<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="New Client Profile - 2023"/> <field type="paragraph" subtype="p" label="Thank you for taking the time to answer these questions."/> <field type="header" subtype="h2" label="Passport Info"/> <field type="paragraph" subtype="p" label="Please make sure to enter your name and date of birth exactly as it is shown in your passport.&nbsp; &nbsp;Neglecting to do so may prevent you from boarding your flight or cruise ship."/> <field type="paragraph" subtype="p" label="This information will be stored on a PCI-compliant website.&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" label="Primary Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you have a valid passport?" name="do-you-have-a-passport-that-has-not-expired"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/> <field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" required="true" label="Citizenship&nbsp; (the country your passport represent)" name="citizenship" subtype="text" className="form-control"/> <field type="text" label="If you are not a US citizen, do you have a valid Green Card?" name="if-you-are-not-a-us-citizen-do-you-have-a-green-card" subtype="text" className="form-control"/> <field type="date" label="If yes, when does your Green Card expire?" name="if-yes-when-does-your-green-card-expre" className="form-control"/> <field type="paragraph" subtype="p" label="On June 1, 2019, as part of IATA Resolution 830d, International Air Transport Association (IATA) began to require that all travel advisors and travel agencies enter passenger contact information when booking air tickets in order to help contact the passenger “in an operational disruption” and so that airlines are “able to advise passengers of irregular flight operations and disruptions.”&nbsp;"/> <field type="paragraph" subtype="p" label="For this reason, the information you provide on this form will be stored on a PCI-compliant website.&nbsp; Be assured that the information will never be sold or shared with anyone for any other purpose than to book your travel arrangements."/> <field type="text" label="Do you have Global Entry?&nbsp; If so, plase add your account number here:" name="do-you-have-global-entry-if-so-plase-add-your-account-number-here" subtype="text" className="form-control"/> <field type="text" label="Do you have Pre-Check?&nbsp; If yes, please add your number here:" name="do-you-have-precheck-if-yes-please-add-your-number-here" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Prefrences"/> <field type="checkbox-group" label="Preferred Seat" name="preferred-seat"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Least expensive" value="least-expensive">Least expensive</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="checkbox-group" required="true" 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 (beer, whiskey etc.)" value="food-and-wine-beer-whiskey-etc">Food and wine (beer, whiskey etc.)</option> <option label="Warm Destination" value="warm-destination">Warm Destination</option> <option label="Cold Destination" value="cold-destination">Cold Destination</option> <option label="Shopper's Heaven" value="shoppers-heaven">Shopper's Heaven</option> <option label="Trendy " value="trendy-">Trendy </option> <option label="Budget Conscious" value="budget-conscious">Budget Conscious</option> <option label="Must-see sightseeing spots" value="mustsee-sightseeing-spots">Must-see sightseeing spots</option> <option label="The Art and Theater lover" value="the-art-and-theater-lover">The Art and Theater lover</option> <option label="Music Lover" value="music-lover">Music Lover</option> <option label="Adventurous" value="adventurous">Adventurous</option> <option label="Beach & Water" value="beach-water">Beach & Water</option> <option label="Nature" value="nature">Nature</option> <option label="Volunteer" value="volunteer">Volunteer</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Food & Wine (Beer, or Whiskey)" value="food-wine-beer-or-whiskey">Food & Wine (Beer, or Whiskey)</option> <option label="Historic Sites" value="historic-sites">Historic Sites</option> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="Safari" value="safari">Safari</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Photography" value="photography">Photography</option> <option label="Wellness" value="wellness">Wellness</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Outdoor activities - skiing, hiking, diving etc." value="outdoor-activities-skiing-hiking-diving-etc">Outdoor activities - skiing, hiking, diving etc.</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Sight-seeing" value="sightseeing">Sight-seeing</option> <option label="Rest" value="rest">Rest</option> <option label="High intensity" value="high-intensity">High intensity</option> <option label="Cooking" value="cooking">Cooking</option> <option label="Meet with locals" value="meet-with-locals">Meet with locals</option> <option label="Music" value="music">Music</option> <option label="Volunteer" value="volunteer">Volunteer</option> <option label="Educational" value="educational">Educational</option> </field> <field type="radio-group" label="Are you comfortable trying new things?" name="are-you-comfortable-trying-new-things"> <option label="Alaways" value="alaways">Alaways</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="Not usually" value="not-usually">Not usually</option> </field> <field type="text" label="When you go out do you prefer casual, country club chic, formal or other?" name="when-you-go-out-do-you-prefer-casual-country-club-chic-formal-or-other" subtype="text" className="form-control"/> <field type="text" label="Are you a country person or a city person?" name="are-you-a-country-person-or-a-city-person" subtype="text" className="form-control"/> <field type="text" label="What are your favorite hobbies?" name="what-are-your-favorite-hobbies" subtype="text" className="form-control"/> <field type="checkbox-group" label="Food Preferences - If you can not find food you like or can eat you will most likely not enjoy your vacation very much.&nbsp; Please check off your likes.&nbsp; If you have any food allergies, or can not eat certain food for whatever reason, please specify below." name="food-preferences-if-you-can-not-find-food-you-like-or-can-eat-you-will-most-likely-not-enjoy-your-vacation-very-much-please-check-off-your-likes-if-you-have-any-food-allergies-or-can-not-eat-certain-food-for-whatever-reason-please-specify-below"> <option label="Traditional American Food" value="traditional-american-food">Traditional American Food</option> <option label="Local / Exotic Food" value="local-exotic-food">Local / Exotic Food</option> <option label="Vegetarian" value="vegetarian">Vegetarian</option> <option label="Vegan" value="vegan">Vegan</option> <option label="Kosher" value="kosher">Kosher</option> <option label="Non-Dairy" value="nondairy">Non-Dairy</option> <option label="Gluten Free" value="gluten-free">Gluten Free</option> <option label="Organic" value="organic">Organic</option> <option label="No Nuts" value="no-nuts">No Nuts</option> <option label="Chinese" value="chinese">Chinese</option> <option label="Japanese" value="japanese">Japanese</option> <option label="Indian" value="indian">Indian</option> <option label="Thai" value="thai">Thai</option> <option label="Mexican" value="mexican">Mexican</option> <option label="Mediterranian" value="mediterranian">Mediterranian</option> <option label="Greek" value="greek">Greek</option> <option label="French" value="french">French</option> <option label="Italian" value="italian">Italian</option> <option label="German" value="german">German</option> <option label="Middle Eastern" value="middle-eastern">Middle Eastern</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="What is your favorite food?" name="what-is-your-favorite-food" subtype="text" className="form-control"/> <field type="radio-group" label="Do you drink wine?" name="do-you-drink-wine"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you drink beer?" name="do-you-drink-beer"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you drink whiskey and other spirits?" name="do-you-drink-whiskey-and-other-spirits"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your favorite drink?&nbsp; (alcoholic or non-alcoholic)" name="what-is-your-favorite-drink-alcoholic-or-nonalcoholic" subtype="text" className="form-control"/> <field type="text" label="What is your favorite dessert?" name="what-is-your-favorite-dessert" subtype="text" className="form-control"/> <field type="radio-group" label="Do you smoke?" name="do-you-smoke"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How much free time do you want when on vacation?" name="how-much-free-time-do-you-want-when-on-vacation" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Activity Levels - Activity Level Ratings provide an understanding of the physical expectations for your vacation, making it easier to plan a vacation that is right for you.&nbsp;" name="activity-levels-activity-level-ratings-provide-an-understanding-of-the-physical-expectations-for-your-vacation-making-it-easier-to-plan-a-vacation-that-is-right-for-you-"> <option label="Level 1: Easy - Travelers in good health with minor to good mobility, comfortable participating in 3 hrs of activity per day." value="level-1-easy-travelers-in-good-health-with-minor-to-good-mobility-comfortable-participating-in-3-hrs-of-activity-per-day">Level 1: Easy - Travelers in good health with minor to good mobility, comfortable participating in 3 hrs of activity per day.</option> <option label="Level 2: Moderate -Physically fit and comfortable with full days of touring & walking" value="level-2-moderate-physically-fit-and-comfortable-with-full-days-of-touring-walking">Level 2: Moderate -Physically fit and comfortable with full days of touring & walking</option> <option label="Level 3: Moderate / Active -physically fit, lead active lives, are comfortable with full days of activities, and some physical exertion" value="level-3-moderate-active-physically-fit-lead-active-lives-are-comfortable-with-full-days-of-activities-and-some-physical-exertion">Level 3: Moderate / Active -physically fit, lead active lives, are comfortable with full days of activities, and some physical exertion</option> <option label="Level 4: Active -high fitness level, vigorous pace, comfortable w/ 8 hrs of physical activity per day." value="level-4-active-high-fitness-level-vigorous-pace-comfortable-w-8-hrs-of-physical-activity-per-day">Level 4: Active -high fitness level, vigorous pace, comfortable w/ 8 hrs of physical activity per day.</option> <option label="Level 5: Very Active -very high fitness level, vigorous pace, comfortable w/ 15 hrs of physical activity per day,. A doctor’s certificate required." value="level-5-very-active-very-high-fitness-level-vigorous-pace-comfortable-w-15-hrs-of-physical-activity-per-day-a-doctors-certificate-required">Level 5: Very Active -very high fitness level, vigorous pace, comfortable w/ 15 hrs of physical activity per day,. A doctor’s certificate required.</option> </field> <field type="textarea" label="Text Area" name="textarea-1673749999544" className="form-control"/> <field type="checkbox-group" required="true" label="Please check off the top 3 most important things when going on a vacation?" name="please-check-off-the-top-3-most-important-things-when-going-on-a-vacation"> <option label="Accommodations - comfort & amenities of your hotel/cabin" value="accommodations-comfort-amenities-of-your-hotelcabin">Accommodations - comfort & amenities of your hotel/cabin</option> <option label="Activities - how much and what there is to do" value="activities-how-much-and-what-there-is-to-do">Activities - how much and what there is to do</option> <option label="Food - quality & options" value="food-quality-options">Food - quality & options</option> <option label="Price " value="price-">Price </option> <option label="Scenery" value="scenery">Scenery</option> <option label="Weather" value="weather">Weather</option> <option label="Entertainment" value="entertainment">Entertainment</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Historic sites" value="historic-sites">Historic sites</option> <option label="Lack of crowds" value="lack-of-crowds">Lack of crowds</option> <option label="Modern conveniences " value="modern-conveniences-">Modern conveniences </option> <option label="Public transportation (no need for rental car etc.)" value="public-transportation-no-need-for-rental-car-etc">Public transportation (no need for rental car etc.)</option> <option label="Easy / short flight to my home" value="easy-short-flight-to-my-home">Easy / short flight to my home</option> <option label="Safety" value="safety">Safety</option> <option label="I have friends or family here" value="i-have-friends-or-family-here">I have friends or family here</option> <option label="I have a sentimental reason to visit" value="i-have-a-sentimental-reason-to-visit">I have a sentimental reason to visit</option> <option label="I would like to do volunteer work" value="i-would-like-to-do-volunteer-work">I would like to do volunteer work</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="Is being close to a place of worship important to you when on vacation?" name="is-being-close-to-a-place-of-worship-important-to-you-when-on-vacation"> <option label="Yes" value="yes">Yes</option> <option label="If it is there, I will go, but not a requirement" value="if-it-is-there-i-will-go-but-not-a-requirement">If it is there, I will go, but not a requirement</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your favorite genre of music?" name="what-is-your-favorite-genre-of-music" subtype="text" className="form-control"/> <field type="text" label="What is your favorite genre of movies?" name="what-is-your-favorite-genre-of-movies" subtype="text" className="form-control"/> <field type="checkbox-group" label="What is your favorite furniture style?" name="what-is-your-favorite-furniture-style"> <option label="Art Deco" value="art-deco">Art Deco</option> <option label="Artisan / Arts & Crafts" value="artisan-arts-crafts">Artisan / Arts & Crafts</option> <option label="Asian" value="asian">Asian</option> <option label="Beach House / Nautical" value="beach-house-nautical">Beach House / Nautical</option> <option label="Country" value="country">Country</option> <option label="French" value="french">French</option> <option label="Georgian / Queen Anne / Victorian" value="georgian-queen-anne-victorian">Georgian / Queen Anne / Victorian</option> <option label="Industrial" value="industrial">Industrial</option> <option label="Italian / Tuscan" value="italian-tuscan">Italian / Tuscan</option> <option label="Minimalistic" value="minimalistic">Minimalistic</option> <option label="Rustic" value="rustic">Rustic</option> <option label="South Western" value="south-western">South Western</option> <option label="Traditional" value="traditional">Traditional</option> <option label="Tropical" value="tropical">Tropical</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="What magazines do you read?" name="what-magazines-do-you-read" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you have any special needs such as food allergies, food restrictions due to religious reasons, pregnancy or medical disabilities etc that we should know about?" name="do-you-have-any-special-needs-such-as-food-allergies-food-restrictions-due-to-religious-reasons-pregnancy-or-medical-disabilities-etc-that-we-should-know-about"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Please explain below" name="textarea-1519699241694" className="form-control"/> <field type="text" required="true" label="Do you have any special fears?&nbsp; (heights, spiders, flying etc.)" name="do-you-have-any-special-fears-heights-spiders-flying-etc" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="It is important for you to know that a lot of countries and suppliers now require that your COVID vaccine is up to date.&nbsp; &nbsp; &nbsp; &nbsp;(Not all countries have the same requirement when it comes to how recent your last vaccine must be to be considered up-to-date.)&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="radio-group" required="true" label="Do you have a current COVID vaccine?" name="do-you-have-a-current-covid-vaccine"> <option label="Yes" value="yes">Yes</option> <option label="I would rather not provide this information" value="i-would-rather-not-provide-this-information">I would rather not provide this information</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="If you are vaccinated, when did you receive your last COVID vaccine?" name="if-you-are-vaccinated-when-did-you-receive-your-last-covid-vaccine" className="form-control"/> <field type="text" required="true" label="Is there anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything 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="For information that we need to keep on file, we will be using TravelJoy because it stores all information in chronological order, and it is PCI compliant."/> <field type="checkbox-group" label="Will you be celebrating a special occasion?" name="will-you-be-celebrating-a-special-occasion"> <option label="Birthday" value="birthday">Birthday</option> <option label="Engagement" value="engagement">Engagement</option> <option label="Destination Bachelor / Bachelorette Part" value="destination-bachelor-bachelorette-part">Destination Bachelor / Bachelorette Part</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Babymoon" value="babymoon">Babymoon</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Retirement" value="retirement">Retirement</option> <option label="Company Incentive" value="company-incentive">Company Incentive</option> <option label="Friend's Reunion" value="friends-reunion">Friend's Reunion</option> <option label="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="Other celebration" name="other-celebration" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;Please note that it is the traveler NOT Perfectly Planned Journeys' responsibility to ensure that the traveler meets all travel requirements."/> </fields> </form-template> </body> </html>
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Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways