<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Get Started!&nbsp;"/> <field type="paragraph" subtype="p" label="Thank you for contacting Chronicle Travel Company about your upcoming vacation! Please tell us a little more about what you have in mind so that we can start the planning process. Once your inquiry is reviewed, we'll touch base to set up a time for a chat to get some final details.&nbsp; &nbsp;For extended information, hover over the "?" icon where available. Questions? Email: Info@ChronicleTravel.co"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" description="Names on bookings for international travel must be exactly as that on your passport" placeholder="Please include here if it is on your passport" 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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="State of Residence&nbsp;" name="state-of-residence-" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="How were you referred to Chronicle Travel Company?&nbsp;" name="how-were-you-referred-to-me-" subtype="text" className="form-control"/> <field type="textarea" label="Why did you decide to reach out for assistance from a travel advisor?&nbsp;" name="why-did-you-decide-to-reach-out-for-assistance-from-a-travel-advisor-" className="form-control"/> <field type="select" label="Who is your preferred travel advisor?&nbsp;" name="who-is-your-preferred-travel-advisor-" className="form-control"> <option label="No Preference" value="no-preference">No Preference</option> <option label="Michaela Flack " value="michaela-flack-">Michaela Flack </option> <option label="Beth Ostendorf" value="beth-ostendorf">Beth Ostendorf</option> <option label="Kea Paddy" value="kea-paddy">Kea Paddy</option> <option label="Rebecca Cruse" value="rebecca-cruse">Rebecca Cruse</option> </field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <field type="checkbox-group" label="Where are you in the planning process?&nbsp;" name="where-are-you-in-the-planning-process-" other="true"> <option label="Just getting started." value="just-getting-started">Just getting started.</option> <option label="I have some ideas, but need help with research and planning. " value="i-have-some-ideas-but-need-help-with-research-and-planning-">I have some ideas, but need help with research and planning. </option> <option label="I know just what I want, but need help finalizing the details." value="i-know-just-what-i-want-but-need-help-finalizing-the-details">I know just what I want, but need help finalizing the details.</option> </field> <field type="text" label="Is the purpose of this trip to celebrate an occasion?&nbsp;" placeholder="Birthday anniversary graduation retirement etc" name="is-the-purpose-of-this-trip-to-celebrate-an-occasion-" subtype="text" className="form-control"/> <field type="date" label="Earliest you can depart?" name="starting-at" className="form-control"/> <field type="date" label="Latest you can return?&nbsp;" name="ending-at" className="form-control"/> <field type="text" label="How many nights you would like for this trip to be?" name="how-many-nights-you-would-like-for-this-trip-to-be" subtype="text" className="form-control"/> <field type="text" label="What is your city and state of residence?&nbsp;" name="what-is-your-city-and-state-of-residence-" subtype="text" className="form-control"/> <field type="text" label="What is your departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" label="If this is a domestic trip, do you plan to fly or drive?&nbsp;" name="if-this-is-a-domestic-trip-do-you-plan-to-fly-or-drive-" className="form-control"> <option label="Fly" value="fly">Fly</option> <option label="Drive" value="drive">Drive</option> <option label="Not sure/depends on budget" value="not-suredepends-on-budget">Not sure/depends on budget</option> </field> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="What is the age and gender of each traveler at the time of travel?&nbsp;" description="Example: 42 (F) 38 (M) 12 (F) 10 (M)" name="what-is-the-age-of-each-traveler-" subtype="text" className="form-control"/> <field type="radio-group" label="Does everyone in your group have a current passport that will be valid at least 6 months after your travel dates?&nbsp;" name="does-everyone-in-your-group-have-a-current-passport-that-will-be-valid-at-least-6-months-after-your-travel-dates-"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> </field> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later. CTC generally cannot work with budgets less than $3000. If this is you reach out by email and we can see if we can assist or refer you to another option." name="budget"> <option label="$3,000 to $5,000" value="3000-to-5000">$3,000 to $5,000</option> <option label="$5,000 to $7,000" value="5000-to-7000">$5,000 to $7,000</option> <option label="$7,000 to $10,000" value="7000-to-10000">$7,000 to $10,000</option> <option label="$9,000 to $10,000" value="9000-to-10000">$9,000 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $25,000" value="15000-to-25000">$15,000 to $25,000</option> <option label="$25,000+" value="25000">$25,000+</option> </field> <field type="checkbox-group" label="Are you interested in:&nbsp;" description="Please check all that apply" name="are-you-interested-in-" other="true"> <option label="All-Inclusive Resort (not available for U.S. domestic trips)" value="allinclusive-resort-not-available-for-us-domestic-trips">All-Inclusive Resort (not available for U.S. domestic trips)</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Escorted Tour" value="escorted-tour">Escorted Tour</option> <option label="Theme Park (Disney, Universal, etc)*" value="theme-park-disney-universal-etc">Theme Park (Disney, Universal, etc)*</option> <option label="Long Weekend in USA*" value="long-weekend-in-usa">Long Weekend in USA*</option> <option label="Custom Itinerary* " value="custom-itinerary-">Custom Itinerary* </option> </field> <field type="paragraph" subtype="p" label="After our initial free consultation call, if you decide to move forward with Chronicle Travel Company services, a $50 Launch Fee will be required to start services. Additional planning fees may be required based on the trip components and planning needs required, which will be communicated during the consultation.&nbsp; Theme Park planning services begin at $125.&nbsp; Most all-inclusive resort (usually Mexico and the Caribbean) and cruise vacations require only the Launch Fee.&nbsp; Custom itineraries (usually defined as a trip with more than one destination and/or multiple components) require a fee starting at $250 for up to 7 nights, $400 for 8 to 14 nights. Itineraries of 14 or more nights can be quoted on an individual basis. In each case, this fee covers time researching and designing a detailed, custom travel experience for you. Fees may vary by advisor.&nbsp;"/> <field type="checkbox-group" label="Which of these are your top 3 priorities?&nbsp;" inline="true" name="which-of-these-are-your-top-3-priorities-" other="true"> <option label="Best experience for the money" value="best-experience-for-the-money">Best experience for the money</option> <option label="Lowest price" value="lowest-price">Lowest price</option> <option label="Authentic, immersive experiences" value="authentic-immersive-experiences">Authentic, immersive experiences</option> <option label="Just the highlights/main attractions" value="just-the-highlightsmain-attractions">Just the highlights/main attractions</option> <option label="Best accommodations" value="best-accommodations">Best accommodations</option> <option label="Basic accommodations: clean, safe, well-located" value="basic-accommodations-clean-safe-welllocated">Basic accommodations: clean, safe, well-located</option> <option label="Small, cozy hotel (boutique)" value="small-cozy-hotel-boutique">Small, cozy hotel (boutique)</option> <option label="Large property with on-site dining and amenities" value="large-property-with-onsite-dining-and-amenities">Large property with on-site dining and amenities</option> </field> <field type="textarea" label="Are there any hotel/resort amenities that you would prefer to (or must) have?&nbsp;" name="are-there-any-hotelresort-amenities-that-you-would-prefer-to-or-must-have-" className="form-control"/> <field type="textarea" label="Any resorts/hotels/cruises (ship or itinerary) that you already have in mind?&nbsp;" name="any-resortshotelscruises-ship-or-itinerary-that-you-already-have-in-mind-" className="form-control"/> <field type="text" label="Preferred airline(s) and class of service, if any?&nbsp;" name="preferred-airlines-and-class-of-service-if-any-" subtype="text" className="form-control"/> <field type="select" label="Is this trip a SURPRISE for anyone in your travel party?&nbsp;" description="If so we'll be extra careful about communications!" name="is-this-trip-a-surprise-for-anyone-in-your-travel-party-" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Does anyone in your party have any special medial or dietary needs (including pregnancy)?&nbsp;" name="does-anyone-in-your-party-have-any-special-medial-or-dietary-needs-including-pregnancy-" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <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> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" 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-wine">Food and wine</option> <option label="" value=""/> </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="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="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like us to know?" description="What else would you like us to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="checkbox-group" label="We would love to add you to our email list to send you updated, inspiration and ideas, travel news and tips. (Don't worry this goes out no more than twice a month and your address is never shared.) If you'd like to join our Chronicle Travel Company email list, please check the box below to confirm.&nbsp;" name="we-would-love-to-add-you-to-our-email-list-to-send-you-updated-inspiration-and-ideas-travel-news-and-tips-dont-worry-this-goes-out-no-more-than-twice-a-month-and-your-address-is-never-shared-if-youd-like-to-join-our-chronicle-travel-company-email-list-please-check-the-box-below-to-confirm-"> <option label="Yes, please add me to your exclusive email list " value="yes-please-add-me-to-your-exclusive-email-list-">Yes, please add me to your exclusive email list </option> </field> <field type="header" subtype="h1" label="Optional Questions! These help us get to know you a little more so we can offer options that we think will be the best fit for you. Feel free to answer some, none or all."/> <field type="text" label="On a scale of 1-10, 1 being a hermit crab and 10 being a social butterfly, where do you fall?&nbsp;" name="on-a-scale-of-110-1-being-a-hermit-crab-and-10-being-a-social-butterfly-where-do-you-fall-" subtype="text" className="form-control"/> <field type="radio-group" label="You're splurging on a night out on the town. Which do you choose?&nbsp;" name="youre-splurging-on-a-night-out-on-the-town-which-do-you-choose-" other="true"> <option label="Your favorite traditional steakhouse" value="your-favorite-traditional-steakhouse">Your favorite traditional steakhouse</option> <option label="Try a new modern fusion restaurant in town" value="try-a-new-modern-fusion-restaurant-in-town">Try a new modern fusion restaurant in town</option> <option label="Quick dinner and then straight to drinks at a club" value="quick-dinner-and-then-straight-to-drinks-at-a-club">Quick dinner and then straight to drinks at a club</option> <option label="Drinks at the local pub and a new movie" value="drinks-at-the-local-pub-and-a-new-movie">Drinks at the local pub and a new movie</option> <option label="Cocktails (or mocktails) at the upscale bar and then classic old or indie movies at the arthouse theatermovies" value="cocktails-or-mocktails-at-the-upscale-bar-and-then-classic-old-or-indie-movies-at-the-arthouse-theatermovies">Cocktails (or mocktails) at the upscale bar and then classic old or indie movies at the arthouse theatermovies</option> </field> <field type="text" label="What trip would you take if you won the lottery?&nbsp;" name="text-1621522256113" subtype="text" className="form-control"/> <field type="text" label="What are your favorite beverages?&nbsp;" name="what-are-your-favorite-beverages-" subtype="text" className="form-control"/> <field type="text" label="What is your favorite food and/or type of cuisine?&nbsp;" name="what-is-your-favorite-food-andor-type-of-cuisine-" subtype="text" className="form-control"/> <field type="textarea" label="What was your favorite vacation? What made it your favorite?&nbsp;" name="what-was-your-favorite-vacation-what-made-it-your-favorite-" className="form-control"/> <field type="textarea" label="What was your least favorite destination/vacation? Feel free to elaborate...." name="what-was-your-least-favorite-destinationvacation-feel-free-to-elaborate" className="form-control"/> <field type="text" label="What movie or song makes you want to travel? Feel free to list as many as you can think of..." name="what-movie-or-song-makes-you-want-to-travel-feel-free-to-list-as-many-as-you-can-think-of" subtype="text" className="form-control"/> <field type="text" label="What are your hobbies?&nbsp;" name="what-are-your-hobbies-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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