<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="About You &amp; Your Travel Party"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <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" required="true" label="What name do you prefer to go by?" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Were you referred by a client of Mindset Travel? (I’d love to know whom to thank!)" name="referred-by" subtype="text" className="form-control"/> <field type="select" required="true" label="How many adults (18+) in your travel party?" name="number-of-adults-18-on-this-trip" className="form-control"> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9+" value="9">9+</option> </field> <field type="select" required="true" label="How many children (17 or younger) in your travel party?" name="select-1774778037967" className="form-control"> <option label="0" value="0">0</option> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8+" value="8">8+</option> <option label="9+" value="9">9+</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Click "Next" to provide an overview of your trip plans."/> <field type="pageBreak" name="pageBreak-1774764698550" next="Next" previous="Previous"/> <field type="header" subtype="h1" label="Your Trip"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="radio-group" required="true" label="Is this a celebration or milestone trip?" inline="true" name="is-this-a-celebration-or-milestone-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1774771238339" rule="eyJ3aGVuRmllbGQiOiJpcy10aGlzLWEtY2VsZWJyYXRpb24tb3ItbWlsZXN0b25lLXRyaXAiLCJ3aGVuQ29uZGl0aW9uIjoiZXF1YWxzIiwid2hlblZhbHVlIjoieWVzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbIndvbmRlcmZ1bC13aGF0cy10aGUtb2NjYXNpb24iXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJ3b25kZXJmdWwtd2hhdHMtdGhlLW9jY2FzaW9uIiwibGFiZWwiOiJXb25kZXJmdWwhIFdoYXQncyB0aGUgb2NjYXNpb24/In1dfQ=="/> <field type="text" label="Wonderful! What's the occasion?" placeholder="e.g. Honeymoon Anniversary Graduation Retirement" name="wonderful-whats-the-occasion" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" name="where-do-you-want-to-go" subtype="text" className="form-control"/> <field type="date" required="true" label="Planned date of departure" name="when-do-you-want-to-go" className="form-control"/> <field type="date" required="true" label="Planned date of return" name="date-1765140229336" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" inline="true" name="my-dates-are-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 preferred departure airport?" name="bwhat-is-your-preferred-departure-cityairport" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Click "Next" to tell us about your preferences."/> <field type="pageBreak" name="pageBreak-1774776387329" next="Next" previous="Previous"/> <field type="header" subtype="h1" label="Your Preferences"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="select" required="true" label="Preferred class of air service" name="preferred-class-of-air-service" className="form-control"> <option label="" value=""/> <option label="Private" value="private">Private</option> <option label="First" value="first">First</option> <option label="Business" value="business">Business</option> <option label="Upgraded Economy" value="upgraded-economy">Upgraded Economy</option> <option label="Economy" value="economy">Economy</option> </field> <field type="radio-group" label="When it comes to where you lay your head, what is your primary preference?" inline="true" name="hotel-preference"> <option label="Modern & Sleek" value="modern-sleek">Modern & Sleek</option> <option label="Classic & Timeless" value="classic-timeless">Classic & Timeless</option> <option label="Authentic & Local" value="authentic-local">Authentic & Local</option> <option label="Boutique & Intimate" value="boutique-intimate">Boutique & Intimate</option> <option label="No preference, I value your curation above all" value="no-preference-i-value-your-curation-above-all">No preference, I value your curation above all</option> </field> <field type="checkbox-group" required="true" label="Which of these experiences align with your vision? (Check all that apply)" name="which-of-these-experiences-align-with-your-vision-check-all-that-apply" other="true"> <option label="Iconic Sights & Highlights" value="iconic-sights-highlights">Iconic Sights & Highlights</option> <option label="Culinary & Wine" value="culinary-wine">Culinary & Wine</option> <option label="Art & History" value="art-history">Art & History</option> <option label="Local Life & Craft" value="local-life-craft">Local Life & Craft</option> <option label="Active & Outdoors" value="active-outdoors">Active & Outdoors</option> </field> <field type="select" required="true" label="How would you like to get around in your destination?" name="preferred-primary-method-of-transportation" className="form-control"> <option label="No Preference / Recommended Options" value="no-preference-recommended-options">No Preference / Recommended Options</option> <option label="Private driver guide" value="private-driver-guide">Private driver guide</option> <option label="Private driver on call" value="private-driver-on-call">Private driver on call</option> <option label="Luxury rail" value="luxury-rail">Luxury rail</option> <option label="Vehicle Rental" value="vehicle-rental">Vehicle Rental</option> <option label="Local transportation (subway, bus, taxi)" value="local-transportation-subway-bus-taxi">Local transportation (subway, bus, taxi)</option> </field> <field type="select" required="true" label="What is your total expected land investment?" description="Please indicate your preferred investment for all on-the-ground arrangements (accommodations private transport tours and logistics). This excludes international airfare." name="what-is-your-budget-per-person-for-this-trip" className="form-control"> <option label="$25k – $30k" value="25k-30k">$25k – $30k</option> <option label="$30k – $35k" value="30k-35k">$30k – $35k</option> <option label="$35k – $40k" value="35k-40k">$35k – $40k</option> <option label="$40k – $50k" value="40k-50k">$40k – $50k</option> <option label="$50k – $60k" value="50k-60k">$50k – $60k</option> <option label="$60k – $70k" value="60k-70k">$60k – $70k</option> <option label="$70k – $80k" value="70k-80k">$70k – $80k</option> <option label="$80k – $90k" value="80k-90k">$80k – $90k</option> <option label="$90k – $100k" value="90k-100k">$90k – $100k</option> <option label="$100k+" value="100k">$100k+</option> </field> <field type="textarea" required="true" label="What would you like to add about the experience you envision?" name="anything-else-youd-like-to-share-to-help-us-create-the-ideal-travel-experience-for-you" className="form-control"/> <field type="checkbox-group" required="true" label="Mindset Travel requires comprehensive travel insurance for all confirmed reservations. While many premium credit cards offer baseline coverage, they often fall short of the limits and medical evacuation requirements necessary for a high-value, multi-city European investment. I require a dedicated specialist policy to ensure I can advocate for you fully in any scenario." inline="true" name="travel-insurance-is-required-when-securing-your-reservations-with-mindset-travel"> <option label="I understand that protecting my travel investment is a requirement once reservations are secured. I agree to include a comprehensive policy to ensure full advocacy and support throughout my journey." value="i-understand-that-protecting-my-travel-investment-is-a-requirement-once-reservations-are-secured-i-agree-to-include-a-comprehensive-policy-to-ensure-full-advocacy-and-support-throughout-my-journey">I understand that protecting my travel investment is a requirement once reservations are secured. I agree to include a comprehensive policy to ensure full advocacy and support throughout my journey.</option> </field> <field type="pageBreak" name="pageBreak-1774765142729" next="Next" previous="Previous"/> </fields> </form-template> </body> </html>
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