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<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field> <field type="header" subtype="h3" label="Thank you for choosing Gem Travel Agency for your next vacation! Please allow 5 business days from completion of this form &amp; payment of research fee, to receive your quote.&nbsp; The Research Fee is a mandatory non-refundable planning fee. Please fill out this form completely so I have all the necessary information to give you an accurate quote.&nbsp;"/> <field type="paragraph" subtype="blockquote" label="Help me to get to know you!&nbsp;"/> <field type="text" required="true" label="First name as listed on Passport" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name as listed on Passport" name="last-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/> <field type="radio-group" required="true" label="Gender" inline="true" name="gender" other="true"> <option label="Male" value="male">Male</option> <option label="Female" value="female">Female</option> </field> <field required="true" type="text" 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="select" required="true" label="Have you worked with a travel agent before?&nbsp;" name="have-you-worked-with-a-travel-agent-before-" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No, This is my first time! " value="no-this-is-my-first-time-">No, This is my first time! </option> </field> <field type="radio-group" required="true" label="If we find exactly what you are looking for within budget, are you ready to secure the booking with a payment?&nbsp;" description="Please remember pricing is subject to change without a deposit." name="radio-group-1713059816134"> <option label="Pay in full today " value="pay-in-full-today-">Pay in full today </option> <option label="Today with a deposit" value="today-with-a-deposit">Today with a deposit</option> <option label="In a week w/ deposit" value="in-a-week-w-deposit">In a week w/ deposit</option> <option label="In 2 weeks w/ deposit" value="in-2-weeks-w-deposit">In 2 weeks w/ deposit</option> <option label="In 30 days w/deposit " value="in-30-days-wdeposit-">In 30 days w/deposit </option> <option label="Just seeking information for planning purposes" value="just-seeking-information-for-planning-purposes">Just seeking information for planning purposes</option> </field> <field type="paragraph" subtype="blockquote" label="Questions About Your Future Getaway!"/> <field type="header" subtype="h2" label="IF YOU ARE LOOKING FOR A CRUISE PLEASE STOP AND CONTACT ME FOR CRUISE FORM!&nbsp;"/> <field type="checkbox-group" required="true" label="The purpose of this vacation is:" inline="true" name="if-we-find-exactly-what-you-are-looking-for-within-budget-are-you-ready-to-secure-the-booking-with-a-payment-" other="true"> <option label="Romance/ Baecation" value="romance-baecation">Romance/ Baecation</option> <option label="Just For Fun!" value="just-for-fun">Just For Fun!</option> <option label="Making Memories w/ Family " value="making-memories-w-family-">Making Memories w/ Family </option> <option label="Girls Getaway/Slaycation/ Bachelorette Party" value="girls-getawayslaycation-bachelorette-party">Girls Getaway/Slaycation/ Bachelorette Party</option> <option label="Guys Trip/Bachelors Party" value="guys-tripbachelors-party">Guys Trip/Bachelors Party</option> <option label="Relax & Recharge (Spa? Wellness? Meditation?) " value="relax-recharge-spa-wellness-meditation-">Relax & Recharge (Spa? Wellness? Meditation?) </option> <option label="Celebrating a Special Occasion" value="celebrating-a-special-occasion">Celebrating a Special Occasion</option> </field> <field type="checkbox-group" label="Caribbean Destinations:" description="Feel free to check more than one! We provide up to 3 quotes!" inline="true" name="preferred-destinations-" other="true"> <option label="Mexico Caribbean (white sand, clear blue water)" value="mexico-caribbean-white-sand-clear-blue-water">Mexico Caribbean (white sand, clear blue water)</option> <option label="Dominican Republic" value="dominican-republic">Dominican Republic</option> <option label="Jamaica" value="jamaica">Jamaica</option> <option label="Aruba (More expensive)" value="aruba-more-expensive">Aruba (More expensive)</option> <option label="St. Lucia (More expensive)" value="st-lucia-more-expensive">St. Lucia (More expensive)</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Costa Rica" value="costa-rica">Costa Rica</option> <option label="Turks & Caicos (limited)" value="turks-caicos-limited">Turks & Caicos (limited)</option> <option label="Grenada (More expensive)" value="grenada-more-expensive">Grenada (More expensive)</option> <option label="Barbados (More expensive)" value="barbados-more-expensive">Barbados (More expensive)</option> </field> <field type="radio-group" label="Europe" inline="true" name="europe"> <option label="France" value="france">France</option> <option label="Italy" value="italy">Italy</option> <option label="Greece" value="greece">Greece</option> <option label="Spain" value="spain">Spain</option> </field> <field type="select" label="Interested in Multi-City Europe Trip?&nbsp;" name="interested-in-multicity-europe-trip-" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe, lets see the options" value="maybe-lets-see-the-options">Maybe, lets see the options</option> </field> <field type="radio-group" label="Other Destinations" inline="true" name="other-destinations"> <option label="Dubai" value="dubai">Dubai</option> <option label="Bali" value="bali">Bali</option> <option label="Japan" value="japan">Japan</option> <option label="Africa" value="africa">Africa</option> </field> <field type="radio-group" label="Theme Parks?&nbsp;" inline="true" name="theme-parks-"> <option label="Disneyworld ( Florida)" value="disneyworld-florida">Disneyworld ( Florida)</option> <option label="Disneyland ( California) " value="disneyland-california-">Disneyland ( California) </option> </field> <field type="text" label="Didn't see your destination? Please list it!&nbsp;" name="didnt-see-your-destination-please-list-it-" subtype="text" className="form-control"/> <field type="date" label="Departure Date&nbsp;" name="multiple-cities-for-europe-" className="form-control"/> <field type="date" label="Return Date" name="other-popular-destinations" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" inline="true" name="united-states-" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If flexible dates, how many nights maximum?" name="destination-not-listed-" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city and closest/preferred airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="paragraph" subtype="blockquote" label="Who is coming on the trip?&nbsp;"/> <field type="text" required="true" label="How many travelers in total?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" label="First &amp; Last Name of All Adults with Date of birth&nbsp;" placeholder="John Smith - 11/12/1976" name="first-last-name-of-all-adults-" className="form-control"/> <field type="textarea" label="Are you traveling with children? If so, please list full name &amp; age at time of travel along with date of birth&nbsp;" placeholder="John Smith 1/11/2011" name="are-you-traveling-with-children-if-so-please-list-full-name-age-at-time-of-travel" className="form-control"/> <field type="checkbox-group" required="true" label="What would you like to include in the quote?&nbsp;&nbsp;" description="Please check all that apply" inline="true" name="what-type-of-hotel-do-you-prefer" other="true"> <option label="Air" value="air">Air</option> <option label="Hotel " value="hotel-">Hotel </option> <option label="Vacation Package ( Air & Hotel)" value="vacation-package-air-hotel">Vacation Package ( Air & Hotel)</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Activities/ Excursions " value="activities-excursions-">Activities/ Excursions </option> <option label="Rental Car " value="rental-car-">Rental Car </option> <option label="Villas ( NO AIR B&B)" value="villas-no-air-bb">Villas ( NO AIR B&B)</option> </field> <field type="radio-group" required="true" label="What is your maximum budget for each traveler?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget" other="true"> <option label="$1,500-2,000" value="$15002000">$1,500-2,000</option> <option label="$2,000-$2,500" value="$20002500">$2,000-$2,500</option> <option label="$2,500-3,000" value="$25003000">$2,500-3,000</option> <option label="$3,000+" value="$3000">$3,000+</option> </field> <field type="text" label="Any Airline Preference?&nbsp;" name="any-airline-preference-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Room Category&nbsp;" description="Check all that apply" name="activity-preferences"> <option label="2 Double Beds " value="2-double-beds-">2 Double Beds </option> <option label="King Bed" value="king-bed">King Bed</option> <option label="Gardenview" value="gardenview">Gardenview</option> <option label="Oceanview ( you can see the ocean. may be far)" value="oceanview-you-can-see-the-ocean-may-be-far">Oceanview ( you can see the ocean. may be far)</option> <option label="Swim Out (private pool for room)" value="swim-out-private-pool-for-room">Swim Out (private pool for room)</option> <option label="Butler/VIP Services " value="butlervip-services-">Butler/VIP Services </option> <option label="Indoor/Outdoor Jacuzzi" value="indooroutdoor-jacuzzi">Indoor/Outdoor Jacuzzi</option> </field> <field type="radio-group" required="true" label="All Inclusive Preference&nbsp;" name="all-inclusive-preference-" other="true"> <option label="Adults Only " value="adults-only-">Adults Only </option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Both" value="both">Both</option> </field> <field type="radio-group" label="Do you have a passport valid 6 months after travel? (If traveling outside the USA)" name="do-you-have-a-valid-passport-if-traveling-outside-the-usa" other="true"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> <option label="In the Process of Renewing" value="in-the-process-of-renewing">In the Process of Renewing</option> </field> <field type="textarea" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" className="form-control"/> <field type="select" label="Would you like to join our mailing list and receive special offers from us? We promise not to spam your inbox and you may unsubscribe at anytime by emailing us." name="would-you-like-to-join-our-mailing-list-and-receive-special-offers-from-us-we-promise-not-to-spam-your-inbox-and-you-may-unsubscribe-at-anytime-by-emailing-us" className="form-control"> <option label="Yes please add me." value="yes-please-add-me">Yes please add me.</option> <option label="No. Maybe later." value="no-maybe-later">No. Maybe later.</option> </field> <field type="textarea" label="Any important information I should know about this trip?&nbsp;" name="any-important-information-i-should-know-about-this-trip-" className="form-control"/> <field type="header" subtype="h1" label="Quote Options&nbsp;"/> <field type="radio-group" required="true" label="Please choose your quote option" inline="true" name="radio-group-1673052474674" other="true"> <option label="1 Destination- 3 Options " value="1-destination-3-options-">1 Destination- 3 Options </option> <option label="3 Destinations- 1 Option each." value="3-destinations-1-option-each">3 Destinations- 1 Option each.</option> </field> <field type="header" subtype="h1" label="Research Fee *PLEASE READ*"/> <field type="paragraph" subtype="p" label="Trip planning with Gem Travel Agency requires a NON- REFUNDABLE $30.00 booking research fee based off 2-4 individuals. For each additional traveller a fee of $10 per individual will be added. (e.g. A quote for 5 people will require payment of $50.00.)&nbsp;"/> <field type="paragraph" subtype="output" label="PLEASE NOTE: For Flight Only Bookings the research fee still applies per person.&nbsp; $10.00 per person"/> <field type="paragraph" subtype="output" label="Please send Payments for Gem Travel Agency to: Venmo: @gemtravelagency or copy the link and pay via Square, if payment form is not attached to your inquiry form. https://square.link/u/59Ul3AE9"/> <field type="paragraph" subtype="output" label="Any questions please contact me by email which is the best way of communicating regarding your trip. - Nicole Manning at nmanning.gemtravelagancy@gmail.com"/> </fields> </form-template> </body> </html>
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