Brittney Tromanhauser

Avery Travel Group

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  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you need airfare included in your proposal?" name="do-you-need-airfare-included-in-your-proposal">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please list all travelers full names and date of birth" name="please-list-all-travelers-full-names-and-date-of-birth" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference" description="Please list any food allergies or preferences" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of trip are you interested in?" name="vibe-preference">&#13;
			<option label="All Inclusive Tropical Vacation" value="all-inclusive-tropical-vacation">All Inclusive Tropical Vacation</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Corporate Incentive" value="corporate-incentive">Corporate Incentive</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Adults Only Trip" value="adults-only-trip">Adults Only Trip</option>&#13;
			<option label="Multi-Generational" value="multigenerational">Multi-Generational</option>&#13;
			<option label="Escorted Tour" value="escorted-tour">Escorted Tour</option>&#13;
			<option label="Cruise (Ocean or River)" value="cruise-ocean-or-river">Cruise (Ocean or River)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your ideal investment for this trip?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option>&#13;
			<option label="$5,000-$7,500" value="50007500">$5,000-$7,500</option>&#13;
			<option label="$7,500-$10,000" value="750010000">$7,500-$10,000</option>&#13;
			<option label="$10,000-$20,000" value="1000020000">$10,000-$20,000</option>&#13;
			<option label="$20,000+" value="20000">$20,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you would like me to know about you?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="If you have any brand loyalty programs, list them here.&amp;nbsp;" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="textarea" label="If you were referred by someone, please list their name here so we can thank them!" name="if-you-were-referred-by-someone-please-list-their-name-here-so-we-can-thank-them" rows="1" className="form-control"/>&#13;
		<field type="select" label="Would You Like To Receive Occasional Emails About Upcoming Travel Offers?*" name="would-you-like-to-receive-occasional-emails-about-upcoming-travel-offers" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Please note that Avery Travel Group will charge a non refundable fee starting at $250 and increases due to the complexity of planning. This fee covers the extensive research, quotes, and time taken to create a custom itinerary for you. We will discuss the fee in during your consultation call. Fee must be paid before a quote will be sent."/>&#13;
		<field type="paragraph" subtype="p" label="Please see our website www.averytravelgroup.com for our available planning packages and pricing. "/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>