<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="&nbsp;HEAD OF HOUSEHOLD PPROFILE FORM"/> <field type="header" subtype="h1" label="SECTION 1: CONTACT DETAILS"/> <field type="header" subtype="h2" label="Full name"/> <field type="paragraph" subtype="p" label="Primary Traveler (Information must match your passport):"/> <field type="text" required="true" 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" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" name="date-1763520213563" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Method of Contact:" name="preferred-method-of-contact"> <option label="E-mail" value="email">E-mail</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h2" label="Passport Info"/> <field type="text" required="true" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" 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="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" required="true" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="For non-US passport holders, do you have a valid Green Card?" name="if-not-a-us-citizen-do-you-have-a-valid-green-card"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="N/A" value="na">N/A</option> </field> <field type="date" label="Green Card Expiration Date" name="date-1763524747850" className="form-control"/> <field type="header" subtype="h1" label="Trusted Traveler Programs"/> <field type="text" label="Global Entry Number" name="text-1763525172645" subtype="text" className="form-control"/> <field type="text" label="TSA PreCheck Number" name="tsa-precheck-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Emergency Contact"/> <field type="text" label="Name" name="name" subtype="text" className="form-control"/> <field type="text" label="Relationship" name="text-1763528768997" subtype="text" className="form-control"/> <field type="textarea" label="Contact info" name="contact-info" className="form-control"/> <field type="paragraph" subtype="p" label="Important Notice: On June 1, 2019, IATA Resolution 830d requires all travel advisors to enter passenger contact information when booking air tickets to notify passengers of operational disruptions. Your information will be stored securely on a PCI-compliant website and will only be used to book your travel arrangements. It will never be sold or shared for any other purpose."/> <field type="header" subtype="h1" label="SECTION 2: TRIP OVERVIEW"/> <field type="text" required="true" label="Desired destination(s)" name="desired-destinations" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Have you been there before?" name="checkbox-group-1763529143382"> <option label="No" value="no">No</option> <option label="Yes – within the past 5 years" value="yes-within-the-past-5-years">Yes – within the past 5 years</option> <option label="Yes – longer than 5 years ago" value="yes-longer-than-5-years-ago">Yes – longer than 5 years ago</option> </field> <field type="textarea" label="What inspired this trip?&nbsp;" name="what-inspired-this-trip-special-occasion-bucket-list-cultural-interest-photography-nature-etc-" className="form-control"/> <field type="text" required="true" label="Preferred Travel Dates" name="preferred-travel-dates" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="checkbox-group-1763529572768"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Number of nights?" name="text-1763529620350" subtype="text" className="form-control"/> <field type="text" required="true" label="Departure Airport/City" name="text-1763529676135" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Travel Type" name="travel-type"> <option label="Independent travel (self-drive or train)" value="independent-travel-selfdrive-or-train">Independent travel (self-drive or train)</option> <option label="Private guided travel" value="private-guided-travel">Private guided travel</option> <option label=" Small group (up to 15 travelers)" value="-small-group-up-to-15-travelers"> Small group (up to 15 travelers)</option> <option label="Large group" value="large-group">Large group</option> <option label="Cruise / river cruise" value="cruise-river-cruise">Cruise / river cruise</option> </field> <field type="text" required="true" label="Please provide your budget per person for this trip." name="text-1769932384630" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 3: TRAVEL COMPONENTS REQUESTED"/> <field type="paragraph" subtype="p" label="Please indicate which components you are interested in for this trip. This helps estimate and plan your custom itinerary."/> <field type="checkbox-group" required="true" label="Requested travel components" name="checkbox-group-1763529988767"> <option label="Complete Trip Package" value="complete-trip-package">Complete Trip Package</option> <option label="International Air" value="international-air">International Air</option> <option label="Domestic Air" value="domestic-air">Domestic Air</option> <option label="Escorted Trip " value="escorted-trip-">Escorted Trip </option> <option label="Transfers" value="transfers">Transfers</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Train" value="train">Train</option> <option label="Cruise / River Cruise" value="cruise-river-cruise">Cruise / River Cruise</option> <option label="Ferry" value="ferry">Ferry</option> <option label="Lodging – Hotel, Villa, Unique Lodging" value="lodging-hotel-villa-unique-lodging">Lodging – Hotel, Villa, Unique Lodging</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Private Guide" value="private-guide">Private Guide</option> <option label="Guided Tour in Group" value="guided-tour-in-group">Guided Tour in Group</option> <option label="Event Tickets" value="event-tickets">Event Tickets</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Restaurant Reservations" value="restaurant-reservations">Restaurant Reservations</option> <option label="Planned Special Event" value="planned-special-event">Planned Special Event</option> <option label="Driver Guide" value="driver-guide">Driver Guide</option> <option label="Luggage Service" value="luggage-service">Luggage Service</option> <option label="Chef, Babysitter, Nurse, or Other Professional" value="chef-babysitter-nurse-or-other-professional">Chef, Babysitter, Nurse, or Other Professional</option> <option label="Destination Contact (local person to assist if needed)" value="destination-contact-local-person-to-assist-if-needed">Destination Contact (local person to assist if needed)</option> <option label="Special Needs Equipment (wheelchair, oxygen tank, etc.)" value="special-needs-equipment-wheelchair-oxygen-tank-etc">Special Needs Equipment (wheelchair, oxygen tank, etc.)</option> <option label="Photographer for Special Photos" value="photographer-for-special-photos">Photographer for Special Photos</option> <option label="Only a Plan, No Booking at This Time" value="only-a-plan-no-booking-at-this-time">Only a Plan, No Booking at This Time</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Will you be leaving from your preferred home airport" name="will-you-be-leaving-from-yur-preferred-home-airport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 4: TRAVEL PREFERENCES"/> <field type="header" subtype="h1" label="Airport &amp; Airlines"/> <field type="text" label="Preferred home airport" name="text-1763531018695" subtype="text" className="form-control"/> <field type="text" label="Preferred Airline" name="preferred-airline" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred seat" name="checkbox-group-1763531074031"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Least expensive" value="least-expensive">Least expensive</option> <option label="Bulk head" value="bulk-head">Bulk head</option> <option label="No preference - I do not want to pay for seat selection" value="no-preference-i-do-not-want-to-pay-for-seat-selection">No preference - I do not want to pay for seat selection</option> <option label="I am willing to pay extra for seat selection" value="i-am-willing-to-pay-extra-for-seat-selection">I am willing to pay extra for seat selection</option> </field> <field type="checkbox-group" required="true" label="Which airline class" name="checkbox-group-1763531163075"> <option label="Basic Economy" value="basic-economy">Basic Economy</option> <option label="Standard Economy" value="standard-economy">Standard Economy</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> <option label="First Class Suites" value="first-class-suites">First Class Suites</option> <option label="Depends on Price" value="depends-on-price">Depends on Price</option> </field> <field type="checkbox-group" label="Do you expect to check luggage?" name="do-you-expect-to-check-luggage"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not sure yet" value="not-sure-yet">Not sure yet</option> </field> <field type="header" subtype="h1" label="Lodging Preferences"/> <field type="paragraph" subtype="p" label="When it comes to lodging, cruise, and car rental, please be sure to check off&nbsp; all of your requirements."/> <field type="checkbox-group" required="true" label="check all that apply" name="checkbox-group-1763531596122"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Historic Hotels" value="historic-hotels">Historic Hotels</option> <option label="Castles / Pousadas / Paradores" value="castles-pousadas-paradores">Castles / Pousadas / Paradores</option> <option label="B&B" value="bb">B&B</option> <option label="Cabins / Challet/Rorbu" value="cabins-challetrorbu">Cabins / Challet/Rorbu</option> <option label="Villa / Apartment" value="villa-apartment">Villa / Apartment</option> <option label="Unique Lodging - Ice hotel, Treehouse etc." value="unique-lodging-ice-hotel-treehouse-etc">Unique Lodging - Ice hotel, Treehouse etc.</option> <option label="Spa / Wellness Retreat" value="spa-wellness-retreat">Spa / Wellness Retreat</option> <option label="Luxury Safari Tent" value="luxury-safari-tent">Luxury Safari Tent</option> <option label="River Boat / Barge" value="river-boat-barge">River Boat / Barge</option> <option label="Yacht" value="yacht">Yacht</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Your Preferred Hotel Star Rating" name="hotel-star-rating"> <option label="3 Star" value="3-star">3 Star</option> <option label="4 Star" value="4-star">4 Star</option> <option label="5 Star" value="5-star">5 Star</option> <option label="Not focused on the Star System" value="not-focused-on-the-star-system">Not focused on the Star System</option> </field> <field type="text" required="true" label="How many Rooms will you Need?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Do you want Breakfast Included" name="will-you-want-breakfast-included"> <option label="Yes" value="yes">Yes</option> <option label="Only if there is no extra charge" value="only-if-there-is-no-extra-charge">Only if there is no extra charge</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Room Location Preferences (if available)" name="checkbox-group-1763566028453"> <option label="Ocean Front / Lake Front" value="ocean-front-lake-front">Ocean Front / Lake Front</option> <option label="Oceanview / LakeView" value="oceanview-lakeview">Oceanview / LakeView</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="City View" value="city-view">City View</option> <option label="Mountain View RoomOther" value="mountain-view-roomother">Mountain View RoomOther</option> <option label="Beachfront Room" value="beachfront-room">Beachfront Room</option> <option label="Swim-up Room" value="swimup-room">Swim-up Room</option> <option label="Balcony / Terrace Room" value="balcony-terrace-room">Balcony / Terrace Room</option> <option label="Ground Floor" value="ground-floor">Ground Floor</option> <option label="High Level" value="high-level">High Level</option> <option label="Accessible Room" value="accessible-room">Accessible Room</option> <option label="Club Room" value="club-room">Club Room</option> <option label="Executive Level Room" value="executive-level-room">Executive Level Room</option> <option label="Concierge Level Room" value="concierge-level-room">Concierge Level Room</option> </field> <field type="checkbox-group" label="Room / Bedding Preference (when available)" name="room-bedding-preference-when-available"> <option label="Single Room – One person, usually one single/twin bed" value="single-room-one-person-usually-one-singletwin-bed">Single Room – One person, usually one single/twin bed</option> <option label="Twin Room – Two separate twin beds" value="twin-room-two-separate-twin-beds">Twin Room – Two separate twin beds</option> <option label="Double Room – One double (full-size) bed" value="double-room-one-double-fullsize-bed">Double Room – One double (full-size) bed</option> <option label="Queen Room – One queen-size bed" value="queen-room-one-queensize-bed">Queen Room – One queen-size bed</option> <option label="Double Queen Room – Two queen beds" value="double-queen-room-two-queen-beds">Double Queen Room – Two queen beds</option> <option label="King Room – One king bed" value="king-room-one-king-bed">King Room – One king bed</option> <option label="Double King Room – Two king beds or One King & One Sleep Sofa" value="double-king-room-two-king-beds-or-one-king-one-sleep-sofa">Double King Room – Two king beds or One King & One Sleep Sofa</option> <option label="Triple Room – Beds for three people (varies by hotel)" value="triple-room-beds-for-three-people-varies-by-hotel">Triple Room – Beds for three people (varies by hotel)</option> <option label="Quad Room / Family Room – Beds for four people (varies by hotel)" value="quad-room-family-room-beds-for-four-people-varies-by-hotel">Quad Room / Family Room – Beds for four people (varies by hotel)</option> <option label="Standard Room – Basic room, usually with 1–2 beds" value="standard-room-basic-room-usually-with-12-beds">Standard Room – Basic room, usually with 1–2 beds</option> <option label="Superior Room – Slightly larger or better location/furnishings" value="superior-room-slightly-larger-or-better-locationfurnishings">Superior Room – Slightly larger or better location/furnishings</option> <option label="Deluxe Room – Larger, upgraded features" value="deluxe-room-larger-upgraded-features">Deluxe Room – Larger, upgraded features</option> <option label="Premium / Premium View Room – Higher floors, better view, or upgraded amenities" value="premium-premium-view-room-higher-floors-better-view-or-upgraded-amenities">Premium / Premium View Room – Higher floors, better view, or upgraded amenities</option> <option label="Accessible Room – ADA / disability-accessible features" value="accessible-room-ada-disabilityaccessible-features">Accessible Room – ADA / disability-accessible features</option> <option label="Junior Suite – Larger room with a small sitting area; usually not a fully separate bedroom" value="junior-suite-larger-room-with-a-small-sitting-area-usually-not-a-fully-separate-bedroom">Junior Suite – Larger room with a small sitting area; usually not a fully separate bedroom</option> <option label="Suite – Separate bedroom and living room" value="suite-separate-bedroom-and-living-room">Suite – Separate bedroom and living room</option> <option label="One-Bedroom Suite – 1 bedroom + living room" value="onebedroom-suite-1-bedroom-living-room">One-Bedroom Suite – 1 bedroom + living room</option> <option label="Two-Bedroom Suite – 2 bedrooms + living room" value="twobedroom-suite-2-bedrooms-living-room">Two-Bedroom Suite – 2 bedrooms + living room</option> <option label="Executive Suite – Larger, premium suite often used for business travelers" value="executive-suite-larger-premium-suite-often-used-for-business-travelers">Executive Suite – Larger, premium suite often used for business travelers</option> <option label="Presidential Suite – Highest level suite, largest and most luxurious" value="presidential-suite-highest-level-suite-largest-and-most-luxurious">Presidential Suite – Highest level suite, largest and most luxurious</option> <option label="Penthouse Suite – Top floor luxury suite" value="penthouse-suite-top-floor-luxury-suite">Penthouse Suite – Top floor luxury suite</option> <option label="Family Suite – Multi-bedroom or multi-bed setup designed for families" value="family-suite-multibedroom-or-multibed-setup-designed-for-families">Family Suite – Multi-bedroom or multi-bed setup designed for families</option> <option label="Studio Room – Bedroom + small kitchen/kitchenette (open plan)" value="studio-room-bedroom-small-kitchenkitchenette-open-plan">Studio Room – Bedroom + small kitchen/kitchenette (open plan)</option> <option label="Apartment / Condo-Style Room – Full kitchen, living area, multi-room layout" value="apartment-condostyle-room-full-kitchen-living-area-multiroom-layout">Apartment / Condo-Style Room – Full kitchen, living area, multi-room layout</option> <option label="Loft Room – Split-level room with lofted sleeping area" value="loft-room-splitlevel-room-with-lofted-sleeping-area">Loft Room – Split-level room with lofted sleeping area</option> <option label="Connecting Rooms – Two rooms with an interior connecting door" value="connecting-rooms-two-rooms-with-an-interior-connecting-door">Connecting Rooms – Two rooms with an interior connecting door</option> <option label="Adjoining Rooms – Rooms next to each other (but not connected)" value="adjoining-rooms-rooms-next-to-each-other-but-not-connected">Adjoining Rooms – Rooms next to each other (but not connected)</option> <option label="Villa – Standalone or semi-private unit (common in resorts)" value="villa-standalone-or-semiprivate-unit-common-in-resorts">Villa – Standalone or semi-private unit (common in resorts)</option> <option label="Bungalow – Detached or semi-detached unit, often near water/grounds" value="bungalow-detached-or-semidetached-unit-often-near-watergrounds">Bungalow – Detached or semi-detached unit, often near water/grounds</option> <option label="Cabana Room – Poolside room with easy pool access" value="cabana-room-poolside-room-with-easy-pool-access">Cabana Room – Poolside room with easy pool access</option> <option label="Water Villa / Overwater Bungalow – Over-water accommodations (Maldives, etc.)" value="water-villa-overwater-bungalow-overwater-accommodations-maldives-etc">Water Villa / Overwater Bungalow – Over-water accommodations (Maldives, etc.)</option> <option label="Non-Smoking Room" value="nonsmoking-room">Non-Smoking Room</option> <option label="Smoking Room" value="smoking-room">Smoking Room</option> </field> <field type="text" label="Preferred Hotel Chain (if any)" name="text-1763566233945" subtype="text" className="form-control"/> <field type="textarea" label="Hotel Loyalty Numbers" name="hotel-loyalty-numbers" className="form-control"/> <field type="checkbox-group" label="Must-have amenities&nbsp; (please note that all of these will not always be available)" name="checkbox-group-1763570189905"> <option label="Fridge" value="fridge">Fridge</option> <option label="Coffee Maker" value="coffee-maker">Coffee Maker</option> <option label="Kitchenette / Kitchen" value="kitchenette-kitchen">Kitchenette / Kitchen</option> <option label="In-room Safe" value="inroom-safe">In-room Safe</option> <option label="Air Conditioning" value="air-conditioning">Air Conditioning</option> <option label="Bathrobe & Slippers" value="bathrobe-slippers">Bathrobe & Slippers</option> <option label="Fireplace" value="fireplace">Fireplace</option> <option label="Dining Table" value="dining-table">Dining Table</option> <option label="Sofa Bed" value="sofa-bed">Sofa Bed</option> <option label="Bathtub" value="bathtub">Bathtub</option> <option label="Shower" value="shower">Shower</option> <option label="Accessible Room" value="accessible-room">Accessible Room</option> <option label="Extra Pillows / Hypoallergenic Pillows" value="extra-pillows-hypoallergenic-pillows">Extra Pillows / Hypoallergenic Pillows</option> <option label="On-site Restaurant " value="onsite-restaurant-">On-site Restaurant </option> <option label="On-site Bar / Lounge" value="onsite-bar-lounge">On-site Bar / Lounge</option> <option label="Pool" value="pool">Pool</option> <option label="Hot Tub / Jacuzzi" value="hot-tub-jacuzzi">Hot Tub / Jacuzzi</option> <option label="Sauna / Steam Room" value="sauna-steam-room">Sauna / Steam Room</option> <option label="Fitness Center / Gym" value="fitness-center-gym">Fitness Center / Gym</option> <option label="On-site Yoga / Wellness Center / Spa" value="onsite-yoga-wellness-center-spa">On-site Yoga / Wellness Center / Spa</option> <option label="Free Parking" value="free-parking">Free Parking</option> <option label="Valet Parking" value="valet-parking">Valet Parking</option> <option label="EV Charging" value="ev-charging">EV Charging</option> <option label="Airport Shuttle" value="airport-shuttle">Airport Shuttle</option> <option label="Laundry Service" value="laundry-service">Laundry Service</option> <option label="Concierge Service" value="concierge-service">Concierge Service</option> <option label="Business Center / Meeting Room" value="business-center-meeting-room">Business Center / Meeting Room</option> <option label="Smoking Rooms" value="smoking-rooms">Smoking Rooms</option> <option label="Allergy-Friendly Rooms (no feathers etc)" value="allergyfriendly-rooms-no-feathers-etc">Allergy-Friendly Rooms (no feathers etc)</option> <option label="Early Check-In" value="early-checkin">Early Check-In</option> <option label="Late Check-Out" value="late-checkout">Late Check-Out</option> <option label="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="header" subtype="h1" label="Transportation Preferences (check all that apply)"/> <field type="checkbox-group" required="true" label="Check all of the transportation you are interested in for&nbsp; your trip" name="checkbox-group-1763566397632"> <option label="International Air" value="international-air">International Air</option> <option label="Domestic Air" value="domestic-air">Domestic Air</option> <option label="Train" value="train">Train</option> <option label="Charter Bus" value="charter-bus">Charter Bus</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Minibus / Car w/Driver" value="minibus-car-wdriver">Minibus / Car w/Driver</option> <option label="Motorcycle" value="motorcycle">Motorcycle</option> <option label="Yacht / Sail Boat" value="yacht-sail-boat">Yacht / Sail Boat</option> <option label="River Boat / Barge/Ferry" value="river-boat-bargeferry">River Boat / Barge/Ferry</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="Other" value="other">Other</option> <option label="No Transportation Needed" value="no-transportation-needed">No Transportation Needed</option> </field> <field type="header" subtype="h1" label="Car Rental Comfort"/> <field type="checkbox-group" required="true" label="Check all you are comfortable with" name="checkbox-group-1763566983326"> <option label="Manual Transmission (Stick Shift)" value="manual-transmission-stick-shift">Manual Transmission (Stick Shift)</option> <option label="Electric Car" value="electric-car">Electric Car</option> <option label="Driving on the left side" value="driving-on-the-left-side">Driving on the left side</option> <option label="City driving in big, congested cities" value="city-driving-in-big-congested-cities">City driving in big, congested cities</option> <option label="Winter / Icy Condition" value="winter-icy-condition">Winter / Icy Condition</option> <option label="Winding, Narrow Roads" value="winding-narrow-roads">Winding, Narrow Roads</option> <option label="Parallel Parking" value="parallel-parking">Parallel Parking</option> <option label="N/A" value="na">N/A</option> </field> <field type="checkbox-group" required="true" label="Car Rental Preference:" name="car-rental-preference"> <option label="Compact / Economy" value="compact-economy">Compact / Economy</option> <option label="Standard" value="standard">Standard</option> <option label="Full Size" value="full-size">Full Size</option> <option label="SUV" value="suv">SUV</option> <option label="4 x 4" value="4-x-4">4 x 4</option> <option label="Van" value="van">Van</option> <option label="Pickup Truck" value="pickup-truck">Pickup Truck</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Sports Car / Exotic Car" value="sports-car-exotic-car">Sports Car / Exotic Car</option> <option label="Motor Cycle" value="motor-cycle">Motor Cycle</option> <option label="Camper Van" value="camper-van">Camper Van</option> <option label="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="checkbox-group" required="true" label="Car Extras" name="checkbox-group-1763567848275"> <option label="1 Extra Driver" value="1-extra-driver">1 Extra Driver</option> <option label="2 Extra Drivers" value="2-extra-drivers">2 Extra Drivers</option> <option label="3 Extra Drivers" value="3-extra-drivers">3 Extra Drivers</option> <option label="Infant Seat" value="infant-seat">Infant Seat</option> <option label="Child Car Seat" value="child-car-seat">Child Car Seat</option> <option label="Child Booster Seat" value="child-booster-seat">Child Booster Seat</option> <option label="Basic Plus Insurance" value="basic-plus-insurance">Basic Plus Insurance</option> <option label="Partial Protection" value="partial-protection">Partial Protection</option> <option label="Full Protection" value="full-protection">Full Protection</option> <option label="Cancel Anytime Coverage" value="cancel-anytime-coverage">Cancel Anytime Coverage</option> <option label="N/A" value="na">N/A</option> </field> <field type="header" subtype="h1" label="Cruise Options"/> <field type="checkbox-group" required="true" label="Cruise Cabin Preferences&nbsp;" name="checkbox-group-1763571404905"> <option label="Suite" value="suite">Suite</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Interior" value="interior">Interior</option> <option label="Depends on Price" value="depends-on-price">Depends on Price</option> <option label="WiFi package" value="wifi-package">WiFi package</option> <option label="Drink Package" value="drink-package">Drink Package</option> <option label="Upgraded Dining Package" value="upgraded-dining-package">Upgraded Dining Package</option> <option label="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="paragraph" subtype="p" label="As a service to my clients I offer travel insurance from most of the major travel insurance companies.&nbsp; Travel insurance is not required for most trips or destinations, but it is highly recommended to protect your investment in case of unexpected events such as medical emergencies, trip interruptions, weather-related delays, or lost luggage.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="Purchasing coverage as early as possible provides the greatest protection, including access to time-sensitive benefits such as pre-existing condition waivers. (this coverage can only be added within the first 14 days after booking the first trip component for your trip)&nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="I also advise purchasing insurance directly from a reputable insurance company rather than from a travel supplier (such as the airline, cruise line etc.).&nbsp; Supplier-issued policies usually provide inferior coverage. Would you like me to provide you with a travel insurance quote?"/> <field type="checkbox-group" required="true" label="Would you&nbsp; a travel insurance quote along with your trip quote?" name="would-you-a-travel-insurance-quote-along-with-your-trip-quote"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="Should you decide not purchase travel insurance will be required to sign a waiver confirming that travel insurance was offered, and that you accept full financial responsibility should any unexpected situation arise."/> <field type="paragraph" subtype="p"/> <field type="header" subtype="h1" label="SECTION 5: ACTIVITIES &amp; INTERESTS"/> <field type="paragraph" subtype="p" label="Please note that not all activities are available year-round or in every destination.&nbsp; &nbsp;Availability also vary based on season, weather conditions, and local regulations.&nbsp;"/> <field type="paragraph" subtype="p" label="Certain activities may also require guests to meet specific eligibility criteria, such as minimum or maximum age, weight limits, mobility requirements, or physical fitness levels. Some high-risk or adventure activities may require travel insurance, signed waivers, or in rare cases a doctor’s clearance."/> <field type="paragraph" subtype="p" label="By sharing your interests below, I will make every effort to match you with activities that are appropriate, safe, and available during your travel dates."/> <field type="checkbox-group" label="Please check all that interests you" name="checkbox-group-1763577031691"> <option label="Scenic hiking / nature walks" value="scenic-hiking-nature-walks">Scenic hiking / nature walks</option> <option label="Trekking / summit hikes" value="trekking-summit-hikes">Trekking / summit hikes</option> <option label="Wildlife viewing / safaris / birdwatching" value="wildlife-viewing-safaris-birdwatching">Wildlife viewing / safaris / birdwatching</option> <option label="Botanical gardens / nature reserves / national parks" value="botanical-gardens-nature-reserves-national-parks">Botanical gardens / nature reserves / national parks</option> <option label="Beach / lake activities" value="beach-lake-activities">Beach / lake activities</option> <option label="Photography lessons in nature" value="photography-lessons-in-nature">Photography lessons in nature</option> <option label="Geothermal or natural hot springs visits" value="geothermal-or-natural-hot-springs-visits">Geothermal or natural hot springs visits</option> <option label="Ziplining / ropes courses" value="ziplining-ropes-courses">Ziplining / ropes courses</option> <option label="Paragliding / hang gliding / skydiving / bungee jumping" value="paragliding-hang-gliding-skydiving-bungee-jumping">Paragliding / hang gliding / skydiving / bungee jumping</option> <option label="White-water rafting / canyoning / river adventures" value="whitewater-rafting-canyoning-river-adventures">White-water rafting / canyoning / river adventures</option> <option label="ATV / quad biking / off-road vehicle tours" value="atv-quad-biking-offroad-vehicle-tours">ATV / quad biking / off-road vehicle tours</option> <option label="Helicopter tours / scenic flights" value="helicopter-tours-scenic-flights">Helicopter tours / scenic flights</option> <option label="Glacier hiking / ice climbing / volcano hikes" value="glacier-hiking-ice-climbing-volcano-hikes">Glacier hiking / ice climbing / volcano hikes</option> <option label="Surfing / kite surfing / windsurfing" value="surfing-kite-surfing-windsurfing">Surfing / kite surfing / windsurfing</option> <option label="Skiing alpine & cross-country / snowboarding / snowshoeing" value="skiing-alpine-crosscountry-snowboarding-snowshoeing">Skiing alpine & cross-country / snowboarding / snowshoeing</option> <option label="Dog sledding / reindeer sledding" value="dog-sledding-reindeer-sledding">Dog sledding / reindeer sledding</option> <option label="Snowmobiling" value="snowmobiling">Snowmobiling</option> <option label="Tobogganing / sledding" value="tobogganing-sledding">Tobogganing / sledding</option> <option label="Ice skating" value="ice-skating">Ice skating</option> <option label="Ice fishing / sport fishing" value="ice-fishing-sport-fishing">Ice fishing / sport fishing</option> <option label="Kayaking / canoeing / stand-up paddleboarding / rowing" value="kayaking-canoeing-standup-paddleboarding-rowing">Kayaking / canoeing / stand-up paddleboarding / rowing</option> <option label="Snorkeling / scuba diving" value="snorkeling-scuba-diving">Snorkeling / scuba diving</option> <option label="Sailing / yachting / boat tours" value="sailing-yachting-boat-tours">Sailing / yachting / boat tours</option> <option label="Ferry boat / yacht" value="ferry-boat-yacht">Ferry boat / yacht</option> <option label="Interacting with locals / village visits" value="interacting-with-locals-village-visits">Interacting with locals / village visits</option> <option label="Cooking classes / culinary experiences" value="cooking-classes-culinary-experiences">Cooking classes / culinary experiences</option> <option label="Local dining experiences / food tours / wine, beer, or spirits tastings" value="local-dining-experiences-food-tours-wine-beer-or-spirits-tastings">Local dining experiences / food tours / wine, beer, or spirits tastings</option> <option label="Arts & crafts lessons / workshops pottery, weaving, painting, etc.)" value="arts-crafts-lessons-workshops-pottery-weaving-painting-etc">Arts & crafts lessons / workshops pottery, weaving, painting, etc.)</option> <option label="Historic sites & monuments" value="historic-sites-monuments">Historic sites & monuments</option> <option label="Museums & galleries" value="museums-galleries">Museums & galleries</option> <option label="Music / theater / dance performances & festivals" value="music-theater-dance-performances-festivals">Music / theater / dance performances & festivals</option> <option label="Festivals / markets (e.g., Christmas markets, cultural fairs)" value="festivals-markets-eg-christmas-markets-cultural-fairs">Festivals / markets (e.g., Christmas markets, cultural fairs)</option> <option label="Guided tours of historical or natural sites" value="guided-tours-of-historical-or-natural-sites">Guided tours of historical or natural sites</option> <option label="Wildlife or conservation tours" value="wildlife-or-conservation-tours">Wildlife or conservation tours</option> <option label="Volunteer opportunities / community projects" value="volunteer-opportunities-community-projects">Volunteer opportunities / community projects</option> <option label="Environmental or eco-tours" value="environmental-or-ecotours">Environmental or eco-tours</option> <option label="Spas / wellness retreats / hot springs" value="spas-wellness-retreats-hot-springs">Spas / wellness retreats / hot springs</option> <option label="Yoga / meditation classes" value="yoga-meditation-classes">Yoga / meditation classes</option> <option label="Walking tours / scenic strolls" value="walking-tours-scenic-strolls">Walking tours / scenic strolls</option> <option label="Picnics / BBQs etc." value="picnics-bbqs-etc">Picnics / BBQs etc.</option> <option label="Bicycle / Vespa / Motorcycle" value="bicycle-vespa-motorcycle">Bicycle / Vespa / Motorcycle</option> <option label="High-intensity fitness activities (mountain biking, trail running, long hikes)" value="highintensity-fitness-activities-mountain-biking-trail-running-long-hikes">High-intensity fitness activities (mountain biking, trail running, long hikes)</option> <option label="Private guided tours" value="private-guided-tours">Private guided tours</option> <option label="Group tours" value="group-tours">Group tours</option> <option label="Private chef / culinary experiences" value="private-chef-culinary-experiences">Private chef / culinary experiences</option> <option label="Photo shoot" value="photo-shoot">Photo shoot</option> <option label="Gambeling" value="gambeling">Gambeling</option> <option label="Shopping / personal shopper / fashion shows" value="shopping-personal-shopper-fashion-shows">Shopping / personal shopper / fashion shows</option> <option label="Family heritage" value="family-heritage">Family heritage</option> <option label="Theme trip / Harry Potter / WWII/ Christmas markets/ ghost tours" value="theme-trip-harry-potter-wwii-christmas-markets-ghost-tours">Theme trip / Harry Potter / WWII/ Christmas markets/ ghost tours</option> <option label="Religious" value="religious">Religious</option> <option label="Tulip / Flower shows" value="tulip-flower-shows">Tulip / Flower shows</option> <option label="Carnival " value="carnival-">Carnival </option> <option label="Language immersion" value="language-immersion">Language immersion</option> <option label="Dining, wine tasting, beer tasting and spirit tasting" value="dining-wine-tasting-beer-tasting-and-spirit-tasting">Dining, wine tasting, beer tasting and spirit tasting</option> <option label="Farm visits, orchards, wineries" value="farm-visits-orchards-wineries">Farm visits, orchards, wineries</option> <option label="Wildlife viewing, safari, birdwatching" value="wildlife-viewing-safari-birdwatching">Wildlife viewing, safari, birdwatching</option> <option label="Volcano hiking (active or high intensity)" value="volcano-hiking-active-or-high-intensity">Volcano hiking (active or high intensity)</option> <option label="Balloon rides, parachute jumping, bungee jumping" value="balloon-rides-parachute-jumping-bungee-jumping">Balloon rides, parachute jumping, bungee jumping</option> <option label="Pool activities" value="pool-activities">Pool activities</option> <option label="Hot-tub / jacuzzi / ice bath" value="hottub-jacuzzi-ice-bath">Hot-tub / jacuzzi / ice bath</option> <option label="Sauna" value="sauna">Sauna</option> <option label="Private events" value="private-events">Private events</option> </field> <field type="textarea" label="Activities You&nbsp; Must Include" name="activities-you-must-include" className="form-control"/> <field type="textarea" label="Type of activities to avoid" name="type-of-activities-to-avoid" className="form-control"/> <field type="checkbox-group" label="Is Eco-Friendly / Sustainable Travel important" name="checkbox-group-1763582249858"> <option label="Yes" value="yes">Yes</option> <option label="Nice, but not a dealbreaker" value="nice-but-not-a-dealbreaker">Nice, but not a dealbreaker</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Are you comfortable trying new things?" name="checkbox-group-1763582405675"> <option label="Always" value="always">Always</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="Usually not" value="usually-not">Usually not</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Preferred dress code while on vacation" name="checkbox-group-1763582683017"> <option label="Casual" value="casual">Casual</option> <option label="Country club casual" value="country-club-casual">Country club casual</option> <option label="Formal" value="formal">Formal</option> <option label="Depends on the trip" value="depends-on-the-trip">Depends on the trip</option> </field> <field type="checkbox-group" label="Are you a country or city person?" name="checkbox-group-1763583702275"> <option label="Country" value="country">Country</option> <option label="City" value="city">City</option> <option label="Both" value="both">Both</option> <option label="" value=""/> </field> <field type="text" label="What is your favorite hobby?" name="what-is-your-favorite-hobby" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 6: DINING &amp; DIETARY PREFERENCES"/> <field type="radio-group" label="Is food an important part of your travel experience?" name="radio-group-1763583873696"> <option label="Very Important" value="very-important">Very Important</option> <option label="Moderately Important" value="moderately-important">Moderately Important</option> <option label="Not a Big Focus" value="not-a-big-focus">Not a Big Focus</option> </field> <field type="checkbox-group" label="Preferred Dining Style" name="checkbox-group-1763583989217"> <option label="Casual Local Spots" value="casual-local-spots">Casual Local Spots</option> <option label="Fine Dining" value="fine-dining">Fine Dining</option> <option label="Michelin Star / High-End" value="michelin-star-highend">Michelin Star / High-End</option> <option label="A combination of all three" value="a-combination-of-all-three">A combination of all three</option> </field> <field type="checkbox-group" label="Dietary restrictions" name="checkbox-group-1763584165828"> <option label="Vegetarian" value="vegetarian">Vegetarian</option> <option label="Vegan" value="vegan">Vegan</option> <option label="Pescatorian" value="pescatorian">Pescatorian</option> <option label="No fish" value="no-fish">No fish</option> <option label="No dairy" value="no-dairy">No dairy</option> <option label="No gluten" value="no-gluten">No gluten</option> <option label="No nuts" value="no-nuts">No nuts</option> <option label="Kosher" value="kosher">Kosher</option> </field> <field type="textarea" required="true" label="Do you have any food allergies that we should know about?" name="do-you-have-any-food-allergies-that-we-should-know-about" className="form-control"/> <field type="text" label="What is your favorite food?" name="text-1763584409256" subtype="text" className="form-control"/> <field type="text" label="What is your favorite dessert?" name="text-1763584459204" subtype="text" className="form-control"/> <field type="text" label="What is your favorite drink?" name="what-is-your-favorite-drink" subtype="text" className="form-control"/> <field type="radio-group" label="Do you drink beer?" name="radio-group-1763584538148"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Sometimes" value="sometimes">Sometimes</option> </field> <field type="radio-group" label="Do you drink wine?" name="radio-group-1763584578535"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Sometimes" value="sometimes">Sometimes</option> </field> <field type="radio-group" label="Do you drink hard liquor?" name="radio-group-1763584580036"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Sometimes" value="sometimes">Sometimes</option> </field> <field type="radio-group" label="Do you smoke?" name="radio-group-1763584670532"> <option label="Yes" value="yes">Yes</option> <option label="Once in a while, not on a regular basis" value="once-in-a-while-not-on-a-regular-basis">Once in a while, not on a regular basis</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 7: PERSONAL PREFERENCES &amp; TRAVEL STYLE"/> <field type="checkbox-group" label="Please select your favorite season" name="checkbox-group-1763584879792"> <option label="Spring" value="spring">Spring</option> <option label="Summer" value="summer">Summer</option> <option label="Autumn" value="autumn">Autumn</option> <option label="Winter" value="winter">Winter</option> </field> <field type="text" required="true" label="How much free time do you want when on vacation?" name="text-1763585439608" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is your activity level?" name="checkbox-group-1763585493651"> <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="checkbox-group" required="true" label="Check off the top 3 most important things for your 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="Religious reasons" value="religious-reasons">Religious reasons</option> <option label="Heritage" value="heritage">Heritage</option> <option label="Special event/s" value="special-events">Special event/s</option> <option label="Shopping" value="shopping">Shopping</option> </field> <field type="radio-group" label="Is being close to a place of worship important to you when on vacation" name="radio-group-1763586635369"> <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="checkbox-group" label="Social Media Platforms" name="checkbox-group-1763587032558"> <option label="FB" value="fb">FB</option> <option label="X" value="x">X</option> <option label="Pinterest" value="pinterest">Pinterest</option> <option label="LinkedIn" value="linkedin">LinkedIn</option> <option label="Snapchat" value="snapchat">Snapchat</option> <option label="Instagram" value="instagram">Instagram</option> <option label="N/A" value="na">N/A</option> <option label="" value=""/> </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="text-1763586806423" subtype="text" className="form-control"/> <field type="text" label="What is your favorite furniture style" name="text-1763586971147" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you consider yourself tech savvy" name="do-you-consider-yourself-tech-savvy"> <option label="Yes, I feel comfortable using techology" value="yes-i-feel-comfortable-using-techology">Yes, I feel comfortable using techology</option> <option label="I use technology, but not an expert" value="i-use-technology-but-not-an-expert">I use technology, but not an expert</option> <option label="I am a little tech-phobic" value="i-am-a-little-techphobic">I am a little tech-phobic</option> <option label="I rarely use technology" value="i-rarely-use-technology">I rarely use technology</option> </field> <field type="checkbox-group" required="true" label="Do you have any special needs?" name="do-you-have-any-special-needs"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> <field type="textarea" required="true" label="Please describe any special needs that you have.&nbsp; This is very important.&nbsp; &nbsp;Our main goal is to make sure you are safe." name="please-describe-any-special-needs-that-you-have-this-is-very-important-our-main-goal-is-to-make-sure-you-are-safe" className="form-control"/> <field type="textarea" label="In one sentence - what is your idea of luxury?" name="in-one-sentence-what-is-your-idea-of-luxury" className="form-control"/> <field type="textarea" label="Please list any special fears you have (spiders, heights etc.)" name="textarea-1763588103996" className="form-control"/> <field type="textarea" label="Is there anything else would you like me to know" name="textarea-1763588162125" className="form-control"/> <field type="text" required="true" label="Is there anything you absolutely must do or see?" name="is-there-anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/> <field type="textarea" label="Please let me know what prompted you to choose to work with me. This helps me know how I can be of as much value to you as possible." name="textarea-1763588981884" className="form-control"/> <field type="checkbox-group" required="true" 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="Graduation" value="graduation">Graduation</option> <option label="Anniversary" value="anniversary">Anniversary</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="text-1763589966968" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 8: DECISION-MAKING &amp; NEXT STEPS&nbsp;"/> <field type="textarea" required="true" label="Who is involved in travel decisions" name="who-is-involved-in-travel-decisions" className="form-control"/> <field type="radio-group" required="true" label="Are you working with other travel agents?" name="are-you-working-with-other-travel-agents"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I am going to contact other agents" value="i-am-going-to-contact-other-agents">I am going to contact other agents</option> </field> <field type="text" label="What is the most important when selecting a travel agent?" name="what-is-the-most-important-when-selecting-a-travel-agent" subtype="text" className="form-control"/> <field type="textarea" label="Do you have any concerns or questions about planning this trip?&nbsp; Please explain" name="do-you-have-any-concerns-or-questions-about-planning-this-trip-please-explain" className="form-control"/> <field type="checkbox-group" label="How did you hear about Perfectly Planned Journeys?" name="checkbox-group-1763588432231"> <option label="Referral from a friend" value="referral-from-a-friend">Referral from a friend</option> <option label="Client / previous client" value="client-previous-client">Client / previous client</option> <option label="Website" value="website">Website</option> <option label="Social media" value="social-media">Social media</option> <option label="Networking group" value="networking-group">Networking group</option> <option label="Friends or family" value="friends-or-family">Friends or family</option> <option label="Advertisement" value="advertisement">Advertisement</option> <option label="Other Travel Agent" value="other-travel-agent">Other Travel Agent</option> <option label="Blog" value="blog">Blog</option> <option label="Newsletter" value="newsletter">Newsletter</option> <option label="Travel Leaders or ASTA" value="travel-leaders-or-asta">Travel Leaders or ASTA</option> <option label="Other" value="other">Other</option> </field> <field type="paragraph" subtype="p" label="If you were referred by someone, please let us know who so that we can thank her/him.&nbsp;"/> <field type="text" label="Please include e-mail." name="text-1763589969441" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 9: PRIVACY &amp; AGREEMENT"/> <field type="header" subtype="h1" label="I understand and agree to the following:"/> <field type="paragraph" subtype="p" label="Accuracy of Information: You certify that all information provided is accurate and complete. Inaccurate information may affect travel planning."/> <field type="paragraph" subtype="p" label="Privacy &amp; Data Protection: Your information is stored securely and will only be used to plan and coordinate travel services. It will not be shared without your consent except as required by law or for booking purposes."/> <field type="paragraph" subtype="p" label="Consent to Communication: By submitting this form, you consent to receiving communications regarding your travel plans via email, phone, or text.&nbsp;"/> <field type="paragraph" subtype="p" label="Health &amp; Special Needs: Any medical conditions, allergies, or dietary restrictions provided will be used to tailor your trip. You are responsible for updating us of any changes before travel."/> <field type="paragraph" subtype="p" label="Traveler Responsibility: You are responsible for meeting all travel requirements (passports, visas, vaccinations, etc.).&nbsp;"/> <field type="checkbox-group" required="true" label="I acknowledge and agree to the above terms" name="i-acknowledge-and-agree-to-the-above-terms"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 10: PLANNING SERVICE"/> <field type="header" subtype="h1" label="Perfectly Planned Journeys – Service &amp; Planning Agreement Overview"/> <field type="paragraph" subtype="p" label="Perfectly Planned Journeys is a full-service travel agency that provides comprehensive custom travel design. This includes research, itinerary planning, booking support, and on-trip assistance. Because each itinerary is uniquely created for every traveler, I understand that preparing a quote and designing my trip requires careful research and attention to detail. I acknowledge that this process takes time, and I will not expect a quick turn-around."/> <field type="paragraph" subtype="p" label="I also understand that Perfectly Planned Journeys charges a non-refundable Planning &amp; Design Fee once we mutually agree to move forward. This fee covers the time required for research and custom itinerary design, as well as any expenses associated with planning my trip, including international phone calls and the Travefy travel app. The fee allows me to review and refine my itinerary before booking. I understand that, based on agreements with several preferred suppliers, a detailed price breakdown will not be provided."/> <field type="paragraph" subtype="p" label="I understand that all prices and availability are subject to change and can not be guaranteed until the trip is confirmed and booked. Because many suppliers are unable to hold space or pricing, I acknowledge that Perfectly Planned Journeys requests approval of my quote within 72 hours of receiving it. If approval is not provided within this time frame, I understand that the itinerary may need to be reworked and that a new Planning &amp; Design Fee may apply."/> <field type="paragraph" subtype="p" label="Lastly, I understand that a reasonable number of&nbsp; changes to the itinerary are allowed during the planning process; however, if the changes significantly alter the scope of the trip - such as changes to travel dates, destination, or a major adjustment to the budget, causing major changes, - Perfectly Planned Journeys reserves the right to charge a new Planning &amp; Design Fee.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;"/> <field type="checkbox-group" label="I agree to the terms above" name="i-agree-to-the-terms-above"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Thank you very much for taking the time to fill out this form. I look forward to the opportunity to work with you."/> <field type="paragraph" subtype="p"/> <field type="paragraph" subtype="p" label="If the form does not submit, please make sure that all required questions have been answered."/> <field type="paragraph" subtype="p" label="Paragraph"/> <field type="checkbox-group" label="Checkbox Group" name="checkbox-group-1769932364615"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> </field> </fields> </form-template> </body> </html>
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