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Dashawn Drayton
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Please answer these question about your international trip."/> <field type="header" subtype="h2" label="Primary Traveler Full Name"/> <field type="text" required="true" label="First name&nbsp;" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix&nbsp;" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name to go by&nbsp;" name="preferred-name" subtype="text" className="form-control"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Do you have Facebook; if so what is your Facebook name (I sometimes share specials with my clients through FB)?&nbsp;" name="do-you-have-facebook-if-so-what-is-your-facebook-name-i-sometimes-share-specials-with-my-clients-through-fb-" 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." placeholder="ex: Tahiti" name="destination" 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="checkbox-group" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If flying, which airport would you like to leave from (only list two)?&nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="If known which airport would you prefer to fly into?" name="which-airport-would-you-like-to-fly-into" subtype="text" className="form-control"/> <field type="text" label="Do you have a preferred airline ?" name="do-you-have-a-preferred-airline-" subtype="text" className="form-control"/> <field type="radio-group" label="For your departure flight what time of day best fits your travel needs?" name="for-your-departure-flight-what-time-of-day-best-fits-your-travel-needs"> <option label="Early/ Mid morning" value="early-mid-morning">Early/ Mid morning</option> <option label="Afternoon / Evening" value="afternoon-evening">Afternoon / Evening</option> <option label="Evening/ Late late night" value="evening-late-late-night">Evening/ Late late night</option> <option label="Best Price" value="best-price">Best Price</option> </field> <field type="radio-group" label="For your return flight what time of day best fits your travel needs?" name="for-your-return-flight-what-time-of-day-best-fits-your-travel-needs"> <option label="Early/ Mid morning" value="early-mid-morning">Early/ Mid morning</option> <option label="Afternoon / Evening" value="afternoon-evening">Afternoon / Evening</option> <option label="Evening/ Late night" value="evening-late-night">Evening/ Late night</option> <option label="Best Price" value="best-price">Best Price</option> </field> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Middle" value="middle">Middle</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="text" required="true" label="How many travelers (exact number)?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="Is anyone traveling active or non-active military (for discounts if available)?" name="is-anyone-traveling-active-or-nonactive-military-for-discounts-if-available"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Are there any children traveling under the age of 18yrs old?" inline="true" name="are-there-any-children-traveling-under-the-age-of-18yrs-old"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Does everyone traveling have a passport?&nbsp;&nbsp;** Please verify that your passport does not expire within 6 months before you depart" name="does-everyone-traveling-have-a-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="List everyone's full name, contact information, gender &amp; D.O.B. Please group the names together how they will be roomed (list your information too)." name="please-list-everyones-full-name-dob-thats-traveling" className="form-control"/> <field type="radio-group" label="Is everyone traveling with you leaving from the same departure city &amp; airport?" name="is-everyone-traveling-with-you-leaving-from-the-same-departure-city-airport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="If no to the above question, list who will be travel from a different city &amp; their departure airport." name="if-no-to-the-above-question-list-who-will-be-travel-from-a-different-city-their-departure-airport" className="form-control"/> <field type="radio-group" label="What is your budget per adult traveler?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option> <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="radio-group" label="Would you like travel protection for your trip (this is highly recommend)?" name="radio-group-1564319396591"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to stay in a house or hotel/resort?" name="would-you-like-to-stay-in-a-house-or-hotel"> <option label="House" value="house">House</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Resort" value="resort">Resort</option> </field> <field type="radio-group" label="Are you looking for all-inclusive (flight, resort, food &amp; drinks) amenities?&nbsp;* There are no all-inclusive resorts in the U.S." name="allinclusive"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you prefer an adults only resort?" name="do-you-prefer-an-adults-only-resort"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Either" value="either">Either</option> </field> <field type="text" label="Number of rooms" name="number-of-rooms" subtype="text" className="form-control"/> <field type="text" label="Number of beds" name="number-of-beds" subtype="text" className="form-control"/> <field type="radio-group" label="Bedding type (request will be made with resort/hotel but is not guaranteed)" name="bedding-type"> <option label="King" value="king">King</option> <option label="Queen" value="queen">Queen</option> <option label="Either" value="either">Either</option> </field> <field type="radio-group" label="What type of room would you like?" name="what-type-of-room-would-you-like"> <option label="Standard Room" value="standard-room">Standard Room</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="Resort/ Pool View" value="resort-pool-view">Resort/ Pool View</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Ocean Front" value="ocean-front">Ocean Front</option> <option label="Swim-Out" value="swimout">Swim-Out</option> </field> <field type="radio-group" label="What best describes your 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="What kind of vibe are you looking for?" description="Check all that apply." inline="true" 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="LGBTQ+" value="lgbtq">LGBTQ+</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> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" inline="true" 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" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="clientLoyaltyPrograms" label="List your Loyalty Programs including TSA Precheck, Global Entry and etc." 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="Acknowledgement"/> <field type="radio-group" required="true" label="I understand there is a non-refundable Travel Design Service Fee collected prior to any services being performed. This will be discussed in detail during our discover call. Please indicate that you understand by selecting Yes below. If you do NOT accept, we will not proceed with processing your request." inline="true" name="i-understand-there-is-a-nonrefundable-travel-design-service-fee-collected-prior-to-any-services-being-performed-this-will-be-discussed-in-detail-during-our-discover-call-please-indicate-that-you-understand-by-selecting-yes-below-if-you-do-not-accept-we-will-not-proceed-with-processing-your-request"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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