<html> <body> <form-template> <fields> <field label="Please Fill Out The Details Below" subtype="h2" type="header"/> <field label="First Name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field description="If you're not sure just give me a few destinations you're considering." label="Where Would You Like To Go?" name="destination" required="true" subtype="text" type="text" className="form-control"/> <field label="What Is It About This Destination That Interests You?" name="what-is-it-about-this-destination-that-interests-you" subtype="text" type="text" className="form-control"/> <field label="Where Are You In The Planning Process?" name="where-are-you-in-the-planning-process" type="radio-group"> <option label="Just getting started " value="just-getting-started-">Just getting started </option> <option label="I have some ideas, but need help with research & planning" value="i-have-some-ideas-but-need-help-with-research-planning">I have some ideas, but need help with research & planning</option> <option label="I know what I want, but need help finalizing details" value="i-know-what-i-want-but-need-help-finalizing-details">I know what I want, but need help finalizing details</option> <option label="Other" value="other">Other</option> </field> <field description="This just gives me a general idea of when you like to go; it can be changed later." label="When Would You Like To Depart?" name="starting-at" type="date" className="form-control"/> <field description="This just gives me a general idea of when you like to return; it can be changed later." label="When Would You Like To Return?" name="ending-at" type="date" className="form-control"/> <field label="Are Your Dates Flexible?" name="dates-flexible" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field label="Is This Trip For A Special Occasion?(Birthday, Anniversary, Honeymoon, Engagement, Babymoon, etc.)" name="is-this-trip-for-a-special-occasionbirthday-anniversary-etc" subtype="text" type="text" className="form-control"/> <field label="How Many Travelers Will Be In Your Party?" name="number-of-travelers" required="true" type="text" className="form-control"/> <field label="How Many Rooms?&nbsp; Will They Be Split?" name="how-many-rooms-will-they-be-split" subtype="text" type="text" className="form-control"/> <field label="If Your Travel Dates Are Flexible, Can You Give A Range Of Dates Or Further Information You Would Like Me To Know." name="if-your-travel-dates-are-flexible-can-you-give-a-range-of-dates-or-further-information-you-would-like-me-to-know" subtype="text" type="text" className="form-control"/> <field description="Where will you be flying from?" label="What Is Your Departure City?" name="departure-city" required="true" subtype="text" type="text" className="form-control"/> <field label="Do You Or Any Members In Your Travel Party Have Any Dietary Restrictions Or Allergies? If Yes, Please List What You Would Like Me To Be Aware Of." name="do-you-or-any-members-in-your-travel-party-have-any-dietary-restrictions-or-allergies-if-yes-please-list-what-you-would-like-me-to-be-aware-of" subtype="text" type="text" className="form-control"/> <field label="TRAVEL PREFERENCES" subtype="h2" type="header"/> <field label="Will Airline Tickets Need To Be Included In Your Vacation Package (vs using miles or cc points)" name="will-airline-tickets-need-to-be-included-in-your-vacation-package-vs-using-miles" required="true" subtype="text" type="text" className="form-control"/> <field label="Please List Your Preferred Airline(s) -If applicable . Sometimes There Are Additional Discounts At The Time Of Booking For Those With A Delta Skymiles #. *" name="please-list-your-preferred-airlines-if-applicable-sometimes-there-are-additional-discounts-at-the-time-of-booking-for-those-with-a-delta-skymiles-" subtype="text" type="text" className="form-control"/> <field label="Loyalty Programs" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" name="loyalty-program" type="clientLoyaltyPrograms" className="form-control"/> <field label="Do You Have Preference For Seating?" name="seat-preference" type="radio-group"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> <option label="Economy" value="economy">Economy</option> <option label="Comfort +/Premium" value="comfort-premium">Comfort +/Premium</option> <option label="Business Class/First" value="business-classfirst">Business Class/First</option> </field> <field label="What Type Of Accommodations Do You Prefer?" name="hotel-preference" required="true" type="radio-group"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="All-Inclusive " value="allinclusive-">All-Inclusive </option> <option label="Resort or Hotel Stay (meals/drinks not included)" value="resort-or-hotel-stay-mealsdrinks-not-included">Resort or Hotel Stay (meals/drinks not included)</option> <option label="Private Apartment" value="private-apartment">Private Apartment</option> <option label="Private Villa" value="private-villa">Private Villa</option> <option label="Other" value="other">Other</option> </field> <field label="Are You A Pool Person Or A Beach Person?" name="are-you-a-pool-person-or-a-beach-person" required="true" type="radio-group"> <option label="Beach" value="beach">Beach</option> <option label="Pool " value="pool-">Pool </option> <option label="I balance my time in between both " value="i-balance-my-time-in-between-both-">I balance my time in between both </option> <option label="It doesn't matter for this getaway" value="it-doesnt-matter-for-this-getaway">It doesn't matter for this getaway</option> </field> <field label="What Type Of Getaway Are You Hoping To Experience?" name="what-type-of-getaway-are-you-hoping-to-experience" required="true" type="radio-group"> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Food & Wine" value="food-wine">Food & Wine</option> <option label="Off The Beaten Path" value="off-the-beaten-path">Off The Beaten Path</option> <option label="Party" value="party">Party</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Romance" value="romance">Romance</option> <option label="Rest & Relaxation " value="rest-relaxation-">Rest & Relaxation </option> <option label="Multigenerational" value="multigenerational">Multigenerational</option> <option label="Adventure " value="adventure-">Adventure </option> <option label="Scuba " value="scuba-">Scuba </option> <option label="Golf " value="golf-">Golf </option> </field> <field label="Bedding Preference" name="bed-preference" type="radio-group"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option> <option label="Twin Beds" value="twin-beds">Twin Beds</option> </field> <field label="How Many Children In Your Travel Party And Their Ages At The Time Of Travel.&nbsp;" name="how-many-children-and-their-ages-at-the-time-of-travel" subtype="text" type="text" className="form-control"/> <field label="Please Include ALL Travelers Full Names As Seen On ID's/Passports and&nbsp;Birthdates For Accurate Quotes" name="please-include-all-travelers-passport-names-and-dates-of-birth-for-accurate-quotes" required="true" type="textarea" className="form-control"/> <field description="This provides a general starting point and can always be changed later." label="What Is Your Desired Budget For All Travelers" name="budget" required="true" type="radio-group"> <option label="$4,000-$5,000" value="40005000">$4,000-$5,000</option> <option label="$5,500-$7,500" value="55007500">$5,500-$7,500</option> <option label="$8,000-$10,000" value="800010000">$8,000-$10,000</option> <option label="$10,500-$12,500" value="1050012500">$10,500-$12,500</option> <option label="$13,000-$15,000" value="1300015000">$13,000-$15,000</option> <option label="$15,500-$19,000" value="1550019000">$15,500-$19,000</option> <option label="$20,000-$25,000" value="2000025000">$20,000-$25,000</option> <option label="$25,5000+" value="255000">$25,5000+</option> </field> <field label="If Budget Is Fixed, What Aspects Of The Vacation Are You Willing To Compromise To Fit The Budget?" name="if-budget-is-fixed-what-aspects-of-the-vacation-are-you-willing-to-compromise-to-fit-the-budget" required="true" type="radio-group"> <option label="I am open to increasing my budget if it provides the experience I am seeking" value="i-am-open-to-increasing-my-budget-if-it-provides-the-experience-i-am-seeking">I am open to increasing my budget if it provides the experience I am seeking</option> <option label="I am willing to compromise the length of stay" value="i-am-willing-to-compromise-the-length-of-stay">I am willing to compromise the length of stay</option> <option label="I am willing to compromise the view from my room" value="i-am-willing-to-compromise-the-view-from-my-room">I am willing to compromise the view from my room</option> <option label="I am willing to compromise to a more modest resort" value="i-am-willing-to-compromise-to-a-more-modest-resort">I am willing to compromise to a more modest resort</option> <option label="I am willing to compromise room occupancy and accept 3-4 people sharing a room" value="i-am-willing-to-compromise-room-occupancy-and-accept-34-people-sharing-a-room">I am willing to compromise room occupancy and accept 3-4 people sharing a room</option> <option label="Other " value="other-">Other </option> </field> <field label="If This Is A Group, Please Indicate The Desired Per Budget Here." name="if-this-is-a-group-please-indicate-the-desired-per-budget-here" subtype="text" type="text" className="form-control"/> <field label="What Hotels/Resorts Have You Loved Staying At Previously And What Did You Enjoy About Them?" name="where-have-you-traveled-in-the-past-what-is-your-favorite-vacation-and-why" type="textarea" className="form-control"/> <field label="What Is Your Least Favorite Place You Have Traveled To/Stayed At?" name="what-is-your-least-favorite-place-you-have-traveled-tostayed-at" subtype="text" type="text" className="form-control"/> <field description="Check ALL That Apply" label="Do You Have A Preference For Activities You Are Interested In?" name="activity-preferences" other="true" type="checkbox-group"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Historical sites" value="historical-sites">Historical sites</option> <option label="Foodie experiences" value="foodie-experiences">Foodie experiences</option> <option label="Private tours" value="private-tours">Private tours</option> <option label="Group tours" value="group-tours">Group tours</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Museums" value="museums">Museums</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Hiking & Biking" value="hiking-biking">Hiking & Biking</option> </field> <field label="What Concerns Do You Have About Travel? Of What Are Your Pain Points When Traveling?" name="what-concerns-do-you-have-about-travel-of-what-are-your-pain-points-when-traveling" subtype="text" type="text" className="form-control"/> <field label="What Do You Most Want To Get Out Of This Trip?" name="must-dos" subtype="text" type="text" className="form-control"/> <field label="When You're Envisioning Your Vacation, What are Some Of Your "Must Have's", "Nice To Have's", and "I'd Rather Not Have" Items?&nbsp;" name="when-youre-envisioning-your-vacation-what-are-some-of-your-must-haves-nice-to-haves-and-id-rather-not-have-items-is-there-anything-else-you-would-like-me-to-know-" subtype="text" type="text" className="form-control"/> <field label="Important Details&nbsp;" subtype="h2" type="header"/> <field label="Trip Protection Insurance Is Always Highly Recommended For Travel, And Cancel For Any Reason Type Insurance Is The Only Type Of Policy&nbsp; That Covers COVID-Related Cancellations.&nbsp; Live Well Travel Will Require A Waiver To Be Signed If Trip Protection Insurance Is Declined For This Trip*" name="trip-protection-insurance-is-always-highly-recommended-for-travel-and-cancel-for-any-reason-type-insurance-is-the-only-type-of-policy-that-covers-covidrelated-cancellations-live-well-travel-will-require-a-waiver-to-be-signed-if-trip-protection-insurance-is-declined-for-this-trip" required="true" type="radio-group"> <option label="I understand and plan to accept the cancel for any reason insurance." value="i-understand-and-plan-to-accept-the-cancel-for-any-reason-insurance">I understand and plan to accept the cancel for any reason insurance.</option> <option label="I am not sure yet about purchasing trip protection insurance." value="i-am-not-sure-yet-about-purchasing-trip-protection-insurance">I am not sure yet about purchasing trip protection insurance.</option> <option label="I plan to decline trip protection insurance and sign the waiver." value="i-plan-to-decline-trip-protection-insurance-and-sign-the-waiver">I plan to decline trip protection insurance and sign the waiver.</option> </field> <field label="If You Intend To Travel In 2022, The COVID Pandemic Has Added A New Element Of Risk To Travel Planning. Live Well Travel Will Provide The Most Updated Guidelines At The Time Of Consultation, But Each Traveler Needs To Access Their Own Risk Tolerance Of Traveling During A Pandemic. To Best Advise Each Client's Unique Situation, Please Indicate If You Are Fully Vaccinated Against COVID According To The CDC." name="if-you-intend-to-travel-in-2022-the-covid-pandemic-has-added-a-new-element-of-risk-to-travel-planning-live-well-travel-will-provide-the-most-updated-guidelines-at-the-time-of-consultation-but-each-traveler-needs-to-access-their-own-risk-tolerance-of-traveling-during-a-pandemic-to-best-advise-each-clients-unique-situation-please-indicate-if-you-are-fully-vaccinated-against-covid-according-to-the-cdc" required="true" type="radio-group"> <option label="All travelers on my reservation will be fully vaccinated at the time of travel." value="all-travelers-on-my-reservation-will-be-fully-vaccinated-at-the-time-of-travel">All travelers on my reservation will be fully vaccinated at the time of travel.</option> <option label="All ADULT travelers on my reservation will be fully vaccinated at the time of travel. I do have at least 1 unvaccinated child traveling with me." value="all-adult-travelers-on-my-reservation-will-be-fully-vaccinated-at-the-time-of-travel-i-do-have-at-least-1-unvaccinated-child-traveling-with-me">All ADULT travelers on my reservation will be fully vaccinated at the time of travel. I do have at least 1 unvaccinated child traveling with me.</option> <option label="I chose not to disclose my vaccine status, but I understand and accept the risks of traveling during a pandemic, including the possibility of trip cancellation due to changing travel restrictions for unvaccinated travelers." value="i-chose-not-to-disclose-my-vaccine-status-but-i-understand-and-accept-the-risks-of-traveling-during-a-pandemic-including-the-possibility-of-trip-cancellation-due-to-changing-travel-restrictions-for-unvaccinated-travelers">I chose not to disclose my vaccine status, but I understand and accept the risks of traveling during a pandemic, including the possibility of trip cancellation due to changing travel restrictions for unvaccinated travelers.</option> </field> <field label="After a complimentary phone/email consultation, if you have selected a destination with COVID travel restrictions, Live Well Travel will charge a COVID Travel Support Fee prior to sending your trip quote due to the uncompensated time/effort required to research and discuss the most recent travel restrictions applicable to each individual situation.&nbsp; This support fee may either be applied to your overall trip or as a separate planning fee pending the complexity of your trip. Live Well Travel will also provide resources and support through the complex process.&nbsp;" name="after-a-complimentary-phoneemail-consultation-if-you-have-selected-a-destination-with-covid-travel-restrictions-live-well-travel-will-charge-a-covid-travel-support-fee-prior-to-sending-your-trip-quote-due-to-the-uncompensated-timeeffort-required-to-research-and-discuss-the-most-recent-travel-restrictions-applicable-to-each-individual-situation-this-support-fee-may-either-be-applied-to-your-overall-trip-or-as-a-separate-planning-fee-pending-the-complexity-of-your-trip-live-well-travel-will-also-provide-resources-and-support-through-the-complex-process-" required="true" type="checkbox-group"> <option label="I understand that Live Well Travel collects a COVID Travel Support Fee for select destinations due to the added time/resources required" value="i-understand-that-live-well-travel-collects-a-covid-travel-support-fee-for-select-destinations-due-to-the-added-timeresources-required">I understand that Live Well Travel collects a COVID Travel Support Fee for select destinations due to the added time/resources required</option> </field> <field label="Anything Else You Would Like Me To Know?" name="anything-else-you-would-like-me-to-know" subtype="text" type="text" className="form-control"/> <field label="How Did You Hear About Live Well Travel?" name="how-did-you-hear-about-live-well-travel" required="true" subtype="text" type="text" className="form-control"/> <field label="Consent" name="consent" required="true" type="checkbox-group"> <option label="I consent to having Live Well Travel to collect my details via this form" selected="true" value="i-consent-to-having-live-well-travel-to-collect-my-details-via-this-form">I consent to having Live Well Travel to collect my details via this form</option> </field> </fields> </form-template> </body> </html>
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Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club