Mica Sangiacomo

By&By Bespoke Travel

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	<fields>&#13;
		<field type="header" subtype="h1" label="Client Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="About your trip"/>&#13;
		<field type="text" required="true" label="Where would you like to go&amp;nbsp;" name="where-would-you-like-to-go-" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart&amp;nbsp;" name="when-would-you-like-to-depart-" className="form-control"/>&#13;
		<field type="date" label="When would you like to return&amp;nbsp;" name="when-would-you-like-to-return-" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible&amp;nbsp;" name="are-your-dates-flexible-">&#13;
			<option label="yes" value="yes">yes</option>&#13;
			<option label="no" value="no">no</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?&amp;nbsp;" name="what-is-your-departure-city-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is this vacation to celebrate anything special?&amp;nbsp;" name="is-this-vacation-to-celebrate-anything-special-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Who will be traveling? Please list all full names (including middle) and birthdays&amp;nbsp;" name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays-" className="form-control"/>&#13;
		<field type="checkbox-group" label="At what phase of planning are you in?&amp;nbsp;" name="at-what-phase-of-planning-are-you-in-">&#13;
			<option label="I’m just beginning the planning process" value="im-just-beginning-the-planning-process">I’m just beginning the planning process</option>&#13;
			<option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option>&#13;
			<option label="We have hotels and flights already booked" value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your budget for all travelers?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-">&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5, 000 - $7,500" value="5-000-7500">$5, 000 - $7,500</option>&#13;
			<option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option>&#13;
			<option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="textarea" label="Will you be booking any portion of your trip with points?&amp;nbsp;" description="If so  which pieces?" name="will-you-be-booking-any-portion-of-your-trip-with-points-" className="form-control"/>&#13;
		<field type="checkbox-group" label="What travel components would you like us to assist you with?&amp;nbsp;" description="Check all that apply" name="what-travel-components-would-you-like-us-to-assist-you-with-">&#13;
			<option label="accommodations" value="accommodations">accommodations</option>&#13;
			<option label="transportation (car rental, trains, etc)" value="transportation-car-rental-trains-etc">transportation (car rental, trains, etc)</option>&#13;
			<option label="excursions &amp; tours" value="excursions-tours">excursions &amp; tours</option>&#13;
			<option label="insurance" value="insurance">insurance</option>&#13;
			<option label="other" value="other">other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your desired accommodation style?&amp;nbsp;" name="what-best-describes-your-desired-accommodation-style-">&#13;
			<option label="luxury &amp; exclusive" value="luxury-exclusive">luxury &amp; exclusive</option>&#13;
			<option label="boutique &amp; charming" value="boutique-charming">boutique &amp; charming</option>&#13;
			<option label="centrally located &amp; functional" value="centrally-located-functional">centrally located &amp; functional</option>&#13;
			<option label="large resort" value="large-resort">large resort</option>&#13;
			<option label="other" value="other">other</option>&#13;
		</field>&#13;
		<field type="textarea" label="What are your amenity must-haves?&amp;nbsp;" description="Is there anything that you would want your hotels to have (i.e. bar  on-site restaurant  pool  etc.)?" name="what-are-your-amenity-musthaves-" className="form-control"/>&#13;
		<field type="checkbox-group" label="What options best describe your travel priorities?&amp;nbsp;" description="Check all that apply." name="what-options-best-describe-your-travel-priorities-">&#13;
			<option label="local culture &amp; education" value="local-culture-education">local culture &amp; education</option>&#13;
			<option label="art &amp; architecture" value="art-architecture">art &amp; architecture</option>&#13;
			<option label="food &amp; wine" value="food-wine">food &amp; wine</option>&#13;
			<option label="adventure" value="adventure">adventure</option>&#13;
			<option label="dramatic views &amp; landscapes" value="dramatic-views-landscapes">dramatic views &amp; landscapes</option>&#13;
			<option label="spa &amp; wellness" value="spa-wellness">spa &amp; wellness</option>&#13;
			<option label="rest &amp; relaxation" value="rest-relaxation">rest &amp; relaxation</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything else that you “must do” or see?&amp;nbsp;" name="is-there-anything-else-that-you-must-do-or-see-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know about your ideal vacation?&amp;nbsp;" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation-" className="form-control"/>&#13;
		<field type="text" label="Do any travelers have allergies that I should be aware of?&amp;nbsp;" description="I will do my best to accommodate" name="do-any-travelers-have-allergies-that-i-should-be-aware-of-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Who can I thank for referring you to us?&amp;nbsp;" name="who-can-i-thank-for-referring-you-to-us-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Which package is best for your trip?" name="which-package-is-best-for-your-trip">&#13;
			<option label="Basic Bookings - we handle the bookings, you take on the rest. $150 base research fee." value="basic-bookings-we-handle-the-bookings-you-take-on-the-rest-150-base-research-fee">Basic Bookings - we handle the bookings, you take on the rest. $150 base research fee.</option>&#13;
			<option label="Busy Beaver - our version of tag teaming. $300 base trip planning fee. $50 extra per location." value="busy-beaver-our-version-of-tag-teaming-300-base-trip-planning-fee-50-extra-per-location">Busy Beaver - our version of tag teaming. $300 base trip planning fee. $50 extra per location.</option>&#13;
			<option label="Bougie Boss - white glove service. $600 base. $50 per extra day. (honeymoons, bachelorettes,  family trips)" value="bougie-boss-white-glove-service-600-base-50-per-extra-day-honeymoons-bachelorettes-family-trips">Bougie Boss - white glove service. $600 base. $50 per extra day. (honeymoons, bachelorettes,  family trips)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like to be subscribed to our company newsletter?&amp;nbsp;" name="would-you-like-to-be-subscribed-to-our-company-newsletter-">&#13;
			<option label="yes - sign me up!" value="yes-sign-me-up">yes - sign me up!</option>&#13;
			<option label="no, I get too many emails" value="no-i-get-too-many-emails">no, I get too many emails</option>&#13;
		</field>&#13;
	</fields>&#13;
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