Share your information with Marijia Bailey

Marijia Bailey

Make Sense Beyond Travel, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Traveler Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" 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="text" required="true" label="How many&amp;nbsp; people are traveling?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How Many Children Are Traveling Below the Age of 15 years old?" name="how-many-children-are-traveling-below-the-age-of-15-years-old" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="If outside of the United States, does everyone have a passport that is expiring 6 months or greater from your return date?" name="passport-expiring">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Does anyone traveling have Allergies? If Yes, please list allergy&#39;s name(s)." name="allergies" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Information"/>&#13;
		<field type="select" required="true" label="What&#39;s The Trip Occasion? (Ex. Birthday, Wedding, Family Reunion, General Vacation, etc.)" description="Select the reason for your trip" name="reason-for-trip" className="form-control">&#13;
			<option label="General Vacation" value="general-vacation">General Vacation</option>&#13;
			<option label="Wedding" value="wedding">Wedding</option>&#13;
			<option label="Girl/Man Only Trip" value="girlman-only-trip">Girl/Man Only Trip</option>&#13;
			<option label="Family Reunion" value="family-reunion">Family Reunion</option>&#13;
			<option label="Romantic Getaway" value="romantic-getaway">Romantic Getaway</option>&#13;
			<option label="Birthday/Anniversay/Graduation" value="celebration-getaway">Birthday/Anniversay/Graduation</option>&#13;
			<option label="Other" value="other-getaway">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What is your preferred time to travel?" name="preferred-travel-time" className="form-control">&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
			<option label="Red-Eye" value="redeye">Red-Eye</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your estimated budget PER PERSON?" name="budget-pp" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of trip do you prefer?" name="what-type-of-trip-do-you-prefer" other="true">&#13;
			<option label="Resort / Hotel Only" value="resort-hotel-only">Resort / Hotel Only</option>&#13;
			<option label="Cruise Only" value="cruise-only">Cruise Only</option>&#13;
			<option label="Both Resort/Hotel AND Cruise" value="both-resorthotel-and-cruise">Both Resort/Hotel AND Cruise</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your accommodation preferences?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How Many Rooms Do You Need" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Site Seeing (local attractions)" value="site-seeing-local-attractions">Site Seeing (local attractions)</option>&#13;
			<option label="Scuba / Water Activities" value="scuba-water-activities">Scuba / Water Activities</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Will anyone need flights arrangements made for them?" description="Note: Flights will require full payment at the time of booking." name="will-anyone-need-flights-arrangements-made-for-them">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, I'll make my own flight arrangements" value="No-flights">No, I'll make my own flight arrangements</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<field type="header" subtype="h1" label="Special Events &amp;amp; Instructions"/>&#13;
		<field type="radio-group" required="true" label="Would you like us to plan a&amp;nbsp; special event for your guest before, during or after the trip?" description="Please let us know if we need to make special event accommodations for events such as cocktail parties  welcome dinners  etc." name="custom-event-planning">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to order customized items for this trip such as t-shirts, hats, etc?" name="radio-group-1668769824729">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Do you have any special instruction or anything you 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"/>&#13;
		<field type="header" subtype="h1" label="Acknowledgements"/>&#13;
		<field type="radio-group" required="true" label="I understand there is a non-refundable Travel Design Service &amp;amp; Consultation Fee to everyone collected prior any&amp;nbsp; services being performed. This will be discussed in detail during our appointment .&amp;nbsp; Please indicate that you understand by selecting Yes below. If you do NOT accept, we will not proceed with processing your request." name="i-understand-there-is-a-nonrefundable-design-fee-to-everyone-collected-prior-any-work-down-for-your-trip-this-will-be-discussed-in-detail-during-our-appointment-included-in-the-booking-request-if-you-do-not-accept-i-will-not-book-your-travel-but-youre-welcome-to-book-your-own-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="I understand travel insurance is INCLUDED in my rate,&amp;nbsp; unless otherwise noted in the proposal. If I do NOT want travel insurance I must request an INSURANCE WAIVER." name="i-understand-travel-insurance-is-included-in-my-rate-if-i-do-not-want-travel-insurance-i-must-request-an-insurance-waiver">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>