Share your information with Meiah Sims

Meiah Sims

Gold Luxe Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="blockquote" label="Already have a quote for your dream vacation? We’re here to help you get the best deal possible. Complete the form below with the details of your current offer, and we’ll work to match or even beat the price—so you can travel with confidence, knowing you’re getting the best value. Let&#39;s make your getaway even more affordable!&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" description="So we can follow up with you quickly.." placeholder="So we can follow up with you quickly." name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" description="Optional  in case we need to reach you for additional details." placeholder="Optional  in case we need to reach you for additional details." name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Destination" description="Where is your vacation destination?" placeholder="Where is your vacation destination?" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Dates" description="What are your check-in and check-out dates?" placeholder="What are your check-in and check-out dates?" name="travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of travelers and how many to each room?" description="Please list the number of adults and children in your group  and how many in each room." placeholder="Please list the number of adults and children in your group  and how many in each room." name="number-of-travelers-and-how-many-to-each-room" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Hotel/Resort/Cruise" description="Which property or cruise line is included in your current vacation package?" placeholder="Which property or cruise line is included in your current vacation package?" name="hotelresortcruise" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="EXACT room type?" description="What type of room is being offered in your current package? Ocean View  Garden View  Swim Up, etc." placeholder="What type of room is being offered in your current package?  Ocean View  Garden View  Swim Up, etc." name="exact-room-type" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Included Amenities or Services?" description="Does the package include any extras  like all-inclusive  airport transfers, excursions, etc.?" placeholder="Does the package include any extras  like all-inclusive  airport transfers, excursions, etc.?" name="included-amenities-or-services" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Total Price of Current Offer?" description="What is the total price of the vacation you are comparing  including all taxes and fees?" placeholder="What is the total price of the vacation you are comparing  including all taxes and fees?" name="total-price-of-current-offer" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Name of the Travel Provider Offering the Price?" description="Who is providing you with this current price—another travel agent  a specific website  priceline, etc.?" placeholder="Who is providing you with this current price—another travel agent  a specific website  priceline, etc.?" name="name-of-the-travel-provider-offering-the-price" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="I understand that after submitting this form, that I will send a screenshot of the total, showing all information, including the website you used to goldluxetravel@gmail.com in order for Gold Luxe Travel to be able to properly match your vacation request." description="Please upload any documents or provide a link to the site where you found the offer  if possible." name="i-understand-that-after-submitting-this-form-that-i-will-send-a-screenshot-of-the-total-showing-all-information-including-the-website-you-used-to-goldluxetravelgmailcom-in-order-for-gold-luxe-travel-to-be-able-to-properly-match-your-vacation-request">&#13;
			<option label="Yes I understand to email a screenshot to goldluxetravel@gmail.com" value="yes-i-understand-to-email-a-screenshot-to-goldluxetravelgmailcom">Yes I understand to email a screenshot to goldluxetravel@gmail.com</option>&#13;
			<option label="I do not understand" value="i-do-not-understand">I do not understand</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Any Additional Notes or Special Requests?" description="Let us know if there&#39;s anything specific we should consider when matching your price." placeholder="Let us know if there&#39;s anything specific we should consider when matching your price." name="text-1727924950653" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Please allow 1-3 business days for a response on your price match."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>