<html> <body> <form-template> <fields> <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" label="Preferred name" name="preferred-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="Total number of travelers" name="total-number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Names of all that will be traveling with you. Please include relationships to each traveler and for children, please include ages" description="This information will be used to save the itinerary with our partners. No information will be shared & providing this does not obligate you to any booking." name="please-list-all-traveler-full-names-with-middle-and-birthdates" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" placeholder="Ex: Morocco, Caribbean Island, Safari, I don't know - I need advice!" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" required="true" label="What dates would you like to go?" placeholder="mm/dd/yy - mm/dd/yy" name="what-dates-would-you-like-to-go" subtype="text" className="form-control"/> <field type="select" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control"> <option label="Yes- Open to best availability & value" value="yes-open-to-best-availability-value">Yes- Open to best availability & value</option> <option label="Potentially, but prefer date outlined" value="potentially-but-prefer-date-outlined">Potentially, but prefer date outlined</option> <option label="No- Dates are set and unable to be moved" value="no-dates-are-set-and-unable-to-be-moved">No- Dates are set and unable to be moved</option> </field> <field type="text" label="What is the reason for the trip?" placeholder="Ex: honeymoon birthday retirement just because!" name="what-is-the-reason-for-the-trip" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="how-would-you-describe-your-desired-accommodation-style"> <option label="Luxury & exclusive" value="luxury-exclusive">Luxury & exclusive</option> <option label="Boutique & Intimate" value="boutique-intimate">Boutique & Intimate</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Ultra-Luxe" value="ultraluxe">Ultra-Luxe</option> <option label="Best Value for Money" value="best-value-for-money">Best Value for Money</option> </field> <field type="text" label="What research have you done? Is there anything you absolutely must do or see?" name="what-are-your-must-have-amenities" subtype="text" className="form-control"/> <field type="text" label="Will you be booking any portion of your trip with points? If so, please describe.&nbsp;" description="We are unable to book with points but this will allow us to know what components we can assist with." name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-please-describe-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What components would you like us to provide in your proposal?" name="what-components-would-you-like-us-to-provide-in-your-proposal"> <option label="one-stop hotel booking" value="onestop-hotel-booking">one-stop hotel booking</option> <option label="one-stop hotel booking with an itinerary" value="onestop-hotel-booking-with-an-itinerary">one-stop hotel booking with an itinerary</option> <option label="multi-stop itinerary" value="multistop-itinerary">multi-stop itinerary</option> <option label="destination wedding or elopement" value="destination-wedding-or-elopement">destination wedding or elopement</option> <option label="private air or yacht charter" value="private-air-or-yacht-charter">private air or yacht charter</option> <option label="river or ocean cruise" value="river-or-ocean-cruise">river or ocean cruise</option> <option label="speciality experience like concerts, sporting events, olympics" value="speciality-experience-like-concerts-sporting-events-olympics">speciality experience like concerts, sporting events, olympics</option> <option label="not yet sure - would like to to discuss the options!" value="not-yet-sure-would-like-to-to-discuss-the-options">not yet sure - would like to to discuss the options!</option> <option label="retreat like yoga, business, wellness" value="retreat-like-yoga-business-wellness">retreat like yoga, business, wellness</option> </field> <field type="select" required="true" label="What is your budget for all travelers? If your budget is very firm, please click 'other' and provide details." description="This gives me a general starting point. Feel free to be more specific in the 'other' section." name="what-is-your-ideal-total-budget-for-all-travelers" className="form-control"> <option label="$15000 -$25,000" value="15000-25000">$15000 -$25,000</option> <option label="$10000 - $15000" value="10000-15000">$10000 - $15000</option> <option label="$7500 - $10000" value="7500-10000">$7500 - $10000</option> <option label="$5,000-$7,500" value="5000-7500">$5,000-$7,500</option> <option label="up to $5,000" value="$5000-">up to $5,000</option> <option label="$25,000-$35,000" value="2500035000">$25,000-$35,000</option> <option label="$35,000+" value="35000-">$35,000+</option> <option label="Other" value="" selected="selected">Other</option> </field> <field type="select" label="Are flights included in the budget?" name="are-flights-included-in-the-budget" className="form-control"> <option label="Please include flights in the budget" value="please-include-flights-in-the-budget">Please include flights in the budget</option> <option label="I'll book flights on my own" value="ill-book-flights-on-my-own" selected="selected">I'll book flights on my own</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="text" label="What is your preferred airport of departure/ home airport (if you are needing airfare)?" name="what-is-your-preferred-airport-of-departure-home-airport-if-you-are-needing-airfare" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="The more details the better!" name="do-you-have-anything-else-to-add-that-would-be-important-for-us-to-know-about-your-pending-itinerary" className="form-control"/> <field type="text" label="How did you hear about us?" placeholder="social media, a friend or colleague - please let us know who to thank!" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to be added to our newsletter?" name="would-you-like-to-be-added-to-our-newsletter" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Are we connected through Social Media yet? Drop your handles here!" placeholder="Instagram Facebook, TikTok, LinkedIn" name="are-we-connected-through-social-media-yet-drop-your-handles-here" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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