<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Thank you for choosing Bucket List Travel Society for your travel and tour services! We are luxury travel consultants who are dedicated to curating unforgettable world-class experiences for our clients. Thank you so much for allowing us to take care of your travel needs!&nbsp;"/> <field type="text" required="true" label="Email Address" name="email" 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="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give us 3 destinations you're considering." placeholder="ex: Las Vegas" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city/airport code?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives us 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 us 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?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Package Type" name="package-type" className="form-control"> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Hotel and Airfare" value="hotel-and-airfare">Hotel and Airfare</option> <option label="Hotel, Airfare & Rental Car" value="hotel-airfare-rental-car">Hotel, Airfare & Rental Car</option> <option label="Hotel and Rental Car" value="hotel-and-rental-car">Hotel and Rental Car</option> </field> <field type="radio-group" required="true" label="If traveling outside of the United States, do you request an All-Inclusive package?" name="do-you-request-an-allinclusive-package"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="If you are traveling outside of the United States, do you request an Adult Only accommodation?" name="do-you-request-an-adult-only-accommodation"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Loyalty Programs" placeholder="ex: Hilton Honors AAdvantage # Delta points etc." name="loyalty-programs" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms are you requesting?" name="how-many-rooms" subtype="text" className="form-control"/> <field type="text" label="What type of bed situation do you prefer?" description="King Queen Double etc." placeholder="King Queen Double etc." name="what-type-of-bed-situation-do-you-prefer" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers per room?" name="how-many-travelers-per-room" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers are 18 years and older?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children? If there are children, please add their ages.&nbsp;" description="Please place N/A if there are no children traveling." placeholder="Example: 3 children 4 7 11" name="text-1683242819843" subtype="text" className="form-control"/> <field type="radio-group" label="If you have any children that are less than 2 years old traveling with you, do you request any lap seats?" name="if-you-have-any-children-that-are-less-than-2-years-old-traveling-with-you-do-you-request-any-lap-seats"> <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="What is your budget for each traveler? Disclaimer: Prices are subject to change until the booking has been completed." description="This just gives us a general starting point and can always be changed later." name="budget"> <option label="$1,000" value="1000">$1,000</option> <option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option> <option label="$1,500 to $2,000" value="1500-to-2000">$1,500 to $2,000</option> <option label="$2,000 to $2,500" value="2000-to-2500">$2,000 to $2,500</option> <option label="$2,500 - $3,000" value="2500-3000">$2,500 - $3,000</option> <option label="$3,000 +" value="3000-">$3,000 +</option> </field> <field type="radio-group" required="true" label="Are you ready to book?" name="are-you-ready-to-book"> <option label="Yes! I am deposit ready" value="yes-i-am-deposit-ready">Yes! I am deposit ready</option> <option label="Within the next 2 weeks" value="within-the-next-2-weeks">Within the next 2 weeks</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="Just looking at my options" value="just-looking-at-my-options">Just looking at my options</option> </field> <field type="text" required="true" label="Do you request a payment plan?" name="do-you-need-a-payment-plan" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Budget Friendly - Standard Room" value="budget-friendly-standard-room">Budget Friendly - Standard Room</option> <option label="Moderate - City/Garden View Suite" value="moderate-citygarden-view-suite">Moderate - City/Garden View Suite</option> <option label="Luxury - Ocean View Suite" value="luxury-ocean-view-suite">Luxury - Ocean View Suite</option> <option label="Deluxe Luxury - Ocean Front" value="deluxe-luxury-ocean-front">Deluxe Luxury - Ocean Front</option> </field> <field type="radio-group" required="true" label="If requesting a rental car, what is your preference?" name="if-requesting-a-rental-car-what-is-your-preference" other="true"> <option label="Compact Car" value="compact-car">Compact Car</option> <option label="Standard Car" value="standard-car">Standard Car</option> <option label="Standard SUV" value="standard-suv">Standard SUV</option> <option label="Minivan" value="minivan">Minivan</option> <option label="Pickup Truck" value="pickup-truck">Pickup Truck</option> </field> <field type="textarea" required="true" label="What else would you like us to know?" description="What else would you like us to know about your budget and/or travel preferences?" name="notes" 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/Night life" value="partynight-life">Party/Night life</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="Ziplining" value="ziplining">Ziplining</option> <option label="Beach and water activities" value="beach-and-water-activities">Beach and water activities</option> <option label="Adult Only" value="adult-only">Adult Only</option> </field> <field type="text" required="true" label="Would you like us to plan excursions on your bucket list? Please be specific." name="must-dos" subtype="text" className="form-control"/> <field type="text" required="true" label="Reason for travel? Please be very specific." description="Let us know if you would like additional packages for your special occasion." placeholder="Work Birthday Guys Trip Girls Trip Wedding Anniversary etc." name="reason-for-travel-please-be-very-specific" subtype="text" className="form-control"/> <field type="text" label="Do you require any special accommodations?" description="Wheel chair accessible rooms etc." name="do-you-require-any-special-accommodations" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you and all of your travelers have a current passport?" name="do-you-and-all-of-your-travelers-have-a-current-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Passport Info"/> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="radio-group" label="Gender as it appears on your passport" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would you like us to add travel insurance?" description="This is recommended." name="would-you-like-travel-to-add-travel-insurance"> <option label="Yes, add insurance to my package" value="yes-add-insurance-to-my-package">Yes, add insurance to my package</option> <option label="No, I agee to sign the decline waiver" value="no-i-agee-to-sign-the-decline-waiver">No, I agee to sign the decline waiver</option> </field> <field type="header" subtype="h1" label="Quote Requests: Please be advised, there is a non-refundable admin fee charged for our services. This includes the time invested with research services, trip coordination, working directly with the suppliers on your behalf for the best possible deals, and the procedures to process payment plans/travel insurance to cover any cancellations and/or incidentals before and during your vacation.&nbsp;"/> <field type="header" subtype="h1" label="This admin fee is a one-time payment of $25 for solo travelers and groups of 4 people or less. For groups of more than 4 people, there is a non-refundable admin fee of $50. You will receive a separate invoice, and this admin fee will not be applied to your travel booking costs. Only 2 revisions are offered for your quote within 7 business days of delivery."/> <field type="header" subtype="h3" label="Once your payment is received, you will receive a travel quote within 5 business days, unless you opt and pay for the rush fee. (To receive your quote within 24 hrs, there is an additional fee of $19.99). Your quote will be voided if you do not respond within 7 business days of receiving the quote, and the admin fee will be forfeited. Thank you!"/> <field type="header" subtype="h3" label="If you DO NOT agree, you will be directed to our SELF-SERVICE BOOKING PORTAL at http://thetravelceo.inteletravel.com/ to book your travel without our travel agent services.&nbsp;"/> <field type="checkbox-group" required="true" label="Please annotate your response regarding the admin fee." name="please-annotate-your-response-regarding-the-admin-fee"> <option label="I AGREE" value="i-agree">I AGREE</option> <option label="I DO NOT AGREE" value="i-do-not-agree">I DO NOT AGREE</option> </field> <field type="checkbox-group" label="How did you hear about us?" name="how-did-you-hear-about-us"> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Youtube" value="youtube">Youtube</option> <option label="Google" value="google">Google</option> <option label="TikTok" value="tiktok">TikTok</option> <option label="Referral" value="referral">Referral</option> </field> <field type="radio-group" label="Before we proceed with booking your awesome getaway, would you first be interested in learning how you can start your own travel business? You would earn your own commissions and possibly save money on this trip and future trips." name="before-we-proceed-with-booking-your-awesome-getaway-would-you-first-be-interested-in-learning-how-you-can-become-a-travel-agent-you-would-earn-your-own-commissions-and-possibly-save-money-on-this-trip-and-future-trips"> <option label="Yes, please send me free information to start my travel business!" value="yes-please-send-me-free-information-to-start-my-travel-business">Yes, please send me free information to start my travel business!</option> <option label="No thank you, I am not interested." value="no-thank-you-i-am-not-interested">No thank you, I am not interested.</option> </field> <field type="header" subtype="h1" label="Thank you again for choosing&nbsp; Bucket List Travel Society for your travel &amp; tour services. We value you and we understand that every vacation is an opportunity to make long lasting memories. We look forward to accommodating you in the future!"/> </fields> </form-template> </body> </html>
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