<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Get Started!"/> <field type="paragraph" subtype="p" label="Please tell us a little more about what you have in mind so that we can start the planning process. Once your inquiry is reviewed, we'll be in touch to set up a discovery call where we'll gather some final details. For extended information, hover over the "?" icon where available. "/> <field type="header" subtype="h2" label="Primary Traveler 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" required="true" label="Preferred Email" description="The majority of our communication will be through email so it's importation you provide an email you check regularly." name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" description="Used for urgent time sensitive matters." name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" label="Are you ok will LWT texting you with urgent, non-confidential questions regarding your trip?" description="These texts are rare and will never contain sensitive information or marketing." name="are-you-ok-will-lwt-texting-you-with-urgent-nonconfidential-questions-regarding-your-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="How were you referred to Loop World Travel? " name="how-were-you-referred-to-loop-world-travel-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" 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 Playa Del Carmen Jamaica Italy Paris" name="destination" subtype="text" className="form-control"/> <field type="radio-group" label="Where are you at in the planning process?" name="where-are-you-at-in-the-planning-process" other="true"> <option label="Just getting started!" value="just-getting-started">Just getting started!</option> <option label="I have some ideas but need help narrowing things down." value="i-have-some-ideas-but-need-help-narrowing-things-down">I have some ideas but need help narrowing things down.</option> <option label="I know just what I want but need help finalizing the details. " value="i-know-just-what-i-want-but-need-help-finalizing-the-details-">I know just what I want but need help finalizing the details. </option> </field> <field type="radio-group" label="When do hope to have this trip booked by?" name="when-do-hope-to-have-this-trip-booked-by" other="true"> <option label="1-2 weeks" value="12-weeks">1-2 weeks</option> <option label="3-4 weeks" value="34-weeks">3-4 weeks</option> <option label="In the next few months" value="in-the-next-few-months">In the next few months</option> <option label="Just getting an idea of price, no rush" value="just-getting-an-idea-of-price-no-rush">Just getting an idea of price, no rush</option> </field> <field type="text" label="Is the purpose of this trip to celebrate an occasion? " placeholder="honeymoon birthday anniversary graduation retirement etc." name="is-the-purpose-of-this-trip-to-celebrate-an-occasion-" subtype="text" className="form-control"/> <field type="date" label="Earliest you'd like to depart?" description="This just gives me a general idea of when you like to go; it can be tweaked prior to booking." name="starting-at" className="form-control"/> <field type="date" label="Latest you'd like to return?" description="This just gives me a general idea of when you like to return; it can be tweaked prior to booking." name="ending-at" className="form-control"/> <field type="text" label="How many nights would you like for this trip to be?" placeholder="7 nights" name="how-many-nights-would-you-like-for-this-trip-to-be" subtype="text" className="form-control"/> <field type="text" label="If you need flights, what is your departure city?" description="Where will you be flying from?" placeholder="Omaha NE" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" value="1" subtype="text" className="form-control"/> <field type="text" label="What are the ages of each traveler (at time of travel)?" description="Pricing is based on age at time of travel so changing this information later may result in a change in price as well. If planning on multiple rooms group travelers by room for pricing purposes." placeholder="Room 1: 40 39 10 7 2 Room 2: 55 60" name="what-are-the-ages-of-each-traveler-at-time-of-travel" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This gives us a general starting point and can always be modified later." name="budget" other="true"> <option label="No Budget, build me the perfect vacation based on my other responses!" value="">No Budget, build me the perfect vacation based on my other responses!</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 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $25,000" value="15000-to-25000">$15,000 to $25,000</option> <option label="$25,000+" value="25000">$25,000+</option> </field> <field type="checkbox-group" required="true" label="What components of your trip would you like me to include in your proposal?" description="Your budget should reflect these" name="what-components-of-your-trip-would-you-like-me-to-include-in-your-proposal" other="true"> <option label="Resort/Hotel" value="resorthotel">Resort/Hotel</option> <option label="In-destination Roundtrip Airport Transfers" value="indestination-roundtrip-airport-transfers">In-destination Roundtrip Airport Transfers</option> <option label="Airfare" value="airfare">Airfare</option> <option label="Travel Insurance (highly recommended)" value="travel-insurance-highly-recommended">Travel Insurance (highly recommended)</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Excursions" value="excursions">Excursions</option> </field> <field type="checkbox-group" label="Are you interested in: " description="Check all that apply." name="are-you-interested-in-" other="true"> <option label="All-inclusive" value="allinclusive">All-inclusive</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Theme Park (Disney, Universal, etc." value="theme-park-disney-universal-etc">Theme Park (Disney, Universal, etc.</option> <option label="Escourted Tour" value="escourted-tour">Escourted Tour</option> <option label="Multi-city Custom Itinerary" value="multicity-custom-itinerary">Multi-city Custom Itinerary</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy (Holiday Inn)" value="economy-holiday-inn">Economy (Holiday Inn)</option> <option label="Moderate (Marriott)" value="moderate-marriott">Moderate (Marriott)</option> <option label="Luxury (Four Seasons)" value="luxury-four-seasons">Luxury (Four Seasons)</option> <option label="Boutique " value="boutique-">Boutique </option> </field> <field type="checkbox-group" label="Do you have a room type or view in mind?" name="do-you-have-a-room-type-or-view-in-mind" other="true"> <option label="Garden view/entry level pricing" value="garden-viewentry-level-pricing">Garden view/entry level pricing</option> <option label="Oceanview (sometimes just a sliver of the ocean counts as oceanview)" value="oceanview-sometimes-just-a-sliver-of-the-ocean-counts-as-oceanview">Oceanview (sometimes just a sliver of the ocean counts as oceanview)</option> <option label="Ocean front " value="ocean-front-">Ocean front </option> <option label="Swim up suites (age minimums apply for those traveling with children)" value="swim-up-suites-age-minimums-apply-for-those-traveling-with-children">Swim up suites (age minimums apply for those traveling with children)</option> <option label="Rooftop or penthouse" value="rooftop-or-penthouse">Rooftop or penthouse</option> <option label="Villa residence " value="villa-residence-">Villa residence </option> <option label="Soaking tub or hot tub on the balcony" value="soaking-tub-or-hot-tub-on-the-balcony">Soaking tub or hot tub on the balcony</option> </field> <field type="checkbox-group" label="Vibe preferences" description="Check all that apply" name="vibe-preference"> <option label="Romantic" value="romantic">Romantic</option> <option label="Adult-only" value="adultonly">Adult-only</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Adventure" value="adventure">Adventure</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> </field> <field type="textarea" label="Are there any amenities on your "must have" list?" name="are-there-any-amenities-on-your-must-have-list" className="form-control"/> <field type="textarea" label="Are there any activities on your "must do" list?" name="are-there-any-activities-on-your-must-do-list" className="form-control"/> <field type="textarea" label="Tell me a little about a past vacation you really enjoyed..." name="tell-me-a-little-about-a-past-vacation-you-really-enjoyed" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="Share any additional details here! The more detailed the better I can help." name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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