Share your information with Alyssa's Elevated Escapes Getaway

Alyssa's Elevated Escapes Getaway

InteleTravel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Preferred Method of Contact" name="select-1782228535720" className="form-control">&#13;
			<option label="Select" value="select" selected="selected">Select</option>&#13;
			<option label="Call" value="call">Call</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Vacation Preferences" name="select-1782228868998" multiple="multiple" className="form-control">&#13;
			<option label="Select" value="select" selected="selected">Select</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Couples Getaway" value="couples-getaway">Couples Getaway</option>&#13;
			<option label="Group Trip" value="group-trip">Group Trip</option>&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Solo Travel" value="solo-travel">Solo Travel</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering. Please keep in mind it will be an extra $5 after first destination" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers per room" name="text-1753488211889" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Room Preferences" name="select-1782229021134" className="form-control">&#13;
			<option label="Select" value="select" selected="selected">Select</option>&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="Double Beds" value="double-beds">Double Beds</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Swim-up Room" value="swimup-room">Swim-up Room</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for PER TRAVELER" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How soon after receiving your quote can you submit your deposit?" name="checkbox-group-1766494894439">&#13;
			<option label="Just exploring" value="just-exploring">Just exploring</option>&#13;
			<option label="Within a Week" value="within-a-week">Within a Week</option>&#13;
			<option label="More than a Week" value="more-than-a-week">More than a Week</option>&#13;
			<option label="24-48 Hours" value="2448-hours">24-48 Hours</option>&#13;
			<option label="Immediately" value="immediately">Immediately</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Cultural Experiences" value="cultural-experiences">Cultural Experiences</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do All Travelers Have A Valid Passport?" name="select-1782229292899" className="form-control">&#13;
			<option label="Select" value="select" selected="selected">Select</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Need More Information" value="need-more-information">Need More Information</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Policies &amp;amp; Acknowledgments"/>&#13;
		<field type="paragraph" subtype="p" label="I understand a non-refundable research fee of $20 is required for custom travel proposals. Additional destinations requested are subject to a $5 fee per destination.&amp;nbsp; I understand pricing and availability are not guaranteed until a deposit is made. I understand a valid passport may be required for international travel.&amp;nbsp; I agree to receive travel-related communications regarding my inquiry."/>&#13;
		<field type="select" required="true" label="Agree to Policies &amp;amp; Acknowledgments" name="select-1782230048727" className="form-control">&#13;
			<option label="Select" value="select" selected="selected">Select</option>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="How did you hear about Alyssa’s Elevated Escapes Getaway?"/>&#13;
		<field type="select" name="select-1782230169196" className="form-control">&#13;
			<option label="Select" value="select" selected="selected">Select</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
			<option label="Previous Client" value="previous-client">Previous Client</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>