Share your information with Viva Vistas

Viva Vistas

Viva Vistas, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Client&amp;nbsp; Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" 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="preferred-method-of-contact" className="form-control">&#13;
			<option label="Email" value="email" selected="selected">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Trip Type Selection"/>&#13;
		<field type="checkbox-group" label="What type of trip are you interested in? (Select all that apply)" name="what-type-of-trip-are-you-interested-in-select-all-that-apply">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Vacation Package (Flight + Hotel)" value="vacation-package-flight-hotel">Vacation Package (Flight + Hotel)</option>&#13;
			<option label="Resort / All-inclusive Resort" value="resort-allinclusive-resort">Resort / All-inclusive Resort</option>&#13;
			<option label="Train Trip / Rail Journey" value="train-trip-rail-journey">Train Trip / Rail Journey</option>&#13;
			<option label="Custom Multi- Destination Trip" value="custom-multi-destination-trip">Custom Multi- Destination Trip</option>&#13;
			<option label="Not Sure- Need Guidance" value="not-sure-need-guidance">Not Sure- Need Guidance</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="General Trip Details"/>&#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." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Preferred Departure Date" 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="Preferred Return Date" 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="checkbox-group" label="How flexible are your travel dates?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="Somewhat" value="somewhat">Somewhat</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travelers"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Adults (18+)" name="text-1768059764196" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Children and ages (if applicable)" name="text-1768059792504" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Budget"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Under $2,500" value="under-2500">Under $2,500</option>&#13;
			<option label="$2,500 to $3,500" value="2500-to-3500">$2,500 to $3,500</option>&#13;
			<option label="$3,500 to $5,500" value="3500-to-5500">$3,500 to $5,500</option>&#13;
			<option label="$5,500 +" value="5500-">$5,500 +</option>&#13;
			<option label="Not sure/ Open to Options" value="not-sure-open-to-options">Not sure/ Open to Options</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Cruise -Specific Details ( Complete if Cruise Selected)"/>&#13;
		<field type="text" label="Preferred Cruise" name="text-1768060056893" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Departure Port" name="text-1768060098005" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do you have&amp;nbsp; cruise loyalty #" name="checkbox-group-1768061681031">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Preferred Cruise Length" name="do-you-have-a-tsa-precheck-ktn-">&#13;
			<option label="3-5 Nights" value="35-nights">3-5 Nights</option>&#13;
			<option label="6-8 Nights" value="68-nights">6-8 Nights</option>&#13;
			<option label="9+ Nights" value="9-nights">9+ Nights</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Preferred Cabin Type" name="radio-group-1768060259444">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Resort / Vacation Package Detail&amp;nbsp; (Complete if Resort/ Vacation Package&amp;nbsp; Selected)"/>&#13;
		<field type="radio-group" label="Preferred Resort Type" name="radio-group-1768060376825">&#13;
			<option label="Adults- Only" value="adults-only">Adults- Only</option>&#13;
			<option label="Family-Friendly" value="familyfriendly">Family-Friendly</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
		</field>&#13;
		<field type="radio-group" label="All Inclusive Preference" name="radio-group-1768060446437">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Open to either" value="open-to-either">Open to either</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Train Trip Details (Complete if Train Trip Selected)"/>&#13;
		<field type="radio-group" label="Type if Train Journey" name="do-you-have-airline-points-you-would-like-to-use">&#13;
			<option label="Scenic / Luxury Rain" value="scenic-luxury-rain">Scenic / Luxury Rain</option>&#13;
			<option label="International Rail (Europe, etc.)" value="international-rail-europe-etc">International Rail (Europe, etc.)</option>&#13;
			<option label="Domestic Rail (U.S / Canada)" value="domestic-rail-us-canada">Domestic Rail (U.S / Canada)</option>&#13;
		</field>&#13;
		<field type="text" label="Countries or Regions of Interest" name="text-1758596565668" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Flights Required"/>&#13;
		<field type="radio-group" label="Will you need flights included in your travel planning?" name="radio-group-1768060768010">&#13;
			<option label="Yes - Please include flights" value="yes-please-include-flights">Yes - Please include flights</option>&#13;
			<option label="No- I will book flights on my own" value="no-i-will-book-flights-on-my-own">No- I will book flights on my own</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred Departure Airport (City or Airport)" name="text-1768060836635" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have a TSA PreCheck® KTN ?" name="radio-group-1768060183552">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have an airline preference?" name="text-1768060596574" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you have airline points you would like to use?" name="radio-group-1768060635892">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Flights-Departure&amp;nbsp; What time would you like to depart?" name="flightsdeparture-what-time-would-you-like-to-depart">&#13;
			<option label="As early as possible 5-8am" value="as-early-as-possible-58am">As early as possible 5-8am</option>&#13;
			<option label="Morning 8-11am" value="morning-811am">Morning 8-11am</option>&#13;
			<option label="Afternoon 12-4pm" value="afternoon-124pm">Afternoon 12-4pm</option>&#13;
			<option label="Evening 4-7pm" value="evening-47pm">Evening 4-7pm</option>&#13;
			<option label="Night 7-9pm" value="night-79pm">Night 7-9pm</option>&#13;
			<option label="Late flight " value="late-flight-">Late flight </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Flights-Return,&amp;nbsp; What time would you like your return flight to be?" name="flightsreturn-what-time-would-you-like-your-return-flight-to-be">&#13;
			<option label="As early as possible 5-8am" value="as-early-as-possible-58am">As early as possible 5-8am</option>&#13;
			<option label="Morning 8-11am" value="morning-811am">Morning 8-11am</option>&#13;
			<option label="Afternoon 12-4pm" value="afternoon-124pm">Afternoon 12-4pm</option>&#13;
			<option label="Evening 4-7pm" value="evening-47pm">Evening 4-7pm</option>&#13;
			<option label="Night 7-9pm" value="night-79pm">Night 7-9pm</option>&#13;
			<option label="Late flight " value="late-flight-">Late flight </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Hotel Room Preferrence"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
			<option label="Suite " value="suite-">Suite </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Style Preferences"/>&#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="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Cultural / Historic" value="cultural-historic">Cultural / Historic</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Family Trip" value="family-trip">Family Trip</option>&#13;
			<option label="Girls Trip" value="girls-trip">Girls Trip</option>&#13;
			<option label="Group Travel" value="group-travel">Group Travel</option>&#13;
			<option label="Guys Trip " value="guys-trip-">Guys Trip </option>&#13;
			<option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option>&#13;
			<option label="Romantic" value="romantic">Romantic</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="radio-group" label="What is your budget for activities/excurions ? per person" description="This just gives me a general starting point and can always be changed later." name="radio-group-1758595880514">&#13;
			<option label="$50 to $75" value="50-to-75">$50 to $75</option>&#13;
			<option label="$75 to $100" value="75-to-100">$75 to $100</option>&#13;
			<option label="$100 to $150" value="100-to-150">$100 to $150</option>&#13;
			<option label="$150to $200" value="150to-200">$150to $200</option>&#13;
			<option label="$200 to 300" value="200-to-300">$200 to 300</option>&#13;
			<option label="$300 to $500" value="300-to-500">$300 to $500</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Special Requests, Celebrations or Notes"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Acknowledgement"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

Please confirm the following:

I understand this form is an inquiry and not a booking confirmation
I consent to be contacted by Viva Vistas regarding my travel request

Click to sign