<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="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="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="text" required="true" label="How many&nbsp; people are traveling?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children are traveling below the age of 15 years old?" name="how-many-children-are-traveling-below-the-age-of-15-years-old" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="If traveling outside of the United States, does everyone have a passport that is expiring 6 months or greater from your return date?" name="passport-expiring"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not applicable" value="not-applicable">Not applicable</option> </field> <field type="text" required="true" label="Does anyone traveling have Allergies? If Yes, please list allergy's name(s)." name="allergies" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Information"/> <field type="select" required="true" label="What's the trip occasion? (Ex. Birthday, Anniversary, Group Trip, General Vacation, etc.)" description="Select the reason for your trip" name="reason-for-trip" className="form-control"> <option label="General Vacation" value="general-vacation">General Vacation</option> <option label="Birthday/Anniversay/Graduation" value="celebration-getaway">Birthday/Anniversay/Graduation</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Girl/Guy Only Trip" value="girlguy-only-trip">Girl/Guy Only Trip</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Romantic Getaway" value="romantic-getaway">Romantic Getaway</option> <option label="Bucket List" value="bucket-list">Bucket List</option> <option label="Other" value="other-getaway">Other</option> </field> <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="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you'd 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'd 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> </field> <field type="text" required="true" label="What is your estimated budget PER PERSON, not including airfare?" name="budget-pp" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="How much of this trip would you like help planning?" description="Check all that apply." name="how-much-of-this-trip-would-you-like-help-planning" other="true"> <option label="Accommodation (including hotels, resorts, and/or cruises)" value="accommodation-including-hotels-resorts-andor-cruises">Accommodation (including hotels, resorts, and/or cruises)</option> <option label="Tours and activities" value="tours-and-activities">Tours and activities</option> <option label="Ground transportation (airport transfers, train tickets, car rental)" value="ground-transportation">Ground transportation (airport transfers, train tickets, car rental)</option> <option label="Restaurant reservations" value="restaurant-reservations">Restaurant reservations</option> <option label="Special events" value="special-events">Special events</option> </field> <field type="checkbox-group" required="true" label="Do you have any parts of your trip booked already?" description="Check all that apply" name="do-you-have-any-parts-of-your-trip-booked-already"> <option label="Nothing booked yet" value="nothing-booked-yet">Nothing booked yet</option> <option label="Flights booked" value="flights-booked">Flights booked</option> <option label="Some hotels booked" value="some-hotels-booked">Some hotels booked</option> <option label="All hotels booked" value="all-hotels-booked">All hotels booked</option> <option label="Some other elements booked (car rental, activity, etc.)" value="some-other-elements-booked">Some other elements booked (car rental, activity, etc.)</option> </field> <field type="radio-group" required="true" label="What best describes your accommodation preferences?" name="hotel-preference" other="true"> <option label="Economy" value="economy">Economy</option> <option label="Moderate " value="moderate-">Moderate </option> <option label="Boutique " value="boutique-">Boutique </option> <option label="Luxury" value="luxury">Luxury</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="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="header" subtype="h1" label="Travel Style"/> <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="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" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Sightseeing (local attractions)" value="sightseeing-local-attractions">Sightseeing (local attractions)</option> <option label="City/Urban areas" value="cityurban-areas">City/Urban areas</option> <option label="Outdoors/Nature" value="outdoorsnature">Outdoors/Nature</option> <option label="Mountains" value="mountains">Mountains</option> <option label="Skiing" value="">Skiing</option> <option label="Beach" value="beach">Beach</option> <option label="Scuba / Water activities" value="scuba-water-activities">Scuba / Water activities</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="Cultural, arts and theater" value="cultural-arts-and-theater">Cultural, arts and theater</option> <option label="Culinary/Wine" value="">Culinary/Wine</option> <option label="Wellness (spa, yoga, detox, etc.)" value="wellness-spa-yoga-detox-etc">Wellness (spa, yoga, detox, etc.)</option> <option label="Other" value="other">Other</option> <option label="None" value="none">None</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What hotels have you stayed in before that you have loved?" name="previous-hotels" className="form-control"/> <field type="textarea" label="What trips have really worked for you/your group previously?" description="The more details the better! Tell me your favorite destinations the activities you liked, how you felt in these places, what you liked most - food/culture/people, etc." name="what-trips-have-really-worked-for-youyour-group-previously" className="form-control"/> <field type="header" subtype="h1" label="Special Events &amp; Instructions"/> <field type="radio-group" required="true" label="Would you like us to plan a special event for you before, during, or after the trip?" description="Please let us know if we need to make special event accommodations for events such as cocktail parties welcome dinners, etc." name="custom-event-planning"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Do you have any special instruction or anything you would you like me to know?" description="What else would you like me to know about your travel budget and/or travel preferences?" name="notes" className="form-control"/> <field type="header" subtype="h1" label="Acknowledgements"/> <field type="radio-group" required="true" label="I understand there is a non-refundable Travel Design Service Fee collected prior to any services being performed (**fees MAY be waived for specific hotel-only booking services, determined on a case-by-case basis**). This will be discussed in detail during our appointment.&nbsp; Please indicate that you understand by selecting Yes below. If you do NOT accept, we will not proceed with processing your request. &nbsp;" name="i-understand-there-is-a-nonrefundable-design-fee-to-everyone-collected-prior-any-work-down-for-your-trip-this-will-be-discussed-in-detail-during-our-appointment-included-in-the-booking-request-if-you-do-not-accept-i-will-not-book-your-travel-but-youre-welcome-to-book-your-own-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="I understand that I will receive a travel insurance quote for my trip. While not mandatory, travel insurance is STRONGLY recommended for all trips. If I do NOT want travel insurance I understand that I must complete an INSURANCE WAIVER." name="i-understand-travel-insurance-is-included-in-my-rate-if-i-do-not-want-travel-insurance-i-must-request-an-insurance-waiver"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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