<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Travel Interest Form"/> <field type="header" subtype="h2" label="Full name - Lead Traveler"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Mobile Phone Number" description="Kindly provide your phone number so we may contact you" 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="Date of Birth" name="date-of-birth" className="form-control"/> <field type="radio-group" required="true" label="Preferred Contact Method" name="preferred-contact-method"> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Email" value="email">Email</option> <option label="Text Message" value="text-message">Text Message</option> </field> <field type="text" required="true" label="How many travelers are included in this booking?" name="how-many-travelers-are-included-in-this-booking" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Travel Party Members" name="travel-party-members"> <option label="Adults 18+" value="adults-18">Adults 18+</option> <option label="Infants < 2 Years Old" value="infants-2-years-old">Infants < 2 Years Old</option> <option label="Children 2-11" value="children-211">Children 2-11</option> <option label="Children 12-17" value="children-1217">Children 12-17</option> <option label="Senior 65+" value="senior-65">Senior 65+</option> <option label="Special Accommodations (allergies, mobility, auditory/visual, wheelchair, etc)" value="special-accommodations-allergies-mobility-auditoryvisual-wheelchair-etc">Special Accommodations (allergies, mobility, auditory/visual, wheelchair, etc)</option> <option label="Military Veterans, First Responders, Medical Professionals, Teachers" value="military-veterans-first-responders-medical-professionals-teachers">Military Veterans, First Responders, Medical Professionals, Teachers</option> </field> <field type="checkbox-group" required="true" label="Where would you like to explore?" name="where-would-you-like-to-explore" other="true"> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> </field> <field type="checkbox-group" required="true" label="What services would you like included in your booking?" name="what-would-you-like-included-in-your-booking"> <option label="Airfare" value="airfare">Airfare</option> <option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Transfers" value="transfers">Transfers</option> <option label="Activities & Tours" value="activities-tours">Activities & Tours</option> </field> <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="select" required="true" label="Are you dates flexible?" name="are-you-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Flexibility Options" description="Please tell us more about your dates of travel and/or flexibility options." name="flexibility-options" rows="4" className="form-control"/> <field type="select" required="true" label="Have you done any research for this trip?" description="Please share what you've learned so far." name="have-you-done-any-research-for-this-trip" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Please let us know what you've found in your personal research?" description="If you haven't researched this trip please write "N/A"" name="please-let-us-know-what-youve-found-in-your-personal-research" className="form-control"/> <field type="select" required="true" label="Do all travelers have a valid US Passport valid for 6 months after the travel dates?" name="do-all-travelers-have-a-valid-us-passport" className="form-control"> <option label="YES - All travelers included in this trip have a valid passport for at least 6 months after the return date of the trip." value="yes-all-travelers-included-in-this-trip-have-a-valid-passport-for-at-least-6-months-after-the-return-date-of-the-trip">YES - All travelers included in this trip have a valid passport for at least 6 months after the return date of the trip.</option> <option label="NO - All travelers do not have a passport, but are willing to apply given enough time >90 + days before travel" value="no-all-travelers-do-not-have-a-passport-but-are-willing-to-apply-given-enough-time-90-days-before-travel">NO - All travelers do not have a passport, but are willing to apply given enough time >90 + days before travel</option> <option label="N/A - Not traveling outside of the US and will travel with a valid Government ID instead." value="na-not-traveling-outside-of-the-us-and-will-travel-with-a-valid-government-id-instead">N/A - Not traveling outside of the US and will travel with a valid Government ID instead.</option> </field> <field type="radio-group" required="true" label="Considering the services you would like included in this booking, what price point are you comfortable with?" description="If you haven't decided on a final budget please give me a maximum amount so we can stay below it." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000-12,500" value="1000012500">$10,000-12,500</option> <option label="$12,500+" value="12500">$12,500+</option> </field> <field type="checkbox-group" required="true" label="What kind of trip should we plan for you?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</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="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="Adventure/Active" value="adventureactive">Adventure/Active</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="checkbox-group" required="true" label="Are you traveling for a special occasion?" name="are-you-traveling-for-a-special-occasion" other="true"> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="select" required="true" label="How soon would you like to book your trip?" name="how-soon-would-you-like-to-book-your-trip" className="form-control"> <option label="UNSURE - Still shopping around and comparing prices" value="unsure-still-shopping-around-and-comparing-prices">UNSURE - Still shopping around and comparing prices</option> <option label="IMMEDIATELY --> I am ready to book and pay in 0-14 days once I find the right package" value="immediately-i-am-ready-to-book-and-pay-in-014-days-once-i-find-the-right-package">IMMEDIATELY --> I am ready to book and pay in 0-14 days once I find the right package</option> <option label="SOON --> Book in 15-30 days; I am considering my options and may ask more questions. I understand prices are subject to change and based on availability. Any quote I receive will need to be repriced." value="soon-book-in-1530-days-i-am-considering-my-options-and-may-ask-more-questions-i-understand-prices-are-subject-to-change-and-based-on-availability-any-quote-i-receive-will-need-to-be-repriced">SOON --> Book in 15-30 days; I am considering my options and may ask more questions. I understand prices are subject to change and based on availability. Any quote I receive will need to be repriced.</option> <option label="LATER --> Book >30-60 days; I am not in a rush to book and understand prices are subject to change and based on availability. Any quote I receive will need to be repriced." value="later-book-3060-days-i-am-not-in-a-rush-to-book-and-understand-prices-are-subject-to-change-and-based-on-availability-any-quote-i-receive-will-need-to-be-repriced">LATER --> Book >30-60 days; I am not in a rush to book and understand prices are subject to change and based on availability. Any quote I receive will need to be repriced.</option> </field> <field type="select" label="How will everyone pay for their trip?" name="how-will-everyone-pay-for-their-trip" className="form-control"> <option label="Paying with the Same Method - Single Invoice" value="paying-with-the-same-method-single-invoice">Paying with the Same Method - Single Invoice</option> <option label="Paying Individually - Separate Invoices" value="paying-individually-separate-invoices">Paying Individually - Separate Invoices</option> </field> <field type="text" label="What is your departure city/preferred airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="economy">Economy</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="checkbox-group" required="true" label="What airline cabin do you prefer?" name="what-airline-cabin-do-you-prefer" other="true"> <option label="Economy" value="economy">Economy</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business" value="business">Business</option> <option label="First" value="first">First</option> </field> <field type="text" required="true" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else we should know to create a better trip for you? Please include any other details about your party, budget, and/or travel preferences." description="What else would you like me to know about you and your party?" name="notes" className="form-control"/> <field type="header" subtype="h1" label="Travel Protection Insurance"/> <field type="paragraph" subtype="p" label="TBC OFFERS ACCESS TO TRAVEL INSURANCE TO PROTECT PASSENGERS AND THEIR INVESTMENT IN TRAVEL. UNLESS SPECIFICALLY NOTED, TRAVEL INSURANCE IS NOT INCLUDED IN THE COST OF CLIENT’S ITINERARY TO PROTECT AGAINST THIRD PARTY SUPPLIER DEFAULT/BANKRUPTCY PROTECTION, DELAY, INTERRUPTION, MISSED CONNECTION FOR CRUISES, CANCELLATION, MEDICAL EMERGENCY TRANSPORTATION/EVACUATION &amp; REPATRIATION, BAGGAGE &amp; PERSONAL EFFECTS/LOST LUGGAGE &amp; BAGGAGE DELAY, ILLNESS, JOB LOSS PROTECTION AND CHANGE OF PLANS, ACCIDENTAL DEATH AND DISABILITY, TRAVEL ACCIDENT/SICKNESS MEDICAL EXPENSES, AND MORE. PROPER INSURANCE MAY PROTECT YOU FROM FINANCIAL LOSS IN ALMOST ALL CIRCUMSTANCES. Without appropriate travel insurance, Client understands and agrees that if Client cancels or interrupts Client’s travel for any reason, portions of the trip/tour may not be refunded and TBC’s and travel Suppliers’ cancellation penalties will apply resulting in the loss of monies up to the full cost of Client’s travel booking and related costs. The purchase of travel insurance is not required in order to purchase any other product or service offered by TBC, however if you decline to purchase insurance, TBC will require that you execute an insurance waiver. TBC is not a licensed insurance broker, and its advisors are not qualified or authorized to answer technical questions about benefits, exclusions, and conditions of any of the insurance offered, nor evaluate the adequacy of the prospective insured’s existing insurance coverage. An additional charge applies for any travel insurance selected. TBC CANNOT GUARANTEE THAT ANY INSURANCE PROVIDER WILL APPROVE COVERAGE FOR A CLAIM MADE UNDER THE INSURER’S POLICY AND MAKES NO REPRESENTATIONS ABOUT THE EXTENT OF COVERAGE FOR ANY POLICY IT MAY OFFER OR QUOTE."/> <field type="select" required="true" label="Travel Protection Declaration" name="travel-protection-declaration" className="form-control"> <option label="YES - Please include travel protection insurance in my Trip Proposal/Quote" value="yes-please-include-travel-protection-insurance-in-my-trip-proposalquote">YES - Please include travel protection insurance in my Trip Proposal/Quote</option> <option label="NO - I DECLINE travel protection insurance. I have read the Terms and Conditions above and will be 100% responsible for the trip cost." value="no-i-decline-travel-protection-insurance-i-have-read-the-terms-and-conditions-above-and-will-be-100-responsible-for-the-trip-cost">NO - I DECLINE travel protection insurance. I have read the Terms and Conditions above and will be 100% responsible for the trip cost.</option> </field> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" description="We will need your address for your travel protection insurance quote and travel bookings." name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" 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="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Customized Travel Planning"/> <field type="paragraph" subtype="p" label="I understand Travel Bliss Creations, LLC collects a one-time, non-refundable, non-transferable Professional Planning Fee prior to any services being performed. This fee is individualized per trip based on the services requested, and will be discussed in the Complimentary Vacation Planning Consultation. To proceed with planning after the call, please indicate YES. An invoice for the Professional Planning Fee will be emailed after our consultation call. Once the invoice is paid, Travel Bliss Creations, LLC will begin creating your trip. If you are not able to continue, please indicate NO and we will not proceed with the trip request at this time."/> <field type="select" required="true" label="Customized Travel Planning" name="customized-travel-planning" className="form-control"> <option label="YES - I agree. Please continue with Planning Services" value="yes-i-agree-please-continue-with-planning-services">YES - I agree. Please continue with Planning Services</option> <option label="NO - No longer interested in Planning Services" value="no-no-longer-interested-in-planning-services">NO - No longer interested in Planning Services</option> </field> </fields> </form-template> </body> </html>
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