared</option> <option label="Private" value="private">Private</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Girl's Trip! ๐ ๐พ" value="">Girl's Trip! ๐ ๐พ</option> <option label="Bachelor/ette Party ๐บ๐ฝ๐ฏโโ๏ธ" value="bachelorette-party-">Bachelor/ette Party ๐บ๐ฝ๐ฏโโ๏ธ</option> <option label="Romantic โค๏ธ" value="romantic-">Romantic โค๏ธ</option> <option label="Rest and relaxation ๐ง๐ผโโ๏ธ๐ง๐ฝโโ๏ธ" value="rest-and-relaxation-">Rest and relaxation ๐ง๐ผโโ๏ธ๐ง๐ฝโโ๏ธ</option> <option label="Party ๐พ" value="party-">Party ๐พ</option> <option label="Local culture ๐" value="local-culture-">Local culture ๐</option> <option label="Family friendly ๐ " value="family-friendly-">Family friendly ๐ </option> <option label="Foodie ๐ง๐ฝโ๐ณ" value="foodie-">Foodie ๐ง๐ฝโ๐ณ</option> <option label="Historical ๐" value="historical-">Historical ๐</option> <option label="Proposal ๐" value="proposal-">Proposal ๐</option> <option label="Honey/Baby-moon ๐ฏ๐ผ๐" value="honeybabymoon-">Honey/Baby-moon ๐ฏ๐ผ๐</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" 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 theater" value="art-theater">Arts and theater</option> <option label="Theme Parks Tickets" value="theme-parks-tickets">Theme Parks Tickets</option> <option label="Tour Attraction Tickets" value="tour-attraction-tickets">Tour Attraction Tickets</option> <option label="Dinner Reservation" value="dinner-reservation">Dinner Reservation</option> </field> <field type="text" required="true" label="Do you have a special diet, allergies or anything else I need to communicate to the resort/hotel?" description="Diet allergies disability awareness etc." name="meal-preference" subtype="text" className="form-control"/> <field type="text" required="true" label="Total Passengers" name="total-passengers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Total Number of Adults (please list their names and date of births if available)" name="total-number-of-adults-please-list-their-names-and-date-of-births-if-available" className="form-control"/> <field type="textarea" label="Total Number of Children (please list their names and date of births if available)" name="total-number-of-children-please-list-their-names-and-date-of-births-if-available" className="form-control"/> <field type="radio-group" required="true" label="Estimated trip budget amount per person" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="Please select your payment option:" name="please-select-your-payment-option"> <option label="One payment in full" value="one-payment-in-full">One payment in full</option> <option label="Payment plan (deposit + plan)" value="payment-plan-deposit-plan">Payment plan (deposit + plan)</option> </field> <field type="radio-group" required="true" label="Do you wish for this trip to be all-inclusive? (flight, meals, beverages included)" name="will-this-be-in-all-inclusive-trips-including-airport-transfer-all-meals-beverages"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Will you need excursions?" name="will-you-need-excursion-tickets"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Will you need a rental car?" name="will-you-need-rental-car"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" className="form-control"/> <field type="textarea" required="true" label="Please provide any additional information such as hotel preference, star, rating, airline preference or seat preference?&nbsp;" name="please-provide-any-additional-information-such-as-hotel-preference-star-rating-airline-preference-or-seat-preference-" className="form-control"/> <field type="radio-group" required="true" label="Would you like customized shirts, hats or any other personalized items for your vacation?" name="would-you-like-to-order-customized-shirts-hats-or-any-other-item-for-your-vacation"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to include welcome gifts?" name="would-you-like-to-include-welcome-gifts-for-your-group-trips"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like a custom event planned for you and your guests before, during, or after the trip?" name="would-you-like-to-custom-event-planned-for-your-guests-before-during-or-after-the-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If you chose yes above, please describe here:" name="if-you-chose-yes-above-please-describe-here" className="form-control"/> <field type="radio-group" required="true" label="Are you a Veteran?" name="are-you-a-veteran"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Any last minute thing you would like us to know before submitting the form?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="checkbox-group" required="true" label="I understand there is a nonrefundable $25/person administration research fee. An invoice will be sent once this form is completed.&nbsp;" name="i-understand-there-is-a-nonrefundable-25-administration-fee-charged-for-submission-of-this-form-an-invoice-will-be-sent-once-this-form-is-completed-"> <option label="Yes" value="yes">Yes</option> </field> <field type="paragraph" subtype="p" label="Your trip is not confirmed nor will the proposed itinerary be initiated until payment is received.&nbsp;You will receive an email containing the invoice shortly based on the number of people in your party for your trip. It is up to the individual submitting this form to determine how they will collect money for others, if applicable (ex: having others reimburse them for the cost of their fee).&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="Do I have your permission to include you in the Bellavue Travel email list?" description="You will not be spammed. This will be information regarding upcoming group trips hosted by Bellavue" name="do-i-have-your-permission-to-include-you-in-the-bellavue-travel-email-list"> <option label="Yes, of course!" value="yes-of-course">Yes, of course!</option> <option label="Not at this time" value="not-at-this-time">Not at this time</option> </field> </fields> </form-template> </body> </html>
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILร Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algรฉrie (Air Algรฉrie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways