<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="NOTE: This is a concierge service provided by FirstFam Travel. Travel advisor commissions are NOT paid for by the client."/> <field type="header" subtype="h2" label="Contact Information"/> <field type="text" required="true" label="First name ( As it appears on travel documents)" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name ( As it appears on travel documents)" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name ( As it appears on travel documents)" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/> <field type="radio-group" required="true" label="Gender" 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="radio-group" required="true" label="Possible Discount Traveler Qualifiers" name="possible-discount-traveler-qualifiers" other="true"> <option label="Military (may require proof)" value="military-may-require-proof">Military (may require proof)</option> <option label="Senior.....55+" value="senior55">Senior.....55+</option> <option label="Interline" value="interline">Interline</option> <option label="N/A" value="na">N/A</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty/Reward Programs&nbsp; (Select from the drop down list)" 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="GROUP INFORMATION"/> <field type="text" required="true" label="GROUP NAME" name="text-1714752648964" subtype="text" className="form-control"/> <field type="text" label="GROUP BOOKING NUMBER (if known)" name="text-1714752719675" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Airline 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="Hotel or Cabin Bed preference" name="bed-preference"> <option label="1bed" value="1bed">1bed</option> <option label="2 beds " value="2-beds">2 beds </option> </field> <field type="radio-group" required="true" label="Number of people in the room/cabin?" name="number-of-people-in-the-roomcabin" other="true"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> </field> <field type="textarea" required="true" label="Full names (as it appears on travel documents) AND dates of births of additional travelers in your cabin/room" name="textarea-1714753170960" className="form-control"/> <field type="radio-group" label="Cruise Cabin Preference" name="cruise-cabin-preference" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="Cruise Cabin Location Preference (If available)" name="cruise-cabin-location-preference"> <option label="FRONT (FORWARD) " value="front-forward-">FRONT (FORWARD) </option> <option label="MIDDLE (MID)" value="middle-mid">MIDDLE (MID)</option> <option label="BACK (AFT)" value="back-aft">BACK (AFT)</option> <option label="NO PREFERENCE/BEST PRICE" value="no-preferencebest-price">NO PREFERENCE/BEST PRICE</option> </field> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Want Travel Insurance?" name="want-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="NO" value="no">NO</option> <option label="Not Sure" value="not-sure">Not Sure</option> </field> <field type="checkbox-group" required="true" label="What documents will&nbsp; you travel with? (select all that apply)" toggle="true" name="what-documents-will-you-travel-with-check-all-that-apply" other="true"> <option label="Drivers License" value="drivers-license">Drivers License</option> <option label="Passport" value="passport">Passport</option> <option label="Birth Certificate" value="birth-certificate">Birth Certificate</option> </field> </fields> </form-template> </body> </html>
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United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
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Cathay Pacific (Asia Miles)
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Qantas (Frequent Flyer)
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La Quinta, etc. (Returns)
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Omni Hotels (Select Guest)
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Alamo
Etihad Airways (Etihad Guest)
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KLM (Flying Blue)
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Icelandair (Saga Club)
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Sun Country Airlines (Ufly Rewards)
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Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
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China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
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Hilton Grand Vacations (Club)
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Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
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Azul (TudoAzul)
Starwood Hotels (Preferred Business)
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Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
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Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
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Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
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Czech Airlines (OK Plus)
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Trump Card (Privileges Program)
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Saudi Arabian Airlines (Alfursan)
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E-Z Rent-A-Car (E-Z Money)
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Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
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Ukraine International Airlines (Panorama Club)
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Brussels Airlines (LOOPs)
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Otel.com (FivePlus)
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Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
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Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
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Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways