<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Thank you for contacting Travel by AJ to plan your next vacation experience! Please complete this form in its entirety so we are able to provide an accurate quote. &nbsp;Once completed &nbsp;you will receive a quote within 2-5 business days. &nbsp;All quotes WILL include travel insurance. &nbsp;Please be advised that pricing is subject to change until a deposit is paid. &nbsp;If you are unable to make a deposit within 24-96 hours of receipt of your quote, please complete this form when you are ready to book!Phone: 919-824-8306 Email: info@travelbyaj.com"/> <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="text" required="true" label="Email Address" 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="date" required="true" label="Date of Birth" placeholder="ex: 01/01/2001" name="date-of-birth" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="f">F</option> <option label="M" value="m">M</option> </field> <field type="radio-group" required="true" label="Vacation Package Options (Travel by AJ does not plan domestic vacation packages except Hawaii)" name="vacation-package-options-travel-by-aj-does-not-plan-domestic-vacation-packages"> <option label="All-Inclusive Resort (Mexico/Caribbean Destinations)" value="allinclusive-resort-mexicocaribbean-destinations">All-Inclusive Resort (Mexico/Caribbean Destinations)</option> <option label="European Plan Resort (Non All-Inclusive)" value="european-plan-resort-non-allinclusive">European Plan Resort (Non All-Inclusive)</option> <option label="International Travel Package (ex. Dubai, Maldives, Europe)" value="international-travel-package-ex-dubai-maldives-europe">International Travel Package (ex. Dubai, Maldives, Europe)</option> <option label="Hawaii" value="hawaii">Hawaii</option> </field> <field type="textarea" required="true" label="Destination" name="destination" className="form-control"/> <field type="text" required="true" label="Preferred Departure Airport" name="preferred-departure-airport" subtype="text" className="form-control"/> <field type="date" required="true" label="Departure Date" placeholder="ex: 01/01/2021" name="departure-date" className="form-control"/> <field type="date" required="true" label="Return Date" placeholder="ex: 01/01/2021" name="return-date" className="form-control"/> <field type="text" required="true" label="Total Number of Nights?" name="total-number-of-nights" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do all travelers' have passports?" name="do-all-travelers-have-passports"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I've applied for my passport" value="ive-applied-for-my-passport">I've applied for my passport</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="radio-group" label="Number of Rooms" name="number-of-rooms"> <option label="One Room" value="one-room">One Room</option> <option label="Two Rooms" value="two-rooms">Two Rooms</option> <option label="Three or More" value="three-or-more">Three or More</option> </field> <field type="radio-group" label="Resort/Hotel preference" name="hotel-preference"> <option label="Economy (1.5-2 stars)" value="economy-152-stars">Economy (1.5-2 stars)</option> <option label="Moderate (2.5-3.5 stars)" value="moderate-2535-stars">Moderate (2.5-3.5 stars)</option> <option label="Luxury (4+ stars)" value="luxury-4-stars">Luxury (4+ stars)</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <option label="Adults Only Resort" value="adults-only-resort">Adults Only Resort</option> <option label="Family-Friendly/Multi-Generational Resort" value="familyfriendlymultigenerational-resort">Family-Friendly/Multi-Generational Resort</option> <option label="Party" value="party">Party</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest & Relaxation" value="rest-relaxation">Rest & Relaxation</option> <option label="Adventure/Local Culture" value="adventurelocal-culture">Adventure/Local Culture</option> <option label="LGBTQ" value="lgbtq">LGBTQ</option> </field> <field type="radio-group" required="true" label="Number of Travelers" name="number-of-travelers"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="More than 4" value="more-than-4">More than 4</option> </field> <field type="radio-group" required="true" label="Traveling with Children?" name="traveling-with-children"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Ages of Children (please specify the age at the time of travel)" name="ages-of-children-please-specify-the-age-at-the-time-of-travel" className="form-control"/> <field type="radio-group" required="true" label="Budget Range Per Person (please be realistic with your budget)" name="budget-range-per-person"> <option label="$1500-$2000" value="15002000">$1500-$2000</option> <option label="$2000-$2500" value="20002500">$2000-$2500</option> <option label="$2500-$3000" value="25003000">$2500-$3000</option> <option label="$3000+" value="3000">$3000+</option> </field> <field type="radio-group" label="Celebrating a Special Occasion?" name="celebrating-a-special-occasion"> <option label="Birthday" value="birthday">Birthday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Bachelor/Bachelorette Weekend" value="bachelorbachelorette-weekend">Bachelor/Bachelorette Weekend</option> <option label="Girls/Guys Getaway" value="girlsguys-getaway">Girls/Guys Getaway</option> </field> <field type="radio-group" required="true" label="Interested in Excursions/Activities?" name="interested-in-excursionsactivities"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="When are you ready to book and pay your deposit?" name="when-are-you-ready-to-book-and-pay-your-deposit"> <option label="Today" value="today">Today</option> <option label="48-72 hours" value="4872-hours">48-72 hours</option> <option label="72-96 hours" value="7296-hours">72-96 hours</option> <option label="Within 30 days" value="within-30-days">Within 30 days</option> </field> <field type="textarea" label="Please share any additional details" name="please-share-any-additional-details" className="form-control"/> </fields> </form-template> </body> </html>
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