<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions To Help Plan You an Amazing Trip"/> <field type="radio-group" required="true" label="One Time Research Fee of $25 up to 5 Travelers; $35 for 6 Travelers or More (incl. up to 3 Quotes)" description="Please understand that this fee is required before any research begins. Thanks in advance for respecting both of our time." name="one-time-research-fee-of-25-up-to-5-travelers-35-for-6-travelers-or-more-incl-up-to-3-quotes"> <option label="Yes, I Agree to Pay the Research Fee b/c I understand Your Time is Valuable (contact Agent for payment options)" value="yes-i-agree-to-pay-the-research-fee-bc-i-understand-your-time-is-valuable-contact-agent-for-payment-options">Yes, I Agree to Pay the Research Fee b/c I understand Your Time is Valuable (contact Agent for payment options)</option> <option label="No, I Do Not Wish to Pay You for Your time at the present time" value="No, I Do Not Wish to Pay You for Your time at the present time">No, I Do Not Wish to Pay You for Your time at the present time</option> </field> <field type="checkbox-group" required="true" label="Are You Deposit Ready (if more than 45 days before trip departure)?&nbsp; *Please note, if your trip is LESS than 45 days in advance, you will be required to pay in full per vendor." description="Due to the strict contracts with vendors and price changes in the industry I can only hold quoted prices for approx. 24 hours. Therefore if not deposit ready, let's connect when you are. Thanks" name="are-you-deposit-ready"> <option label="Yes" value="Yes">Yes</option> <option label="Not Yet (see Help Text after question)" value="Not Yet (see Help Text after question)">Not Yet (see Help Text after question)</option> </field> <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 (incl. area code)" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="Be specific and If you're not sure just give me a few destinations you're considering." placeholder="ex: Montego Bay Jamaica (not just Jamaica)" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you would like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you would like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" required="true" label="Are your travel dates flexible?" description="Just in case a change is needed due to availability." inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city (if flights are needed)?&nbsp;&nbsp;" description="Where will you be flying from? List All options if more than one." name="departure-city" subtype="text" className="form-control"/> <field type="select" required="true" label="Will everyone be traveling from the same airport?&nbsp; Select appropriate response." name="will-everyone-be-traveling-from-the-same-airport-" className="form-control"> <option label="Yes, everyone is leaving the same airport I'm leaving from." value="Yes, everyone is leaving the same airport I'm leaving from.">Yes, everyone is leaving the same airport I'm leaving from.</option> <option label="No, there are people leaving from different airports." value="No, there are people leaving from different airports.">No, there are people leaving from different airports.</option> </field> <field type="text" required="true" label="Enter Total # of Travelers Estimated" name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Will there be any children traveling?" name="will-there-be-any-children-traveling"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="text" label="If yes to Above, please provide ages of children AT TIME of travel.&nbsp;" name="list-of-children-if-applicable-and-age" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your Reasonable estimated budget PER PERSON included in this trip inquiry?" description="Please be realistic; especially if flights are needed. This just gives me a general starting point and can always be changed later." name="budget"> <option label="$500 to $1,500" value="500-to-1500">$500 to $1,500</option> <option label="$1,501 to $2,500" value="1501-to-2500">$1,501 to $2,500</option> <option label="$2,501 to $4,500" value="2501-to-4500">$2,501 to $4,500</option> <option label="$4,501 to $6,500" value="4501-to-6500">$4,501 to $6,500</option> <option label="$6,501 to $8,500" value="6501-to-8500">$6,501 to $8,500</option> <option label="$8,501 to $10,000" value="8501-to-10000">$8,501 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?&nbsp; Select all that apply." description="Select all that apply." name="vibe-preference" other="true"> <option label="Cruise (Please Do Not Select Other Options with this Choice)" value="cruise-please-do-not-select-other-options-with-this-choice">Cruise (Please Do Not Select Other Options with this Choice)</option> <option label="Adult Only" value="adult-only">Adult Only</option> <option label="Family Friendly" value="Family Friendly">Family Friendly</option> <option label="All-Inclusive" value="All-Inclusive">All-Inclusive</option> <option label="Rental Home (Requirements Vary)" value="rental-home-requirements-vary">Rental Home (Requirements Vary)</option> <option label="No Specific Vibe Request" value="No Specific Vibe Request">No Specific Vibe Request</option> </field> <field type="select" label="If Cruise, Select Cabin Type from Drop Down" name="if-cruise-select-cabin-type" className="form-control"> <option label="N/A" value="No Preference / No Cruise ">N/A</option> <option label="Interior" value="interior cabin">Interior</option> <option label="Ocean View" value="ocean-view cabin">Ocean View</option> <option label="Balcony" value="balcony cabin">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" required="true" label="Trip Purpose" name="trip-purpose" other="true"> <option label="No Special Occasion; Just Needed a Break" value="no-special-occasion-just-needed-a-break">No Special Occasion; Just Needed a Break</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Girls' Trip" value="girls-trip">Girls' Trip</option> <option label="Guys' Getaway" value="guys-getaway">Guys' Getaway</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> </field> <field type="checkbox-group" required="true" label="Car Rental Needed?" name="car-rental-needed"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Interested in Excursions?" description="Can add later or purchase directly from your Agent's excursion link (ask for it)." name="interested-in-excursions"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Pre-Departure/Travel Insurance?" description="For your protection travel insurance is strongly recommended and available upon request. Travel insurance provides protection for baggage delays/loss trip delays or cancellations and other coverages." name="predeparture-insurance"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Do All Travelers have a Passport? (Required for traveling to another country)" description="If you do not currently have a passport and you need one for this trip please ensure you have one before your departure." name="do-all-travelers-have-a-passport-required-for-traveling-to-another-country"> <option label="N/A" value="N/A">N/A</option> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="radio-group" required="true" label="COVID Vaccinated" description="Some destinations/properties have COVID restrictions. Therefore please state whether or not you're fully vaccinated (received both shots)." name="covid-vaccinated"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What else would you like me to know that has not been addressed above (incl. specific accommodations)?" description="What else would you like me to know as your Agent pertaining to your travel preferences for this trip?" name="notes" className="form-control"/> <field type="checkbox-group" required="true" label="Are you an Existing client or a New Potential client?" name="are-you-an-existing-client-or-a-new-potential-client"> <option label="Existing (Repeat) - have booked with me before" value="existing-repeat-have-booked-with-me-before">Existing (Repeat) - have booked with me before</option> <option label="New Potential" value="new-potential">New Potential</option> </field> <field type="textarea" label="We like to acknowledge our customers who refer potential clients.&nbsp; If you were referred, please list first and last name of who referred you." name="textarea-1677041456124" className="form-control"/> </fields> </form-template> </body> </html>
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