Vesta Florence

Bugsy Travel

<html>
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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Customize Your Travel Inquiry"/>&#13;
		<field type="paragraph" subtype="p" label="Welcome to Bugsy Travel, where we specialize in car clubs, family and group travel to your unique interests. Let us take the stress off your shoulders. Complete form below, this helps us understand your vision so we can craft a personalized itinerary that aligns perfectly with your needs.&amp;nbsp; Please Note: A non-refundable planning fee is required for all travel bookings. The fees do not contribute towards the cost of your trip. This fee ensures that you receive the highest level of service, including thorough research, tailored accommodations, and expert guidance throughout the planning process. Thank you for trusting us to bring your travel dreams to life. We can't wait to create something extraordinary for you!&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Professional Services Fee Agreement:" name="professional-services-fee-agreement">&#13;
			<option label="I Agree" value="i-agree">I Agree</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="PLEAS E NOTE:&amp;nbsp; Any trip that is 45-60 days from departure will require payment in FULL and a deposit will NOT be accepted." name="pleas-e-note-any-trip-that-is-4560-days-from-departure-will-require-payment-in-full-and-a-deposit-will-not-be-accepted">&#13;
			<option label="I Agree" value="i-agree">I Agree</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Professional Services Fee Options:" inline="true" name="professional-services-fee-options">&#13;
			<option label="Single Destination $250" value="single-destination-250">Single Destination $250</option>&#13;
			<option label="Two Destinations $500" value="two-destinations-500">Two Destinations $500</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="First Name of Person Requesting Booking Inquiry&amp;nbsp;" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last Name of Person Requesting Booking Inquiry&amp;nbsp;" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Which State Do You Reside In?&amp;nbsp;" name="which-state-do-you-reside-in-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Confirm Email" name="confirm-email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?" placeholder="Ex: Jamaica" name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="text" required="true" label="How Many Travelers?" name="how-many-travelers" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How many adults (18+)?" name="how-many-adults-18" className="form-control">&#13;
			<option label="0" value="0">0</option>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9+" value="9">9+</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How many teenagers (13-17)?" name="how-many-teenagers-1317" className="form-control">&#13;
			<option label="0" value="0">0</option>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9+" value="9">9+</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="How many children (2-12)?" name="how-many-children-212" className="form-control">&#13;
			<option label="0" value="0">0</option>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9+" value="9">9+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What Type of Travel?" name="what-type-of-travel">&#13;
			<option label="Couples" value="couples">Couples</option>&#13;
			<option label="Family" value="family">Family</option>&#13;
			<option label="Girls Trip" value="girls-trip">Girls Trip</option>&#13;
			<option label="Groups" value="groups">Groups</option>&#13;
			<option label="Guys Trip" value="guys-trip">Guys Trip</option>&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Please select your room preference:" name="please-select-your-room-preference">&#13;
			<option label="Single Room (1 person)" value="single-room-1-person">Single Room (1 person)</option>&#13;
			<option label="Double Room (2 people)" value="double-room-2-people">Double Room (2 people)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What Is Your Budget PER PERSON?" description="This allows me to know what I can do to meet your needs and the timeline I have to work within." name="what-is-your-budget-per-person">&#13;
			<option label="$1500 - $2000" value="1500-2000">$1500 - $2000</option>&#13;
			<option label="$2000 - $2500" value="2000-2500">$2000 - $2500</option>&#13;
			<option label="$2500 - $3000" value="2500-3000">$2500 - $3000</option>&#13;
			<option label="$3000 - $3500" value="3000-3500">$3000 - $3500</option>&#13;
			<option label="$3500 - $4000" value="3500-4000">$3500 - $4000</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What Kind of Vibe Are You Looking For?" name="what-kind-of-vibe-are-you-looking-for">&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Art &amp; Achitecture" value="art-achitecture">Art &amp; Achitecture</option>&#13;
			<option label="Dramatic View &amp; Landscapes" value="dramatic-view-landscapes">Dramatic View &amp; Landscapes</option>&#13;
			<option label="Family-Friendly" value="familyfriendly">Family-Friendly</option>&#13;
			<option label="Food &amp; Wine" value="food-wine">Food &amp; Wine</option>&#13;
			<option label="Local Cultures &amp; Education" value="local-cultures-education">Local Cultures &amp; Education</option>&#13;
			<option label="Nightlife/Party" value="nightlifeparty">Nightlife/Party</option>&#13;
			<option label="Rest &amp; Relaxation" value="rest-relaxation">Rest &amp; Relaxation</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do You Have a Passport?&amp;nbsp; Note: Passport must be valid 6 months from the date of return" name="do-you-have-a-passport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="In the process" value="in-the-process">In the process</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="List any allergies or dietary restrictions for travelers" name="whats-the-occasion-family-tripweekend-getaway-adults-only-trip-solo-trip-honeymoon-annual-group-trip-ect" className="form-control"/>&#13;
		<field type="textarea" label="Please tell us anything else we need to know about your trip" name="please-tell-us-anything-else-we-need-to-know-about-your-trip" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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