<html> <body> <form-template>
 <fields>
 <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
 <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
 <field type="text" 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="textarea" required="true" label="Who all will be traveleing? Please list the full names (including middle) and birthdates of all travelers as listed on Passport/ID" description="This will allow us to save the itinerary and refer back to it. Providing this information will not obligate you to any booking." placeholder="Ex: Jane Marie Smith 01/01/1980" name="please-list-the-full-names-including-middle-and-birthdates-of-all-travelers" className="form-control"/>
 <field type="text" required="true" label="Do all travelers in your party have valid passports?" name="do-all-travelers-in-your-party-have-valid-passports" subtype="text" className="form-control"/>
 <field type="text" required="true" label="What destination(s) are you considering and why?" placeholder="Ex: France Caribbean Greece etc." name="where-would-you-like-to-go" subtype="text" className="form-control"/>
 <field type="text" required="true" label="Where is your home airport?" name="where-is-your-home-airport" subtype="text" className="form-control"/>
 <field type="text" required="true" label="When would you like to depart?" placeholder="mm/dd/yy" name="what-are-your-preferred-dates" subtype="text" className="form-control"/>
 <field type="text" required="true" label="When would you like to return?" placeholder="mm/dd/yy" name="when-would-you-like-to-return" subtype="text" className="form-control"/>
 <field type="text" required="true" label="Are your dates flexible?" name="are-your-dates-flexible" subtype="text" className="form-control"/>
 <field type="text" required="true" label="What is the purpose of this trip?" placeholder="Ex: honeymoon birthday to enjoy life etc." name="what-is-the-reason-for-the-trip" subtype="text" className="form-control"/>
 <field type="select" required="true" label="At what stage of planning are you in?" name="at-what-stage-of-planning-are-you-in" className="form-control">
 <option label="Just beginning the planning process and open to ideas" value="just-beginning-the-planning-process-and-open-to-ideas" selected="true">Just beginning the planning process and open to ideas</option>
 <option label="I have preferred dates and a general idea of what I am looking to experience" value="i-have-preferred-dates-and-a-general-idea-of-what-i-am-looking-to-experience">I have preferred dates and a general idea of what I am looking to experience</option>
 <option label="I have specific dates and know what I'd like out of the trip" value="i-have-specific-dates-and-know-what-id-like-out-of-the-trip">I have specific dates and know what I'd like out of the trip</option>
 <option label="Flights are booked and I would like help filling in the blanks" value="flights-are-booked-and-i-would-like-help-filling-in-the-blanks">Flights are booked and I would like help filling in the blanks</option>
 </field>
 <field type="textarea" required="true" label="What do you picture for this vacation? What's most important to you for this trip? What would make it perfect? List any must-do/must-see experiences as well!" name="share-your-vision-for-your-ideal-itinerarytravel-experience" className="form-control"/>
 <field type="radio-group" required="true" label="What is your budget range for all travelers + the components you'll be booking with Anywhere. Everywhere. Travel? (Not inclusive of flights)" name="whats-your-ideal-total-budget-for-all-travelers">
 <option label="$7500 - $10000" value="7500-10000" selected="true">$7500 - $10000</option>
 <option label="$10000 + $15000" value="10000-15000">$10000 + $15000</option>
 <option label="$15000 + $20,000" value="15000-20000">$15000 + $20,000</option>
 <option label="$20,000-$30,000" value="2000030000">$20,000-$30,000</option>
 <option label="$30,000+" value="30000">$30,000+</option>
 </field>
 <field type="checkbox-group" required="true" label="What components would you like included in your proposal?" name="what-components-would-you-like-included-in-your-proposal">
 <option label="Airfare" value="airfare" selected="true">Airfare</option>
 <option label="Accommodations" value="accommodations">Accommodations</option>
 <option label="Transportation (transfers, rental car, trains, etc)" value="transportation-transfers-rental-car-trains-etc">Transportation (transfers, rental car, trains, etc)</option>
 <option label="Excursions/ activities/ tours" value="excursions-activities-tours">Excursions/ activities/ tours</option>
 <option label="Insurance" value="insurance">Insurance</option>
 </field>
 <field type="text" required="true" label="What is your departure city/airport?" name="what-is-your-departure-cityairport" subtype="text" className="form-control"/>
 <field type="radio-group" required="true" label="Describe your preferred accommodation style" name="describe-your-preferred-accommodation-style">
 <option label="High-end & Exclusive" value="highend-exclusive">High-end & Exclusive</option>
 <option label="Large resort with variety & activities" value="large-resort-with-variety-activities">Large resort with variety & activities</option>
 <option label="Boutique & intimate" value="boutique-intimate">Boutique & intimate</option>
 <option label="Hotel chain/ big brand" value="hotel-chain-big-brand">Hotel chain/ big brand</option>
 <option label="Moderate/ functional" value="moderate-functional">Moderate/ functional</option>
 </field>
 <field type="text" required="true" label="Please list any must-have amenities." placeholder="Ex: Balcony Pool Spa" name="please-list-any-musthave-amenities" subtype="text" className="form-control"/>
 <field type="text" required="true" label="What are your priorities for this vacation?" description="Ex: Local Culture. Adventure. Food and Wine" name="what-are-your-priorities-for-this-vacation" subtype="text" className="form-control"/>
 <field type="select" required="true" label="What Anywhere. Everywhere. Travel planning service are you interested in?" name="what-anywhere-everywhere-travel-planning-service-are-you-interested-in" className="form-control">
 <option label="Essentials - weekend getaway or quick hotel booking." value="essentials-weekend-getaway-or-quick-hotel-booking" selected="true">Essentials - weekend getaway or quick hotel booking.</option>
 <option label="Elite - Custom itinerary and suggestions" value="elite-custom-itinerary-and-suggestions">Elite - Custom itinerary and suggestions</option>
 <option label="Exclusive - custom itinerary, everything handled for you. " value="exclusive-custom-itinerary-everything-handled-for-you-">Exclusive - custom itinerary, everything handled for you. </option>
 </field>
 <field type="textarea" required="true" label="Do you anticipate using points for any portion of your trip? If so, please describe." name="do-you-anticipate-using-points-for-any-portion-of-your-trip-if-so-please-describe" className="form-control"/>
 <field type="select" required="true" label="Why are you interested in working with a travel advisor?" name="why-are-you-interested-in-working-with-a-travel-advisor" className="form-control">
 <option label=" im-overwhelmed-by-options-and-dont-know-where-to-start" value="-imoverwhelmedbyoptionsanddontknowwheretostart" selected="true"> im-overwhelmed-by-options-and-dont-know-where-to-start</option>
 <option label="I don't have time to do the research and create the itinerary" value="i-dont-have-time-to-do-the-research-and-create-the-itinerary">I don't have time to do the research and create the itinerary</option>
 <option label="Im interested in specials and amenities you can provide. " value="im-interested-in-specials-and-amenities-you-can-provide-">Im interested in specials and amenities you can provide. </option>
 <option label="Other" value="other">Other</option>
 </field>
 <field type="select" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control">
 <option label="Instagram" value="instagram" selected="true">Instagram</option>
 <option label="Facebook" value="facebook">Facebook</option>
 <option label="Google" value="google">Google</option>
 <option label="Website" value="website">Website</option>
 <option label="Friend" value="friend">Friend</option>
 </field>
 <field type="text" label="If referred by a friend what is their name?" name="if-referred-by-a-friend-what-is-their-name" subtype="text" className="form-control"/>
 <field type="select" required="true" label="Would you like to be subscribed to our newsletter?" name="would-you-like-to-be-subscribed-to-our-newsletter" className="form-control">
 <option label="Yes" value="yes" selected="true">Yes</option>
 <option label="No" value="no">No</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