Share your information with LaKeitha Rhone

LaKeitha Rhone

Travel by Keitha

<form-template>
	<fields>
		<field type="paragraph" subtype="blockquote" label="Thank you for allowing Travel by Keitha to assist with your next trip. Please complete this form in its entirety and as accurate as possible. Research will be based on what is entered. You will receive a confirmatory email after your form has been reviewed. Quotes will be sent to the email address provided on this form within 48-72 hours of receiving the mandatory research fee.&amp;nbsp;"/>
		<field type="header" subtype="h3" label="To avoid confusion, please enter details for ONE trip at a time. If you are interested in different locations or trip types, (such as a family trip and a couples trip OR a international trip and a domestic trip) Please submit a different form.&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;nbsp;"/>
		<field type="header" subtype="h2" label="Research Fee"/>
		<field type="select" required="true" label="OUR MANDATORY RESEARCH FEE IS REQUIRED PRIOR TO RECEIVING YOUR QUOTE. IT IS REFUNDED IF TRIP IS BOOKED WITHIN 24 HOURS OF RECEIVING FINAL QUOTE. INFORMATION TO SEND PAYMENT IS BELOW.*" name="our-mandatory-research-fee-is-required-prior-to-receiving-your-quote-it-is-refunded-if-trip-is-booked-within-24-hours-of-receiving-final-quote-information-to-send-payment-is-below" className="form-control">
			<option label="CashApp: $TravelbyKeitha" value="cashapp-travelbykeitha" selected="true">CashApp: $TravelbyKeitha</option>
			<option label="PayPal: paypal.me/travelbykeitha" value="paypal-paypalmetravelbykeitha">PayPal: paypal.me/travelbykeitha</option>
			<option label="Zelle: 903-617-9564" value="zelle-9036179564">Zelle: 903-617-9564</option>
		</field>
		<field type="select" required="true" label="Research Fee" name="research-fee" className="form-control">
			<option label="$25 for less than 5 travelers" value="25-for-less-than-5-travelers" selected="true">$25 for less than 5 travelers</option>
			<option label="$40 for 6+ travelers" value="40-for-6-travelers">$40 for 6+ travelers</option>
			<option label="$50 for Signature International trips" value="50-for-signature-international-trips">$50 for Signature International trips</option>
		</field>
		<field type="paragraph" subtype="p" label="&amp;nbsp; &amp;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" label="Middle name" name="middle-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="Suffix" name="suffix" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Gender" name="gender">
			<option label="Male" value="male">Male</option>
			<option label="Female" value="female">Female</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="header" subtype="h2" label="Important Dates"/>
		<field type="date" required="true" label="Birthdate" name="birthdate" className="form-control"/>
		<field type="date" label="Wedding Anniversary" name="wedding-anniversary" className="form-control"/>
		<field type="header" subtype="h2" label="Contact Information"/>
		<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="header" subtype="h2" label="Trip&amp;nbsp; Information"/>
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>
		<field type="text" label="Departure airport?(Ex. BHM, ATL, ICT, DFW)" name="departure-airportex-bhm-atl-ict-dfw" subtype="text" className="form-control"/>
		<field type="text" label="If dates are flexible, please list here" name="if-dates-are-flexible-please-list-here" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Type of Trip" name="type-of-trip">
			<option label="Luxury" value="luxury">Luxury</option>
			<option label="Adventurous" value="adventurous">Adventurous</option>
			<option label="Romantic /quiet" value="romantic-quiet">Romantic /quiet</option>
			<option label="Family friendly" value="family-friendly">Family friendly</option>
			<option label="Party" value="party">Party</option>
		</field>
		<field type="select" required="true" label="If traveling with a group, please select group type&amp;nbsp;" name="if-traveling-with-a-group-please-select-group-type-" className="form-control">
			<option label="Couples" value="couples">Couples</option>
			<option label="Girls" value="girls">Girls</option>
			<option label="Guys" value="guys">Guys</option>
			<option label="Family" value="family">Family</option>
			<option label="Other" value="other" selected="true">Other</option>
		</field>
		<field type="header" subtype="h2" label="International Destinations"/>
		<field type="radio-group" required="true" label="Select your destination of choice" name="select-your-destination-of-choice">
			<option label="Aruba" value="aruba">Aruba</option>
			<option label="Bahamas" value="bahamas">Bahamas</option>
			<option label="Colombia" value="colombia">Colombia</option>
			<option label="Costa Rica" value="costa-rica">Costa Rica</option>
			<option label="Dominican Republic" value="dominican-republic">Dominican Republic</option>
			<option label="Jamaica" value="jamaica">Jamaica</option>
			<option label="Mexico" value="mexico">Mexico</option>
			<option label="St. Lucia" value="st-lucia">St. Lucia</option>
			<option label="St. Vincent &amp; the Grenadines" value="st-vincent-the-grenadines">St. Vincent &amp; the Grenadines</option>
			<option label="Turks &amp; Caicos" value="turks-caicos">Turks &amp; Caicos</option>
			<option label="Requesting domestic trip." value="requesting-domestic-trip">Requesting domestic trip.</option>
			<option label="Other international destination" value="other-international-destination">Other international destination</option>
		</field>
		<field type="text" label="&amp;nbsp;For Signature International destinations, list here?&amp;nbsp;" name="-for-signature-international-destinations-list-here-" subtype="text" className="form-control"/>
		<field type="select" required="true" label="Do all travelers have a valid passport?&amp;nbsp;" name="do-all-travelers-have-a-valid-passport-" className="form-control">
			<option label="Yes! We're all ready!" value="yes-were-all-ready" selected="true">Yes! We're all ready!</option>
			<option label="No we have not applied yet" value="no-we-have-not-applied-yet">No we have not applied yet</option>
			<option label="We have applied and waiting to receive them" value="we-have-applied-and-waiting-to-receive-them">We have applied and waiting to receive them</option>
			<option label="Requesting domestic trip. Passport not required" value="requesting-domestic-trip-passport-not-required">Requesting domestic trip. Passport not required</option>
		</field>
		<field type="header" subtype="h2" label="Domestic Locations"/>
		<field type="checkbox-group" required="true" label="Select domestic location of your choice. NO PASSPORTS REQUIRED!&amp;nbsp; Select up to 3 choices." name="select-domestic-location-of-your-choice-no-passports-required-select-up-to-3-choices">
			<option label="California" value="california">California</option>
			<option label="Colorado" value="colorado">Colorado</option>
			<option label="Florida(Key West, Miami, Disney, Universal)" value="floridakey-west-miami-disney-universal">Florida(Key West, Miami, Disney, Universal)</option>
			<option label="Hawaii" value="hawaii">Hawaii</option>
			<option label="Las Vegas" value="las-vegas">Las Vegas</option>
			<option label="New Orleans" value="new-orleans">New Orleans</option>
			<option label="New York" value="new-york">New York</option>
			<option label="Puerto Rico" value="puerto-rico">Puerto Rico</option>
			<option label="Tennessee" value="tennessee">Tennessee</option>
			<option label="Virgin Islands" value="virgin-islands">Virgin Islands</option>
			<option label="Requesting international trip" value="requesting-international-trip">Requesting international trip</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="text" label="Domestic destination not listed:" name="domestic-destination-not-listed" subtype="text" className="form-control"/>
		<field type="header" subtype="h3" label="Cruise"/>
		<field type="select" required="true" label="Preferred Cruise Line" name="preferred-cruise-line" className="form-control">
			<option label="N/A" value="na" selected="true">N/A</option>
			<option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option>
			<option label="Luxury Cruise Line" value="luxury-cruise-line">Luxury Cruise Line</option>
			<option label="River Cruise" value="river-cruise">River Cruise</option>
			<option label="Expedition Cruise" value="expedition-cruise">Expedition Cruise</option>
			<option label="Family Cruise" value="family-cruise">Family Cruise</option>
			<option label="Adults Only Cruise" value="adults-only-cruise">Adults Only Cruise</option>
		</field>
		<field type="text" label="Cruise Line Membership and Number" name="cruise-line-membership-and-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Travelers"/>
		<field type="text" required="true" label="How many adults?&amp;nbsp;" name="how-many-adults-" subtype="text" className="form-control"/>
		<field type="select" required="true" label="Are you traveling with children?&amp;nbsp;" name="are-you-traveling-with-children-" className="form-control">
			<option label="Yes" value="yes" selected="true">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" required="true" label="If yes, please list the number of kids AND their ages at the time of departure. If NO children, place NA in box.&amp;nbsp;" name="if-yes-please-list-the-number-of-kids-and-their-ages-at-the-time-of-departure-if-no-children-place-na-in-box-" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What is your MAX budget PER PERSON?&amp;nbsp;" name="what-is-your-max-budget-per-person-" subtype="text" className="form-control"/>
		<field type="select" required="true" label="Are you interested in using Uplift services? (Book Now, Pay Later)?&amp;nbsp;" name="are-you-interested-in-using-uplift-services-book-now-pay-later-" className="form-control">
			<option label="Yes" value="yes" selected="true">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="radio-group" required="true" label="Number of Individual rooms needed?" name="number-of-individual-rooms-needed">
			<option label="1" value="1">1</option>
			<option label="2" value="2">2</option>
			<option label="3" value="3">3</option>
			<option label="4" value="4">4</option>
			<option label="Need Group Services" value="need-group-services">Need Group Services</option>
		</field>
		<field type="text" label="Please list if you’re celebrating a special occasion&amp;nbsp;&amp;nbsp;" name="please-list-if-youre-celebrating-a-special-occasion-" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">
			<option label="King" value="king">King</option>
			<option label="Double/Queen" value="doublequeen">Double/Queen</option>
		</field>
		<field type="text" required="true" label="Interested in excursions/activities? List them below&amp;nbsp;" name="interested-in-excursionsactivities-list-them-below-" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="Select the best option that applies to you." name="select-the-best-option-that-applies-to-you">
			<option label="Ready to book ASAP" value="ready-to-book-asap">Ready to book ASAP</option>
			<option label="Shopping around/comparing prices" value="shopping-aroundcomparing-prices">Shopping around/comparing prices</option>
			<option label="Seriously planning" value="seriously-planning">Seriously planning</option>
		</field>
		<field type="textarea" label="List anything else you would like for me to know(Airline preference, excursions etc.)&amp;nbsp;" name="list-anything-else-you-would-like-for-me-to-knowairline-preference-excursions-etc-" className="form-control"/>
		<field type="header" subtype="h3" label="If your travel dates are within 45 days, the full balance is due at booking."/>
		<field type="paragraph" subtype="blockquote" label="For cruises and Signature International trips, the full balance is due 60 days before departure.&amp;nbsp;"/>
		<field type="header" subtype="h3" label="Groups"/>
		<field type="paragraph" subtype="blockquote" label="When booking a large group, please appoint one main person for communication purposes.&amp;nbsp;"/>
		<field type="header" subtype="h2" label="Signature International Trips"/>
		<field type="paragraph" subtype="blockquote" label="Signature international quotes (Ex. Africa, Bora Bora, Dubai, Greece) are built after collecting all information from the client. This may require a scheduled telephone consultation. Please note that pricing for these trips can begin at approx. $2,500+ Per person"/>
		<field type="header" subtype="h3" label="Pricing is always subject to change until your deposit is submitted to lock in your prices.&amp;nbsp;&amp;nbsp;"/>
		<field type="textarea" label="How did you hear about us?&amp;nbsp;" name="how-did-you-hear-about-us-" className="form-control"/>
		<field type="radio-group" required="true" label="Please Acknowledge: We do not book Airbnb properties OR flights only. **Due to current travel circumstances, travel insurance will be added to each package. If you decline, a waiver must be signed to proceed with booking.&amp;nbsp; You may reach out for additional domestic locations if you have a group that will be traveling.*" name="please-acknowledge-we-do-not-book-airbnb-properties-or-flights-only-due-to-current-travel-circumstances-travel-insurance-will-be-added-to-each-package-if-you-decline-a-waiver-must-be-signed-to-proceed-with-booking-you-may-reach-out-for-additional-domestic-locations-if-you-have-a-group-that-will-be-traveling">
			<option label="I acknowledge" value="i-acknowledge">I acknowledge</option>
			<option label="I do NOT acknowledge" value="i-do-not-acknowledge">I do NOT acknowledge</option>
			<option label="Other" value="other">Other</option>
		</field>
	</fields>
</form-template>

We are Travel by Keitha and are excited to help you with your travel. The following terms & conditions (the "Agreement") describe what you can expect from us. The terms "we", "us", and "our" refer to Travel by Keitha and the term "you" refers to the individual who signs this agreement.

Click to sign