<html> <body> <form-template> <fields> <field type="date" label="Date Field" name="date-1697209603835" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" 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="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Let's get started!"/> <field type="text" required="true" label="How were you referred to us?" name="how-were-you-referred-to-us" subtype="text" className="form-control"/> <field type="radio-group" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before"> <option label="Yes!" value="yes">Yes!</option> <option label="I'm a first-timer!" value="im-a-firsttimer">I'm a first-timer!</option> </field> <field type="header" subtype="h2" label="What type of trip are you interested in?"/> <field type="checkbox-group" required="true" label="Type of Trip" description="Check all that apply." name="are-you-interested-in" other="true"> <option label="Independent Tour (no guide)" value="independent-tour-no-guide">Independent Tour (no guide)</option> <option label="Hotel only" value="hotel-only">Hotel only</option> <option label="All Inclusive Resort (where available)" value="all-inclusive-resort-where-available">All Inclusive Resort (where available)</option> <option label="Escorted Tour (with group/guide)" value="escorted-tour-with-groupguide">Escorted Tour (with group/guide)</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Rail Vacation" value="rail-vacation">Rail Vacation</option> <option label="Rental Car Only" value="rental-car-only">Rental Car Only</option> <option label="Air Only" value="air-only">Air Only</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="checkbox-group" required="true" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process" other="true"> <option label="Just getting started." value="just-getting-started">Just getting started.</option> <option label="I have some ideas, but need help with research and planning." value="i-have-some-ideas-but-need-help-with-research-and-planning">I have some ideas, but need help with research and planning.</option> <option label="I know just what I want, but need help finalizing the details." value="i-know-just-what-i-want-but-need-help-finalizing-the-details">I know just what I want, but need help finalizing the details.</option> </field> <field type="text" label="Is the purpose of this trip to celebrate an occasion?" name="is-the-purpose-of-this-trip-to-celebrate-an-occasion" subtype="text" className="form-control"/> <field type="text" label="Preferred destinations?&nbsp; Please be specific in the cities you'd like to visit.&nbsp;" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="preferred-destinations" subtype="text" className="form-control"/> <field type="textarea" label="What is it about this destination that interests you?" name="what-is-it-about-this-destination-that-interests-you" className="form-control"/> <field type="date" required="true" label="Earliest you can depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="earliest-you-can-depart" className="form-control"/> <field type="date" label="Latest you can return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="latest-you-can-return" className="form-control"/> <field type="text" label="How many nights would you like the trip to be?" name="how-many-nights-would-you-like-the-trip-to-be" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Does everyone traveling have a passport that is valid for 6 months AFTER your travel date?&nbsp;" name="does-everyone-traveling-have-a-passport-that-is-valid-for-6-months-after-your-travel-date-"> <option label="Yes we all have valid passports that expire after our return date" value="yes-we-all-have-valid-passports-that-expire-after-our-return-date">Yes we all have valid passports that expire after our return date</option> <option label="No, we do not have valid passports" value="no-we-do-not-have-valid-passports">No, we do not have valid passports</option> <option label="We are in the process of applying for passports" value="we-are-in-the-process-of-applying-for-passports">We are in the process of applying for passports</option> <option label="Not applicable to this trip" value="not-applicable-to-this-trip">Not applicable to this trip</option> </field> <field type="textarea" required="true" label="FULL NAMES of travelers as they appear on ID/Passport and DATES OF BIRTH&nbsp; (Include yourself!)" description="Include your middle name if that's how it appears on your passport" name="number-of-travelers-and-their-ages" className="form-control"/> <field type="textarea" label="Are there any medical or dietary needs/preferences ? Does anyone in your party have mobility issues I should be aware of?" name="do-you-have-any-medical-or-dietary-needspreferences-i-should-know-about" className="form-control"/> <field type="text" label="If you need air what is your departure city.&nbsp; Do you have a preferred airline and class of service?" description="Business Class Comfort Plus Economy" name="preferred-airlines-if-any" subtype="text" className="form-control"/> <field type="textarea" label="Are there any hotel (or cruise ship) features or amenities that you would prefer to (or must) have?" name="are-there-any-hotel-features-or-amenities-that-you-would-prefer-to-or-must-have" className="form-control"/> <field type="text" required="true" label="What is the price range you are comfortable with? Please specify if it is per person or total." name="what-is-the-price-range-you-are-comfortable-with-please-specify-if-it-is-per-person-or-total" subtype="text" className="form-control"/> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Seeing the local sites" value="seeing-the-local-sites">Seeing the local sites</option> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Gambling" value="gambling">Gambling</option> </field> <field type="textarea" label="Is there anything else you would like me to know? Please share as much detail as possible so we can create a great experience!" description="What else would you like me to know about your budget and/or travel preferences?" name="notes" className="form-control"/> <field type="radio-group" required="true" label="Birthdate Checklist Reminder" description="Did you enter everyone's name as they appear on their passport and their DOB?" name="birthdate-checklist-reminder"> <option label="I entered everyone's names and Date of Birth" value="i-entered-everyones-names-and-date-of-birth">I entered everyone's names and Date of Birth</option> <option label="I need to get you that information" value="i-need-to-get-you-that-information">I need to get you that information</option> </field> <field type="header" subtype="h1" label="Important Travel Information"/> <field type="radio-group" required="true" label="I understand that it is vitally important that I read the information emailed to me by my advisor in order to be prepared for travel. I also understand that I share the responsibility of remaining informed about the entry requirements for the destination(s) I am visiting. I will secure and complete all forms required for travel." name="i-understand-that-it-is-vitally-important-that-i-read-the-information-emailed-to-me-by-my-advisor-in-order-to-be-prepared-for-travel-in-the-current-climate-i-also-understand-that-i-share-the-responsibility-of-remaining-informed-about-the-entry-requirements-for-the-destinations-i-am-visiting-i-will-secure-all-necessary-testing-and-complete-all-forms-required-for-travel"> <option label="I agree" value="i-agree">I agree</option> <option label="I do not agree" value="i-do-not-agree">I do not agree</option> </field> </fields> </form-template> </body> </html>
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
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