Share your information with
Chelsea Frei
Bright Life Travel Co.
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Your Information:"/> <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="select" required="true" label="How did you hear about Adventures with Chelsea?" name="how-did-you-hear-about-bright-life-travel-" className="form-control"> <option label="Referral" value="referral">Referral</option> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="New Client - Website" value="new-client-website">New Client - Website</option> <option label="New Client - Social Media" value="new-client-social-media">New Client - Social Media</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="If you were referred, who referred you? We want to thank them!&nbsp;" name="if-you-were-referred-who-referred-you-we-want-to-thank-them-" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h1" label="Tell me about your cruise!"/> <field type="select" required="true" label="Is this your first cruise?" name="is-this-your-first-cruise" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm a cruise PRO!" value="im-a-cruise-pro">I'm a cruise PRO!</option> </field> <field type="textarea" label="If you've cruised before, which cruise lines have you sailed with? Did you like or dislike anything about these?&nbsp;" name="if-youve-cruised-before-which-cruise-lines-have-you-sailed-with-did-you-like-or-dislike-anything-about-these-" className="form-control"/> <field type="checkbox-group" label="What is the purpose of this cruise?&nbsp;" name="what-is-the-purpose-of-this-cruise-"> <option label="Family Time" value="family-time">Family Time</option> <option label="Making Memories with Friends" value="making-memories-with-friends">Making Memories with Friends</option> <option label="Fun!" value="fun">Fun!</option> <option label="Relaxation (Spa is a must!)" value="relaxation-spa-is-a-must">Relaxation (Spa is a must!)</option> <option label="Celebrating something special!" value="celebrating-something-special">Celebrating something special!</option> <option label="A specific destination" value="a-specific-destination">A specific destination</option> <option label="Adventure/Expedition" value="adventureexpedition">Adventure/Expedition</option> </field> <field type="checkbox-group" required="true" label="What cruise line do you have in mind?" name="what-cruise-line-do-you-have-in-mind" other="true"> <option label="Carnival" value="carnival">Carnival</option> <option label="Royal Caribbean " value="royal-caribbean-">Royal Caribbean </option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="Virgin Voyages (adults only)" value="virgin-voyages-adults-only">Virgin Voyages (adults only)</option> <option label="Princess" value="princess">Princess</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Holland America" value="holland-america">Holland America</option> </field> <field type="checkbox-group" label="What priorities do you have regarding the ship?&nbsp;" name="what-priorities-do-you-have-regarding-the-ship-" other="true"> <option label="Prefer a smaller ship" value="prefer-a-smaller-ship">Prefer a smaller ship</option> <option label="Prefer a larger ship with a lot to do" value="prefer-a-larger-ship-with-a-lot-to-do">Prefer a larger ship with a lot to do</option> <option label="I'll consider an older option to save money" value="ill-consider-an-older-option-to-save-money">I'll consider an older option to save money</option> <option label="I prefer the ship is newer" value="i-prefer-the-ship-is-newer">I prefer the ship is newer</option> </field> <field type="textarea" required="true" label="Who is Traveling? I will need each person's name and DOB. If you have a large party with more than 4 in a stateroom, please indicate how you'd like the staterooms broken out.&nbsp;" name="who-is-traveling-i-will-need-each-persons-name-and-dob-if-you-have-a-large-party-with-more-than-4-in-a-stateroom-please-indicate-how-youd-like-the-staterooms-broken-out-" className="form-control"/> <field type="textarea" label="Number of cabins and locations - do they need to connect, be next door, or just be close?&nbsp;" name="number-of-cabins-and-locations-do-they-need-to-connect-be-next-door-or-just-be-close-" className="form-control"/> <field type="text" required="true" label="Where is your home city and state?&nbsp;" name="where-is-your-home-city-and-state-" subtype="text" className="form-control"/> <field type="date" required="true" label="Earliest you can depart?" description="If your dates are flexible just put in the general time you are thinking." name="departure-date" className="form-control"/> <field type="date" required="true" label="Latest you can return?" name="return-date" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="How long do you want your cruise to be?&nbsp;" name="how-long-do-you-want-your-cruise-to-be-"> <option label="3-4 nights" value="34-nights">3-4 nights</option> <option label="5-7 nights" value="57-nights">5-7 nights</option> <option label="7+ nights" value="7-nights">7+ nights</option> </field> <field type="text" required="true" label="Which cruise port would you like to sail from?&nbsp;" description="This can be specific or general (ex. Florida California)." name="which-cruise-port-would-you-like-to-sail-from-" subtype="text" className="form-control"/> <field type="textarea" label="Tell me about the itinerary you are wanting to visit? Are there specific ports you want to stop at? Any you want to avoid?" name="tell-me-about-the-itinerary-you-are-wanting-to-visit-are-there-specific-ports-you-want-to-stop-at-any-you-want-to-avoid" className="form-control"/> <field type="checkbox-group" required="true" label="Tell me about the cabin and room locations you have in mind." name="where-on-the-ship-do-you-want-your-stateroom-located-" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Oceanview/Window" value="oceanviewwindow">Oceanview/Window</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Indoor Balcony" value="indoor-balcony">Indoor Balcony</option> <option label="Suite Options" value="suite-options">Suite Options</option> </field> <field type="radio-group" label="When traveling, which best describes your hotel/cruise preference?&nbsp;" name="when-traveling-which-best-describes-your-hotelcruise-preference-" other="true"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="radio-group" label="When it comes to dining, what are you looking forward to the most?&nbsp;" name="when-it-comes-to-dining-what-are-you-looking-forward-to-the-most-"> <option label="The Buffet" value="the-buffet">The Buffet</option> <option label="Main Dining" value="main-dining">Main Dining</option> <option label="Specialty Restaurants" value="specialty-restaurants">Specialty Restaurants</option> </field> <field type="checkbox-group" label="Check any of these that are especially important to you." name="check-any-of-these-that-are-especially-important-to-you"> <option label="Casino" value="casino">Casino</option> <option label="Babysitting" value="babysitting">Babysitting</option> <option label="Kids/Teens Club" value="kidsteens-club">Kids/Teens Club</option> <option label="Sports Courts" value="sports-courts">Sports Courts</option> <option label="Lots of Specialty Dining" value="lots-of-specialty-dining">Lots of Specialty Dining</option> <option label="Rock Wall" value="rock-wall">Rock Wall</option> <option label="Zipline" value="zipline">Zipline</option> <option label="Flow Rider" value="flow-rider">Flow Rider</option> <option label="Water Slides" value="water-slides">Water Slides</option> <option label="Go-karts" value="gokarts">Go-karts</option> <option label="Nice Spa" value="nice-spa">Nice Spa</option> <option label="Broadway-like shows" value="broadwaylike-shows">Broadway-like shows</option> </field> <field type="radio-group" required="true" label="What is your budget for the cruise? This should exclude a prestay, flights, specialty dining, and excursions. (This will not be applicable to group trips)" name="what-is-your-budget-for-the-cruise-this-should-exclude-a-prestay-flights-specialty-dining-and-excursions-this-will-not-be-applicable-to-group-trips"> <option label="$2,500-$3,500" value="25003500">$2,500-$3,500</option> <option label="$3,500-$4,500" value="35004500">$3,500-$4,500</option> <option label="$4,500-$5,500" value="45005500">$4,500-$5,500</option> <option label="$5,500-$6,500" value="55006500">$5,500-$6,500</option> <option label="$6,500-$7,500" value="65007500">$6,500-$7,500</option> <option label="$7,500+" value="7500">$7,500+</option> </field> <field type="textarea" label="Any other information you'd like to share for your cruise planning?&nbsp;" name="any-other-information-youd-like-to-share-for-your-cruise-planning-" className="form-control"/> <field type="radio-group" required="true" label="With cruise clients, I am happy to set up a discovery call to get more information about the cruise you are dreaming up. If you'd like to opt for a call, you'll be prompted after submission with a scheduling link. We can also work through email. Please let me know how you prefer to move forward.&nbsp;" name="with-cruise-clients-i-am-happy-to-set-up-a-discovery-call-to-get-more-information-about-the-cruise-you-are-dreaming-up-if-youd-like-to-opt-for-a-call-youll-be-prompted-after-submission-with-a-scheduling-link-we-can-also-work-through-email-please-let-me-know-how-you-prefer-to-move-forward-"> <option label="I will schedule a call! " value="i-will-schedule-a-call-">I will schedule a call! </option> <option label="I'll work through email. " value="ill-work-through-email-">I'll work through email. </option> </field> </fields> </form-template> </body> </html>
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