<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" required="true" label="How were you referred to Mock Travel Ventures?" name="how-were-you-referred-to-mock-travel-ventures" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Most all-inclusive resorts are located in Mexico, Dominican Republic, and Jamaica, so these destinations are where you get the most variety and value, but there are a few sprinkled around in other places! Please note that traditional all-inclusive resorts are not generally available in any US territory."/> <field type="radio-group" label="Preferred Destination(s):&nbsp;" name="preferred-destinations-" other="true"> <option label="Mexico" value="mexico">Mexico</option> <option label="Dominican Republic" value="dominican-republic">Dominican Republic</option> <option label="Jamaica" value="jamaica">Jamaica</option> <option label="St. Lucia" value="st-lucia">St. Lucia</option> <option label="Aruba" value="aruba">Aruba</option> <option label="Costa Rica" value="costa-rica">Costa Rica</option> <option label="Turks & Caicos (limited All Inclusive)" value="turks-caicos-limited-all-inclusive">Turks & Caicos (limited All Inclusive)</option> <option label="Bahamas (limited All Inclusive)" value="bahamas-limited-all-inclusive">Bahamas (limited All Inclusive)</option> <option label="USVI (limited All Inclusive)" value="usvi-limited-all-inclusive">USVI (limited All Inclusive)</option> <option label="Hawaii (No All Inclusive)" value="hawaii-no-all-inclusive">Hawaii (No All Inclusive)</option> </field> <field type="text" label="Add any notes here about destination" name="add-any-notes-here-about-destination" subtype="text" className="form-control"/> <field type="text" label="If you need air included, which airport will you depart from?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="date" label="What day would you like to depart?" name="what-day-would-you-like-to-depart" className="form-control"/> <field type="date" label="What day would you like to return?" name="what-day-would-you-like-to-return" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="How many nights would you like the trip to be (can be a range)?" name="how-many-nights-would-you-like-the-trip-to-be-can-be-a-range" subtype="text" className="form-control"/> <field type="text" label="How many travelers total?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many adults?" name="how-many-adults" subtype="text" className="form-control"/> <field type="text" label="Children traveling and children ages?" name="children-traveling-and-children-ages" subtype="text" className="form-control"/> <field type="radio-group" label="What is your total budget for all travelers?" description="Estimate to your best guess. This price would includes airfare airport transfers and hotel stay." name="budget" other="true"> <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="text" label="If you are a group traveling that will be paying individually, estimate below what a good budget per person would be." name="if-you-are-a-group-traveling-that-will-be-paying-individually-estimate-below-what-a-good-budget-per-person-would-be" subtype="text" className="form-control"/> <field type="text" label="Any additional notes about the price range?" name="any-additional-notes-about-the-price-range" subtype="text" className="form-control"/> <field type="text" label="Do you or any travelers have any medical or dietary needs I should consider?" name="do-you-or-any-travelers-have-any-medical-or-dietary-needs-i-should-consider" subtype="text" className="form-control"/> <field type="textarea" label="How many rooms would you need? How many people per room? If multiple, please provide a breakdown of who goes in each room." name="how-many-rooms-would-you-need-how-many-people-per-room-if-multiple-please-provide-a-breakdown-of-who-goes-in-each-room" className="form-control"/> <field type="text" label="What type of room(s) would you like?" description="pool view ocean view ocean front suite etc.. or whatever fits the budget?" name="what-type-of-room-would-you-like" subtype="text" className="form-control"/> <field type="radio-group" label="What is your reason for travel?" name="what-is-your-reason-for-travel" other="true"> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary Trip" value="anniversary-trip">Anniversary Trip</option> <option label="Birthday Trip" value="birthday-trip">Birthday Trip</option> <option label="Vacation / Getaway" value="vacation-getaway">Vacation / Getaway</option> <option label="Bachelorette / Bachelor Trip" value="bachelorette-bachelor-trip">Bachelorette / Bachelor Trip</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Passports must be valid 6 months after your travel return date! (Example: If your return travel date was 1/1/2023 that means your passport would still need to be valid through 6/1/2023)"/> <field type="radio-group" required="true" label="Do all travelers have passports?" description="They must be valid 6 months after your travel return date! (Example: If your return travel date was 1/1/2021 that means your passport would still need to be valid through 6/1/2021)" name="do-all-travelers-have-passports" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Working on it or application submitted" value="working-on-it-or-application-submitted">Working on it or application submitted</option> <option label="My destination does not require passport (within United States)" value="my-destination-does-not-require-passport-within-united-states">My destination does not require passport (within United States)</option> </field> <field type="radio-group" required="true" label="Would you be interested in purchasing travel protection?" name="would-you-be-interested-in-purchasing-travel-protection" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe, please include pricing" value="maybe-please-include-pricing">Maybe, please include pricing</option> </field> <field type="text" required="true" label="To book a vacation, I usually can with only requiring a deposit.&nbsp; I do offer payment plans to pay off your trip. With that said, how soon are you wanting to book?&nbsp;" name="to-book-a-vacation-i-only-require-a-deposit-i-do-offer-payment-plans-to-pay-off-your-trip-with-that-said-how-soon-are-you-wanting-to-book-" subtype="text" className="form-control"/> <field type="text" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Primary Traveler Information&nbsp;"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" description="Legal Name As Appears On Passport" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" description="Legal Name As Appears On Passport" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" description="Legal Name As Appears On Passport" name="last-name" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" description="Delta Skymiles Number" 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="h2" label="Travel Preferences"/> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="radio-group" label="Bed preference" name="bed-preference" other="true"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="radio-group" label="Hotel 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="checkbox-group" label="Vibe preferences" 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="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="checkbox-group" label="Activity preferences" 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/Snorkel/Water activities" value="scubasnorkelwater-activities">Scuba/Snorkel/Water activities</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> </field> </fields> </form-template> </body> </html>
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