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Surinda Simmons
Budget Travel Queen
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Budget Travel Queen Travel Inquiry Form!✈️&nbsp;"/> <field type="paragraph" subtype="p" label="We’re so excited you chose us to help with your upcoming travel plans! 🌴&nbsp;"/> <field type="paragraph" subtype="p" label="Budget Travel Queen specializes in designing stress-free, customized vacations that fit your vibe, your budget, and leave zero stress on your plate. Yes, you could spend hours searching online … but why do that when I can handle it for you—for FREE? 💅"/> <field type="paragraph" subtype="p" label="To get started, just fill out the form below and I will send your custom proposal with multiple options within 3-5 business days.⏳"/> <field type="header" subtype="h1" label="CONTACT INFORMATION"/> <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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Instagram Name" placeholder="ex. @budgettravelqueen" name="instagram-name" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" label="What service are you requesting?" name="what-service-are-you-requesting"> <option label="Hotel / Resort, Flight, & Transfers" value="hotel-resort-flight-transfers">Hotel / Resort, Flight, & Transfers</option> <option label="Hotel / Resort only" value="hotel-resort-only">Hotel / Resort only</option> <option label="Cruise " value="cruise-">Cruise </option> </field> <field type="header" subtype="h1" label="HOTEL &amp; RESORT VACATION"/> <field type="text" label="Where would you like to go?&nbsp;" placeholder="ex: Jamaica" name="destination" subtype="text" className="form-control"/> <field type="text" label="What is your departure city?" placeholder="ex. Orlando or MCO" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="date" 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" 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="select" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="Number of Adult Travelers 18 years old or older by the travel date" placeholder="Please select number of travelers" name="number-of-adult-travelers-18-years-old-or-older-by-the-travel-date" className="form-control"> <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> <option label="10+" value="10">10+</option> </field> <field type="radio-group" label="Will any travelers be under the age of 18?" name="will-any-travelers-be-under-the-age-of-18"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If traveling with Children, please list names and ages:" name="if-so-how-many" subtype="text" className="form-control"/> <field type="text" label="How many rooms will be needed?" name="how-many-rooms-needed" subtype="text" className="form-control"/> <field type="text" label="How many travelers per room?" name="how-many-travelers-per-room" subtype="text" className="form-control"/> <field type="select" label="Bedding Selection:" name="how-many-beds-per-room" className="form-control"> <option label="1 King or Queen bed" value="1-king-or-queen-bed">1 King or Queen bed</option> <option label="2 Double or Queen beds" value="2-double-or-queen-beds">2 Double or Queen beds</option> <option label="N/A" value="na">N/A</option> </field> <field type="select" label="Room Type:" name="room-type" className="form-control"> <option label="Standard" value="standard">Standard</option> <option label="Garden view" value="garden-view">Garden view</option> <option label="Oceanview / Oceanfront" value="oceanview-oceanfront">Oceanview / Oceanfront</option> <option label="N/A" value="na">N/A</option> </field> <field type="header" subtype="h1" label="AIR TRAVEL"/> <field type="text" label="Airline Preference" placeholder="ex. Delta" name="airline-preference" subtype="text" className="form-control"/> <field type="select" label="Flight Preference" placeholder="Please select an option" name="flight-preference" className="form-control"> <option label="Non-stop preferred." value="nonstop-preferred">Non-stop preferred.</option> <option label="Short layover is ok." value="short-layover-is-ok">Short layover is ok.</option> </field> <field type="select" label="TIme Preference for Departure Flights" name="time-preference-for-departure-flights" className="form-control"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Doesn’t matter" value="doesnt-matter">Doesn’t matter</option> </field> <field type="select" label="Time Preference for Return Flights" name="time-preference-for-return-flights" className="form-control"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Doesn’t matter" value="doesnt-matter">Doesn’t matter</option> </field> <field type="text" label="Flight Seating Preference" placeholder="ex. Window and Center" name="flight-seating-preference" subtype="text" className="form-control"/> <field type="radio-group" label="Are you open to budget airlines (Frontier, Spirit, etc.)" name="would-you-like-your-proposal-to-include-budget-airlines-such-as-frontier-or-spirit"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="TRIP BUDGET"/> <field type="radio-group" required="true" label="What is your per person budget?&nbsp;" description="How much would you like to spend per person?" name="budget" other="true"> <option label="$0 - $999.99" value="0-99999">$0 - $999.99</option> <option label="$1,000 to $1,600" value="1000-to-1600">$1,000 to $1,600</option> <option label="$1,601 to $2,000" value="1601-to-2000">$1,601 to $2,000</option> <option label="$2,001 to $2,400" value="2001-to-2400">$2,001 to $2,400</option> <option label="$2,401+" value="2401">$2,401+</option> </field> <field type="text" label="What is your maximum total budget for this trip?" placeholder="ex. $2 000" name="what-is-your-maximum-total-budget-for-this-trip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="CRUISE TRAVEL"/> <field type="text" label="Cruiseline Preference" placeholder="ex. Carnival MSC, Royal Caribbean" name="cruiseline-preference" subtype="text" className="form-control"/> <field type="text" label="Which cruise port would you like to leave from?" placeholder="ex. Port Canavaral (Orlando)" name="which-cruise-port-would-you-like-to-leave-from" subtype="text" className="form-control"/> <field type="select" label="Cruise Itinerary" name="cruise-itinerary" multiple="multiple" className="form-control"> <option label="Mexico (Cancun, Los Cabos, Cozumel, etc.)" value="mexico-cancun-los-cabos-cozumel-etc">Mexico (Cancun, Los Cabos, Cozumel, etc.)</option> <option label="Caribbean (Jamaica, Bahamas, Dominican Republic, etc.)" value="caribbean-jamaica-bahamas-dominican-republic-etc">Caribbean (Jamaica, Bahamas, Dominican Republic, etc.)</option> <option label="Central America & South America (Costa Rica, Belize, Panama, etc.)" value="central-america-south-america-costa-rica-belize-panama-etc">Central America & South America (Costa Rica, Belize, Panama, etc.)</option> </field> <field type="text" label="How many nights would you like to cruise?" placeholder="ex. 3-5 nights" name="how-many-nights-would-you-like-to-cruise" subtype="text" className="form-control"/> <field type="text" label="How many cabins needed?" placeholder="ex. 1" name="how-many-cabins-needed" subtype="text" className="form-control"/> <field type="radio-group" label="Cabin Class preferred:" name="what-best-describes-your-cruise-preference"> <option label="Interior Cabin" value="interior-cabin">Interior Cabin</option> <option label="Oceanview Cabin" value="oceanview-cabin">Oceanview Cabin</option> <option label="Balcony Cabin" value="balcony-cabin">Balcony Cabin</option> <option label="Suite - Balcony" value="suite-balcony">Suite - Balcony</option> <option label="Suite - Interior Cabin" value="suite-interior-cabin">Suite - Interior Cabin</option> </field> <field type="radio-group" label="Beverage Plan" name="radio-group-1746368342589"> <option label="None" value="none">None</option> <option label="Alcohol" value="alcohol">Alcohol</option> <option label="Non-alcoholic drinks" value="nonalcoholic-drinks">Non-alcoholic drinks</option> </field> <field type="radio-group" label="Would you like to pre-pay gratuties or pay later?" name="radio-group-1746370738904"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="Are you Active or Retired Military?" name="are-you-active-or-retired-military" className="form-control"> <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="select" label="Are you employed with Law Enforcement?" name="are-you-employed-with-law-enforcement" className="form-control"> <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="select" label="Are you employed with&nbsp; Fire Department or EMT?" name="are-you-employed-with-fire-department-or-emt" className="form-control"> <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="header" subtype="h1" label="LOYALTY PROGRAMS"/> <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="header" subtype="h1" label="TRIP INFORMATION"/> <field type="radio-group" label="What type of atmosphere do you want?" name="what-type-of-atmosphere-are-you-looking-for" other="true"> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Adults-Only Escape" value="adultsonly-escape">Adults-Only Escape</option> <option label="LGBTQ+ Friendly" value="lgbtq-friendly">LGBTQ+ Friendly</option> <option label="Party & Nightlife vibes" value="party-nightlife-vibes">Party & Nightlife vibes</option> <option label="Family-Friendly Fun" value="familyfriendly-fun">Family-Friendly Fun</option> <option label="Romantic & Intimate" value="romantic-intimate">Romantic & Intimate</option> </field> <field type="radio-group" label="Is &nbsp;your travel for a special occasion?" name="is-this-for-a-special-occasion" other="true"> <option label="No, just traveling!" value="no-just-traveling">No, just traveling!</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Guy/Girls Trip" value="guygirls-trip">Guy/Girls Trip</option> <option label="Family Trip" value="family-trip">Family Trip</option> </field> <field type="text" label="Are you interested in excursions? If so, please list." placeholder="ex. Sunset cruise" name="if-other-please-specify-trip-type" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you interested in Travel Insurance for this trip?" name="are-all-travelers-prepared-to-pay-a-deposit-within-48-hours"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="How soon do you plan to book?" description="Prices are subject to change at any time until deposit is processed." name="how-soon-are-you-prepared-to-book" className="form-control"> <option label="I'm ready now." value="im-ready-now">I'm ready now.</option> <option label="Within 24-48 hours." value="within-2448-hours">Within 24-48 hours.</option> <option label="Two weeks or less." value="two-weeks-or-less">Two weeks or less.</option> <option label="I'm just gathering info for now." value="im-just-gathering-info-for-now">I'm just gathering info for now.</option> </field> <field type="select" label="How would you like to handle your payments?" name="select-1746375941553" className="form-control"> <option label="I'm ready to book and pay in full now." value="im-ready-to-book-and-pay-in-full-now">I'm ready to book and pay in full now.</option> <option label="I'm ready to book but prefer a payment plan." value="im-ready-to-book-but-prefer-a-payment-plan">I'm ready to book but prefer a payment plan.</option> <option label="I'm not ready to book right now." value="im-not-ready-to-book-right-now">I'm not ready to book right now.</option> <option label="N/A" value="na">N/A</option> </field> <field type="header" subtype="h1" label="PASSPORTS"/> <field type="select" required="true" label="International travel requires a VALID passport, do all travelers have a VALID passport?" name="do-you-have-a-valid-passport" className="form-control"> <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="header" subtype="h1" label="OTHER INFORMATION"/> <field type="radio-group" label="Is this your first time working with a Travel Agent?" name="radio-group-1746369373170"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="How did you find out about Budget Travel Queen?" name="how-did-you-find-out-about-budget-travel-queen" other="true"> <option label="Returning Client" value="returning-client">Returning Client</option> <option label="Social Media" value="social-media">Social Media</option> <option label="Google" value="google">Google</option> <option label="Referral" value="referral">Referral</option> </field> <field type="text" label="If you were referred by someone, please provide their name so we can thank them." placeholder="ex. Jane Doe" name="if-you-were-referred-by-someone-please-provide-their-name-so-we-can-thank-them" subtype="text" className="form-control"/> <field type="radio-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process"> <option label="Just getting started." value="just-getting-started">Just getting started.</option> <option label="I've done some research, but would like a pro." value="ive-done-some-research-but-would-like-a-pro">I've done some research, but would like a pro.</option> <option label="I know exactly what I want. (Please provide details below)" value="i-know-exactly-what-i-want-please-provide-details-below">I know exactly what I want. (Please provide details below)</option> </field> <field type="textarea" label="What else would you like me to know or consider for this booking?" placeholder="Any specific resort/hotel you are interested in?" name="what-else-would-you-like-me-to-know" className="form-control"/> </fields> </form-template> </body> </html>
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