<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Ahead of a complimentary consult, please complete this short form so we can get right into the fun stuff&nbsp;on our call!"/> <field type="header" subtype="h2" label="Full name"/> <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="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" 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="text" label="Instagram Handle" name="instagram-handle" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to travel?" description="If you already have a destination in mind let us know. If not tell us what you're looking for. The more detail the better!" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <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?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="radio-group" label="I'd like my Advisor to plan..." name="id-like-my-advisor-to-plan"> <option label="Hotels Only - Proposal & Booking" value="hotels-only-proposal-booking">Hotels Only - Proposal & Booking</option> <option label="Comprehensive Itinerary - Hotels, Transfers, Experiences, etc." value="comprehensive-itinerary-hotels-transfers-experiences-etc">Comprehensive Itinerary - Hotels, Transfers, Experiences, etc.</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Names and relationships of each traveler (for children, please include ages)&nbsp;" name="who-will-be-traveling-how-many-people-and-ages-of-children" subtype="text" className="form-control"/> <field type="text" label="Ideal room, view and bed configuration (especially important for families or multi-room trips)." name="ideal-room-bed-configuration-especially-important-for-families-and-multiroom-trips" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your ideal budget, not including airfare? Please specify a range or a maximum, not including airfare." description="Please note this is just a starting point! While we don't have nightly minimums please note we specialize in 4 & 5* travel and we do believe that destinations can dictate budget." name="what-is-your-budget" subtype="text" className="form-control"/> <field type="text" label="What is the inspiration for this trip? What experiences do you hope to have - History &amp; Museums, Churches/Temples/Mosques, Food &amp; Local drinks, Adventure &amp; Outdoor activity, Wellness &amp; Spa?&nbsp;" name="what-are-you-not-willing-to-compromise-on-what-is-most-important-to-you-for-this-trip" subtype="text" className="form-control"/> <field type="text" label="What type of accommodations do you prefer? 5 star luxury, 4 star local, boutique hotels, U.S. Based Chains, Villa/Home Rental, Other" name="text-1735494575338" subtype="text" className="form-control"/> <field type="text" label="What hotels have you loved staying at in the past, and what made them stand out to you?&nbsp;" description="This helps me better understand your preferences and ensure I recommend the best options for you." name="tell-me-about-one-or-two-of-your-favorite-hotels" subtype="text" className="form-control"/> <field type="text" label="Besides this trip you are currently planning, where else would you like to travel in the upcoming months and/or 3-5 years?&nbsp;" name="besides-this-trip-you-are-currently-planning-where-else-would-you-like-to-travel-in-the-next-35-years" subtype="text" className="form-control"/> <field type="checkbox-group" label="While we do not book air directly, we work with a wonderful airdesk that can assist with international air reservations. They charge an additional fee of $150 per ticket to book and manage your reservation. They provide 24/7 support in case of emergency or flight delays/cancellations. &nbsp;Do you want to work with the Air Desk or will you book your own flights?&nbsp;" name="videre-travel-does-not-book-air-however-we-partner-with-an-amazing-air-desk-who-book-flights-for-our-clients-are-you-happy-to-either-book-your-own-air-or-work-with-our-air-desk-to-book-your-flights"> <option label="Air Desk " value="air-desk-">Air Desk </option> <option label="On My Own" value="on-my-own">On My Own</option> <option label="TBD" value="tbd">TBD</option> </field> <field type="checkbox-group" required="true" label="Can you confirm that all travelers have a current/unexpired passport with at least 6 months of eligibility from the end date of your trip" name="videre-travel-does-not-book-air-however-we-partner-with-an-amazing-air-desk-who-book-flights-for-our-clients-are-you-happy-to-either-book-your-own-air-or-work-directly-with-our-air-desk-to-book-your-flights"> <option label="Yes, I can confirm. " value="yes-i-can-confirm-">Yes, I can confirm. </option> <option label="No, travelers will need to update their passports prior to travel" value="no-travelers-will-need-to-update-their-passports-prior-to-travel">No, travelers will need to update their passports prior to travel</option> </field> <field type="checkbox-group" required="true" label="Due to the nature of our business, we are not able to assist with accommodations that involve using hotel points and/or Amex points. &nbsp;Note, points or miles for flights are fine.&nbsp;" name="do-you-intend-to-use-points-to-book-any-portion-of-your-trip"> <option label="I understand and agree. " value="i-understand-and-agree-">I understand and agree. </option> </field> <field type="textarea" label="What else would you like me to know?&nbsp;" description="Are you celebrating any special occasions? Is there anything you're not willing to compromise on? Are there any must-have amenities you'd like at the hotel?" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="Videre Travel offers bespoke trip design, planning, and management services tailored to your needs. Our service fee starts at $100 for a hotel proposal and $350 per trip for comprehensive itineraries. &nbsp;Custom itineraries include accommodations, transfers, experiences/tours, &nbsp;as well as countless smaller details. The magic lies in the way we pull all the parts of the itinerary together to ensure your trip is seamless and unforgettable.&nbsp;"/> <field type="paragraph" subtype="p" label="Please note that pricing is always presented as a bundled rate and in most cases itemized pricing is not possible.&nbsp;"/> </fields> </form-template> </body> </html>
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