<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Travel Inquiry Form"/> <field type="header" subtype="h1" label="Thank you for choosing Travel Dreams By Jaz LLC! We are honored and excited to have the opportunity to plan your next vacation. To find the perfect vacation package for you, please complete the form below."/> <field type="text" required="true" 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" 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="date" required="true" label="Client D.O.B" name="client-dob" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" required="true" 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" required="true" 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?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" 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="How many additional Adult travelers and their date of birth?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would children be traveling?" name="would-children-be-traveling"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Ages of Children at the time of travel" name="ages-of-children-at-the-time-of-travel" className="form-control"/> <field type="checkbox-group" required="true" label="What type of travel are you interested in for this trip?" inline="true" name="what-type-of-travel-are-you-interested-in-for-this-trip" other="true"> <option label="Packaged Tour - Flight + Accommodations" value="packaged-tour-flight-accommodations">Packaged Tour - Flight + Accommodations</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Flight Only" value="flight-only">Flight Only</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Activities Only" value="activities-only">Activities Only</option> <option label="Rental Car only" value="rental-car-only">Rental Car only</option> <option label="Group Travel (5+ rooms or 10+ air travelers)" value="group-travel-5-rooms-or-10-air-travelers">Group Travel (5+ rooms or 10+ air travelers)</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Luxury Vacation" value="luxury-vacation">Luxury Vacation</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget" other="true"> <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+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="Tell us the occasion" inline="true" name="hotel-preference" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Family Trip" value="family-trip">Family Trip</option> <option label="Group Trip" value="group-trip">Group Trip</option> <option label="Reunion: Family" value="reunion-family">Reunion: Family</option> <option label="Reunion: School/ Class" value="reunion-school-class">Reunion: School/ Class</option> <option label="Solo trip" value="solo-trip">Solo trip</option> <option label="Girl's Trip" value="girls-trip">Girl's Trip</option> <option label="Guy's Trip" value="guys-trip">Guy's Trip</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Just Because" value="just-because">Just Because</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> </field> <field type="checkbox-group" required="true" label="Resort/ Hotel preference" inline="true" name="tell-us-the-occasion" other="true"> <option label="All-Inclusive Resort/ Hotel" value="allinclusive-resort-hotel">All-Inclusive Resort/ Hotel</option> <option label="No All-Inclusive" value="no-allinclusive">No All-Inclusive</option> <option label="Villa" value="villa">Villa</option> <option label="House" value="house">House</option> <option label="Adults- Only" value="adults-only">Adults- Only</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Luxury Resort" value="luxury-resort">Luxury Resort</option> <option label="Handicap Accessible" value="handicap-accessible">Handicap Accessible</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="checkbox-group" required="true" label="Vibe Preference" description="Check all that apply." inline="true" name="vibe-preference" other="true"> <option label="Economy/ Standard Room" value="economy-standard-room">Economy/ Standard Room</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="City View" value="city-view">City View</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="Swim up/ Swim out" value="swim-up-swim-out">Swim up/ Swim out</option> <option label="Suite" value="suite">Suite</option> <option label="Butler Services" value="butler-services">Butler Services</option> <option label="Loft/ Roof top" value="loft-roof-top">Loft/ Roof top</option> </field> <field type="checkbox-group" required="true" label="Bedding Request: *Please note that this is a request and not all hotels can accommodate*&nbsp;" inline="true" name="bedding-request-please-note-that-this-is-a-request-and-not-all-hotels-can-accommodate-" other="true"> <option label="1 King Bed" value="1-king-bed">1 King Bed</option> <option label="2 Queen/ Double Beds" value="2-queen-double-beds">2 Queen/ Double Beds</option> <option label="No preference" value="no-preference">No preference</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" inline="true" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Culture/ Art" value="culture-art">Culture/ Art</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="Gambling" value="gambling">Gambling</option> </field> <field type="radio-group" required="true" label="Travel Protection Plan" inline="true" name="travel-protection-plan"> <option label="Yes, I would like to add insurance (cash-back option)" value="yes-i-would-like-to-add-insurance-cashback-option">Yes, I would like to add insurance (cash-back option)</option> <option label="Yes, I would like to add insurance (future travel credit)" value="yes-i-would-like-to-add-insurance-future-travel-credit">Yes, I would like to add insurance (future travel credit)</option> <option label="No, I decline adding insurance" value="no-i-decline-adding-insurance">No, I decline adding insurance</option> </field> <field type="radio-group" required="true" label="Do you need a payment plan? (With this option your booking must be booked 45 days from the departure date)" inline="true" name="do-you-need-a-payment-plan-with-this-option-your-booking-must-be-booked-45-days-from-the-departure-date"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Are there any Airlines that you DO NOT want to fly with?" inline="true" name="are-there-any-airlines-that-you-do-not-want-to-fly-with" other="true"> <option label="Spirit" value="spirit">Spirit</option> <option label="Frontier" value="frontier">Frontier</option> <option label="Allegiant" value="allegiant">Allegiant</option> </field> <field type="checkbox-group" required="true" label="When are you looking to book your trip?" inline="true" name="when-are-you-looking-to-book-your-trip"> <option label="ASAP: 24-48 hrs" value="asap-2448-hrs">ASAP: 24-48 hrs</option> <option label="3-6 Days" value="36-days">3-6 Days</option> <option label="7-10 Days" value="710-days">7-10 Days</option> <option label="30 Days" value="30-days">30 Days</option> <option label="Unsure/ still in planning phase" value="unsure-still-in-planning-phase">Unsure/ still in planning phase</option> </field> <field type="text" label="Do you have any specific resorts in mind? Up to 3" name="must-dos" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Any special Accommodations/ Allergies?" inline="true" name="any-special-accommodations-allergies" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs" 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"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="header" subtype="h1" label="Thank you for completing our request form. Please allow us 48 hours to process your request."/> </fields> </form-template> </body> </html>
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