<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> </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 city?" 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" required="true" 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="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="text" required="true" label="Are you fully vaccinated for COVID-19?&nbsp;" description="This question is solely so that CTC can advise you on your travels as many cruise lines and destinations are currently only available for vaccinated persons. If you are not vaccinated I'm happy to recommend and plan for an alternative trip type or destination. Your medical information is always completely confidential." name="are-you-fully-vaccinated-for-covid19-" 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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