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Victorious Vacations
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <field type="text" 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="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" 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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" required="true" label="Did someone refer you to Victorious Vacations? If so, who?&nbsp;" name="did-someone-refer-you-to-victorious-vacations-if-so-who-" subtype="text" className="form-control"/> <field type="text" required="true" label="Are you celebrating a special occasion? If so, what's the occasion?&nbsp;" name="are-you-celebrating-a-special-occasion-if-so-whats-the-occasion-" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="If you are planning to travel out of the country, do you have a valid passport?&nbsp;" inline="true" name="if-you-are-planning-to-travel-out-of-the-country-do-you-have-a-valid-passport-if-not-have-you-applied-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="N/A" value="na">N/A</option> </field> <field type="radio-group" required="true" label="If you're traveling out of the country and you do not have a valid passport, have you applied?&nbsp;" inline="true" name="if-youre-traveling-out-of-the-country-and-you-do-not-have-a-valid-passport-have-you-applied-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="N/A" value="na">N/A</option> </field> <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" required="true" 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="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <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="checkbox-group" required="true" 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="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" required="true" 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="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Active/Sports" value="activesports">Active/Sports</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> <option label="Sightseeing/History" value="sightseeinghistory">Sightseeing/History</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Spa" value="spa">Spa</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your ideal budget per person?" description="This will help me to assess how I can best customize a trip to fit your budget and gives me a general starting point. This can always be changed later." name="budget" other="true"> <option label="$500 to $1500" value="500-1500">$500 to $1500</option> <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="date" required="true" label="When will you be able to pay your initial deposit?&nbsp;" description="Disclaimer: Must be deposit ready! Any quotes/pricing/flights given are subject to change without a deposit of full payment." name="when-will-you-be-able-to-pay-your-initial-deposit-" className="form-control"/> <field type="radio-group" required="true" label="Are you interested in financing your trip?&nbsp;" description="Feel good about what you buy and how you pay for it with Uplift. Simple no surprise payments let you buy now and pay later. *Credit approval required." inline="true" name="are-you-interested-in-financing-your-trip-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Hotel &amp; Resort Vacation"/> <field type="radio-group" required="true" label="What best describes your hotel/resort 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="radio-group" label="What features would you like to be included in your hotel/resort preference?" name="what-features-would-you-like-to-be-included-in-your-hotelresort-preference" other="true"> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="On the Beach" value="on-the-beach">On the Beach</option> <option label="Near City Center" value="near-city-center">Near City Center</option> <option label="Kids Club" value="kids-club">Kids Club</option> <option label="Near Air/Cruise Port" value="near-aircruise-port">Near Air/Cruise Port</option> <option label="Activities On-Site" value="activities-onsite">Activities On-Site</option> <option label="Standard View" value="standard-view">Standard View</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Suite/Jr Suite" value="suitejr-suite">Suite/Jr Suite</option> </field> <field type="text" required="true" label="How many rooms?" name="how-many-rooms" subtype="text" className="form-control"/> <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="text" label="Concierge Level" name="concierge-level" subtype="text" className="form-control"/> <field type="text" label="Meal Preference" name="meal-preference" subtype="text" className="form-control"/> <field type="text" label="Additional Information&nbsp;" name="additional-information-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Cruise Vacation"/> <field type="text" label="Cruise Preferences (Frequent Cruiser Programs)" description="If you are a part of any Frequent Cruiser Programs this allows me to make sure you can take advantage of your rewards." name="cruise-preferences-frequent-cruiser-programs" subtype="text" className="form-control"/> <field type="textarea" label="Cruise Itinerary" name="cruise-itinerary" className="form-control"/> <field type="text" label="Cabin Class" name="cabin-class" subtype="text" className="form-control"/> <field type="text" label="Cruise Length:" name="cruise-length" subtype="text" className="form-control"/> <field type="radio-group" label="Pre and Post Cruise Nights" inline="true" name="pre-and-post-cruise-nights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Beverage Plan" inline="true" name="beverage-plan"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Beverage Plan Type" name="beverage-plan-type" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Air Travel"/> <field type="radio-group" required="true" label="If you are flying on a domestic flight, do you have your "REAL ID"?&nbsp;" description="Starting May 7, 2025, travelers will need a REAL ID-compliant identification to board domestic flights and access certain federal facilities." inline="true" name="radio-group-1747847818608"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="Airline Preference (Frequent Flyer Programs)" description="If you are a part of any Frequent Flyer Programs this allows me to make sure you can take advantage of your rewards." name="airline-preference" subtype="text" className="form-control"/> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Economy" value="economy">Economy</option> <option label="Extra Leg Room/Premium" value="extra-leg-roompremium">Extra Leg Room/Premium</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle" value="middle">Middle</option> <option label="Window" value="window">Window</option> </field> <field type="header" subtype="h2" label="Car Rental"/> <field type="text" label="Car Preferences (Frequent Renter Programs)" name="car-preferences-frequent-renter-programs" subtype="text" className="form-control"/> <field type="text" label="Add-Ons" name="addons" subtype="text" className="form-control"/> <field type="radio-group" label="Car Category" name="car-category" other="true"> <option label="Compact" value="compact">Compact</option> <option label="Mid Size" value="mid-size">Mid Size</option> <option label="Full Size" value="full-size">Full Size</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="header" subtype="h2" label="Package Tour"/> <field type="text" label="Country or Countries of Interest" name="country-or-countries-of-interest" subtype="text" className="form-control"/> <field type="radio-group" label="Tour Type" inline="true" name="tour-type"> <option label="Escorted" value="escorted">Escorted</option> <option label="Independent" value="independent">Independent</option> </field> <field type="header" subtype="h2" label="Additional Travel Information"/> <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="text" label="What hotels have you stayed in and enjoyed?" name="what-hotels-have-you-stayed-in-and-enjoyed" subtype="text" className="form-control"/> <field type="text" label="What cruise lines and resorts have you enjoyed before, if any?" name="what-cruise-lines-and-resorts-have-you-enjoyed-before-if-any" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" label="Date Of Birth" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> </fields> </form-template> </body> </html>
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