<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Start Your Destination Wedding Journey With BWM Travel Agency&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <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="date" label="Birthday" name="birthday" className="form-control"/> <field type="textarea" required="true" label="Name and Date of Birth of Future Spouse" name="name-and-date-of-birth-of-future-spouse" className="form-control"/> <field type="text" required="true" label="Phone number" description="This number is needed for our 30 min consultation." name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Desired Wedding Date" name="desired-wedding-date" className="form-control"/> <field type="text" required="true" label="Desired Destination&nbsp;" name="desired-destination-" subtype="text" className="form-control"/> <field type="radio-group" label="Will this be a Symbolic or Legal Wedding ?" description="Symbolic weddings are just symbolic meaning you will be married legally at home first. Legal means this will be your only wedding ceremony." name="will-this-be-a-symbolic-or-legal-wedding-"> <option label="Symbolic " value="symbolic-">Symbolic </option> <option label="Legal " value="legal-">Legal </option> <option label="Vow Renewal " value="vow-renewal-">Vow Renewal </option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <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="checkbox-group" 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="text" required="true" label="Estimated number of guest?" description="List that amount of travelers that will be in your room with you" placeholder="50" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Expected number of rooms?" name="expected-number-of-rooms" subtype="text" className="form-control"/> <field type="text" required="true" label="Will children be attending your wedding?" description="Place Zero if No Children- List the amount of children in your room" placeholder="0" name="how-many-children-what-are-the-dob-" subtype="text" className="form-control"/> <field type="select" required="true" label="How would you like to pay for your trip ?" name="how-would-you-like-to-pay-for-your-trip-" className="form-control"> <option label="Book Now Pay Later ( Finance)" value="book-now-pay-later-finance">Book Now Pay Later ( Finance)</option> <option label="Pay in installments ( Future travel only)" value="pay-in-installments-future-travel-only">Pay in installments ( Future travel only)</option> <option label="Pay in Full" value="pay-in-full">Pay in Full</option> <option label="I am just Browsing " value="i-am-just-browsing-">I am just Browsing </option> </field> <field type="radio-group" required="true" label="What is your Budget for your Destination Wedding?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="Under 1500" value="under-1500">Under 1500</option> <option label="$1,500 to $5,000" value="1500-to-5000">$1,500 to $5,000</option> <option label="$5,000 to $10,000" value="5000-to-10000">$5,000 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" 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="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"/> <field type="paragraph" subtype="p" label="When you book our Concierge Services before February 14th 2026 for this Package you get a FREE Local Wedding at our North Jersey Location."/> <field type="paragraph" subtype="p" label="Our concierge service manages every travel and resort detail, coordinates with vendors, and ensures guests are supported every step of the way so you can focus on love, joy, and celebration. Package also includes additional services our couples may need along the way."/> <field type="paragraph" subtype="p" label="Designed for couples who desire a seamless, luxury journey from the first consultation to the honeymoon return."/> <field type="paragraph" subtype="p" label="💎 Luxury Destination Wedding Travel Concierge Experience $2,500"/> <field type="paragraph" subtype="p" label="You’ll receive personalized resort options, guest-booking support, and a digital save-the-date flyer to make inviting loved ones simple and stress-free."/> <field type="paragraph" subtype="p" label="Perfect for couples who want professional travel coordination and resort research without full wedding management."/> <field type="paragraph" subtype="p" label="🩵 Destination Wedding Travel Agent Package — $399"/> <field type="paragraph" subtype="p" label="Each couple’s journey is unique, so we offer two distinct planning paths:"/> <field type="radio-group" required="true" label="Which of our Destination Wedding Packages are&nbsp; you interested in ?" name="which-of-our-destination-wedding-packages-are-you-interested-in-"> <option label=" Destination Wedding Travel Agent Package — $399" value="-destination-wedding-travel-agent-package-399"> Destination Wedding Travel Agent Package — $399</option> <option label="Luxury Destination Wedding Travel Concierge Experience $2,500" value="luxury-destination-wedding-travel-concierge-experience-2500">Luxury Destination Wedding Travel Concierge Experience $2,500</option> <option label="Unsure " value="unsure-">Unsure </option> </field> <field type="radio-group" required="true" label="How did you hear about BWM Travel Agency?&nbsp;" name="how-did-you-hear-about-bwm-travel-agency-"> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="TikTok" value="tiktok">TikTok</option> <option label="Google" value="google">Google</option> <option label="Referral" value="referral">Referral</option> <option label="Other" value="other">Other</option> </field> <field type="paragraph" subtype="p" label="When submitting this form you will automatically be added to our mailing list. If you wish to unsubscribe you will have the option to do so when you receive our newsletter."/> </fields> </form-template> </body> </html>
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