Embedded forms must require the client's name and email. We have added/required these fields for you.
<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="Thank you for contacting Gem Travel Agency to make your vacation planning easier on your end! I am excited to assist. Please fill out this form completely so I have all the necessary information to give you an accurate quote.&nbsp;"/> <field type="text" required="true" label="Full Name&nbsp;" description="How it is written on your ID." name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email Address&nbsp;" name="email-address-" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone Number&nbsp;" name="phone-number-" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth&nbsp;&nbsp;" name="date-of-birth-" className="form-control"/> <field type="textarea" required="true" label="Please provide full mailing address.&nbsp;" name="please-provide-full-mailing-address-" className="form-control"/> <field type="header" subtype="h1" label="Destinations:&nbsp;"/> <field type="checkbox-group" label="Mexico" name="mexicoallinclusive" other="true"> <option label="All Inclusive" value="all-inclusive" selected="true">All Inclusive</option> <option label="Cancun" value="cancun">Cancun</option> <option label="Riveria Maya " value="riveria-maya-">Riveria Maya </option> <option label="Los Cabos " value="los-cabos-">Los Cabos </option> <option label="Puerto Vallarta " value="puerto-vallarta-">Puerto Vallarta </option> <option label="Tulum" value="tulum">Tulum</option> </field> <field type="checkbox-group" label="Caribbean&nbsp;" name="caribbean-allinclusive" other="true"> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Jamaica " value="jamaica-">Jamaica </option> <option label="Barbados " value="barbados-">Barbados </option> <option label="Antigua " value="antigua-">Antigua </option> <option label="Punta Cana-DR " value="punta-canadr-">Punta Cana-DR </option> <option label="Aruba" value="aruba">Aruba</option> <option label="Bahamas " value="bahamas-">Bahamas </option> <option label="St. Luicia" value="st-luicia">St. Luicia</option> <option label="Turks & Caicos" value="turks-caicos">Turks & Caicos</option> </field> <field type="text" label="Custom Trip ( United States)&nbsp;" description="Enter State you wish to travel to" name="custom-trip-united-states-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Custom Trips (International)&nbsp;" description="NOT ALL INCLUSIVE" name="custom-trips-" other="true"> <option label="Duabi " value="duabi-">Duabi </option> <option label="Greece" value="greece">Greece</option> <option label="France " value="france-">France </option> <option label="England " value="england-">England </option> <option label="Italy " value="italy-">Italy </option> <option label="Iceland " value="iceland-">Iceland </option> <option label="Egypt " value="egypt-">Egypt </option> <option label="South Africa " value="south-africa-">South Africa </option> <option label="Thailand " value="thailand-">Thailand </option> </field> <field type="checkbox-group" label="Theme Park Vacations&nbsp;&nbsp;" name="theme-park-vacations-" other="true"> <option label="Disney World - FL" value="disney-world-fl">Disney World - FL</option> <option label="Disney Land - CA" value="disney-land-ca">Disney Land - CA</option> <option label="Tokyo - Disney" value="tokyo-disney">Tokyo - Disney</option> <option label="Universal Orlando " value="universal-orlando-">Universal Orlando </option> <option label="Universal Studios Hollywood " value="universal-studios-hollywood-">Universal Studios Hollywood </option> <option label="Sea world / Sesame Place- FL " value="sea-world-sesame-place-fl-">Sea world / Sesame Place- FL </option> </field> <field type="checkbox-group" label="Want to Cruise?&nbsp;" name="want-to-cruise-" other="true"> <option label="Royal Carribean" value="royal-carribean">Royal Carribean</option> <option label="Carvial Cruise Line " value="carvial-cruise-line-">Carvial Cruise Line </option> <option label="Disney Cruise Line " value="disney-cruise-line-">Disney Cruise Line </option> <option label="Bahamas Cruise Line " value="bahamas-cruise-line-">Bahamas Cruise Line </option> <option label="NCL " value="ncl-">NCL </option> <option label="Princess Cruise Line " value="princess-cruise-line-">Princess Cruise Line </option> <option label="Virgin Voyages( adult only) " value="virgin-voyages-adult-only-">Virgin Voyages( adult only) </option> </field> <field type="paragraph" subtype="blockquote" label="If plan to go on a cruise, please note that it is best for you to be vaccinated so you can go on certain islands. Also please note that cruising is happening but cancellations probably will occur.&nbsp;"/> <field type="textarea" label="For cruising please list the MINIMUM nights to be on the sea. Also list any destinations that you want to go to.&nbsp;" name="for-cruising-please-list-the-minimum-nights-to-be-on-the-sea-also-list-any-destinations-that-you-want-to-go-to-" className="form-control"/> <field type="text" label="Want to go somewhere not listed?&nbsp;" name="want-to-go-somewhere-not-listed-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If flexible dates,&nbsp; how many nights maximum" name="if-flexible-dates-how-many-nights-maximum" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="textarea" required="true" label="First &amp; Last Name of All Adults" name="first-last-name-of-all-adults" className="form-control"/> <field type="textarea" label="If kids are traveling, please list full name &amp; age at time of travel&nbsp;" name="if-kids-are-traveling-please-list-full-name-dob-and-age-at-time-of-travel-" className="form-control"/> <field type="checkbox-group" required="true" label="What would you like to include in the quote?" name="what-would-you-like-to-include-in-the-quote" other="true"> <option label="Air Only" value="air-only">Air Only</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Vacation Package (Hotel & Flight)" value="vacation-package-hotel-flight">Vacation Package (Hotel & Flight)</option> <option label="Cruise " value="cruise-">Cruise </option> <option label="All Inclusive Resort- International Travel" value="all-inclusive-resort-international-travel">All Inclusive Resort- International Travel</option> <option label="Destination Weddings" value="destination-weddings">Destination Weddings</option> <option label="Activities/ Excursions" value="activities-excursions">Activities/ Excursions</option> <option label="Rental Car" value="rental-car">Rental Car</option> </field> <field type="paragraph" subtype="output" label="Please be realistic about your budget. Please factor in flight, hotel, transportation, travel insurance.&nbsp;"/> <field type="text" required="true" label="What is MAXIMUM budget for ALL guest.&nbsp;&nbsp;" name="maximum-budget-per-person" subtype="text" className="form-control"/> <field type="checkbox-group" label="Flight Info" description="Please check all the applies" name="flight-info"> <option label="Non Stop (If available) $$$" value="non-stop-if-available-">Non Stop (If available) $$$</option> <option label="1 Layover $$" value="1-layover-">1 Layover $$</option> <option label="2 Layovers $" value="2-layovers-">2 Layovers $</option> </field> <field type="radio-group" label="Refundable or Non- Refundable Airfare" name="refundable-or-non-refundable-airfare"> <option label="Refundable $$" value="refundable-">Refundable $$</option> <option label="Non- Refundable$" value="non-refundable">Non- Refundable$</option> </field> <field type="text" label="Any airline preference?" name="any-airline-preference" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Room Category" description="Choose all your desires" name="any-specific-room-type"> <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="Garden View " value="garden-view-">Garden View </option> <option label="Oceanview/Oceanfront " value="oceanviewoceanfront-">Oceanview/Oceanfront </option> <option label="Swim Out " value="swim-out-">Swim Out </option> <option label="Suites" value="suites">Suites</option> <option label="Indoor/Outdoor Jacuzzi Tub " value="indooroutdoor-jacuzzi-tub-">Indoor/Outdoor Jacuzzi Tub </option> <option label="Butler or VIP Services " value="butler-or-vip-services-">Butler or VIP Services </option> </field> <field type="checkbox-group" label="All Inclusive Resort Preference&nbsp;" name="vibe-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="checkbox-group" label="Do you have a valid passport? (If traveling outside the USA)" description="Passport must be valid 6 months after return date" inline="true" name="do-you-have-a-valid-passport"> <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="checkbox-group" label="Special Occasion" inline="true" name="special-occasion" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Honeymoon " value="honeymoon-">Honeymoon </option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> </field> <field type="select" label="Is this a Rush Quote&nbsp;" description="24 hour turnaround time" name="is-this-a-rush-quote-" className="form-control"> <option label="No " value="no-" selected="true">No </option> <option label="Yes, I need this ASAP ($50)" value="yes-i-need-this-asap-50">Yes, I need this ASAP ($50)</option> </field> <field type="textarea" label="Anything you want to see or do?&nbsp;" name="notes" className="form-control"/> <field type="text" label="Enter any trip notes" name="enter-any-trip-notes" subtype="text" className="form-control"/> <field type="paragraph" subtype="blockquote" label="!! Any Trip that is 90 days or less, your full payment is due when booking!! If you choose FLIGHT ONLY FULL PAYMENT WILL BE DUE AT BOOKING.&nbsp; These prices are only estimates and subject to change. Please remember to be deposit ready to lock in your quote price.&nbsp;"/> <field type="header" subtype="h3" label="Quote Options and Research Fee (please read)&nbsp;"/> <field type="radio-group" required="true" label="Quote Options&nbsp;" name="quote-options-"> <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> <option label="Additional Destination $10 each " value="additional-destination-10-each-">Additional Destination $10 each </option> <option label="" value="" selected="true"/> </field> <field type="paragraph" subtype="blockquote" label="Trip planning with Gem Travel Agency requires a NON- REFUNDABLE $25 booking research fee based off 2 or less individuals or a family of 4 . For each additional passenger a fee of $5 per individual will be added. (e.g. A quote for 5 people will require payment of $30.)&nbsp;"/> <field type="paragraph" subtype="blockquote" label="PLEASE NOTE:&nbsp; For Flight Only Bookings the research fee still applies per person. Each individual will need to complete a booking request form. Adults traveling with minors are allowed to use one form to complete the request. For 18 and older: $15 per person For 17 and under: $10 per child (up to 2 children) 3 or more: $5 per child For 17 and under flying without an adult: $15 Booking Fee."/> <field type="paragraph" subtype="blockquote" label="All booking fees collected are NON REFUNDABLE&nbsp; and cannot be transferred to future services. Once payment is received please allow at least 5 business days not including weekends for services to be rendered. If by chance the service requested needs immediate attention, an additional fee of $50 will&nbsp; be assessed. If you do a destination change a $10&nbsp; fee will be collected for the new destination.&nbsp;"/> <field type="paragraph" subtype="blockquote" label="Please send Payments for Gem Travel Agency to: Venmo: @gemtravelagency or copy the link and pay via Square,&nbsp; if payment form is not attached to your inquiry form. https://square.link/u/59Ul3AE9"/> <field type="paragraph" subtype="blockquote" 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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