<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Contact Form | Bell Adams Travel"/> <field type="header" subtype="h1" label="Client Information"/> <field type="text" required="true" label="First Name" name="first-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" 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="textarea" required="true" label="Legal Names and Date of Birth of ALL travelers" placeholder="Please include the Legal Name and Date of Birth of all travelers, including yourself." name="legal-names-and-date-of-birth-of-all-travelers" className="form-control"/> <field type="header" subtype="h1" label="Trip Information"/> <field type="select" required="true" label="Have you worked with a Travel Advisor in the past?" name="have-you-worked-with-a-travel-advisor-in-the-past" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your home city and preferred airport?" placeholder="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="What destination(s) do you have in mind?" placeholder="If you're not sure, just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <field type="date" required="true" 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" required="true" 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="select" required="true" label="What type of Planning Service are you interested in?" name="what-type-of-planning-service-are-you-interested-in" className="form-control"> <option label="Hotel or Cruise only" value="hotel-or-cruise-only">Hotel or Cruise only</option> <option label="Destination & Hotel Advice" value="destination-hotel-advice">Destination & Hotel Advice</option> <option label="Custom Travel Planning & Design" value="custom-travel-planning-design">Custom Travel Planning & Design</option> <option label="Private Aviation / Villa / Yacht Charter" value="private-aviation-villa-yacht-charter">Private Aviation / Villa / Yacht Charter</option> </field> <field type="select" required="true" label="Will you book flights through our Air Desk or on your own?" description="Please note we charge a ticket management fee." name="will-you-book-flights-through-our-air-desk-or-on-your-own" className="form-control"> <option label="Through your Air Desk" value="through-your-air-desk">Through your Air Desk</option> <option label="On My Own" value="on-my-own">On My Own</option> </field> <field type="select" required="true" label="What is your preferred Class of air travel?" name="what-is-your-preferred-class-of-air-travel" className="form-control"> <option label="Business" value="business">Business</option> <option label="Economy" value="economy">Economy</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Varies" value="varies">Varies</option> </field> <field type="text" required="true" label="How many travelers in total?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="A NOTE ABOUT TRIP BUDGETS: Generally, the hotels we specialize in begin at $750 per night. Custom planning (car/driver, private touring, unique experience) typically begins at an additional $1,000 per day."/> <field type="radio-group" required="true" label="What is your approximate budget for this trip for all travelers?" name="budget"> <option label="Less than $10,000" value="less-than-10000">Less than $10,000</option> <option label="$10,000 to $15,000" value="10000-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-20000">$15,000 to $20,000</option> <option label="$20,000 to $30,000" value="20000-30000">$20,000 to $30,000</option> <option label="$30,000 to $40,000" value="30000-40000">$30,000 to $40,000</option> <option label="$40,000+" value="40000+">$40,000+</option> </field> <field type="radio-group" required="true" label="What is your ideal nightly rate for your hotel?" inline="true" name="what-is-your-ideal-nightly-rate-for-your-hotel"> <option label="$1,000+" value="1000">$1,000+</option> <option label="$500 - $999" value="500-999">$500 - $999</option> </field> <field type="textarea" required="true" label="What are you interested in doing on your trip?" placeholder="For example: cooking class, private boat charter, beach/water, relaxation, etc. " name="what-are-you-interested-in-doing-on-your-trip" rows="3" className="form-control"/> <field type="header" subtype="h1" label="Travel Style"/> <field type="textarea" required="true" label="What are some of your favorite hotels you have stayed in before?&nbsp;" name="what-are-some-of-your-favorite-hotels-you-have-stayed-in-before-" rows="2" className="form-control"/> <field type="textarea" label="What other important details would you like to share?" description="What else would you like me to know about your trip and/or travel preferences?" placeholder="For example: preferred airline allergies/intolerances, health concerns, or things like "I prefer a suite with a living area, must have a aisle seat, etc."" name="notes" rows="3" className="form-control"/> <field type="select" required="true" label="How much do you invest in travel per year?" name="how-much-do-you-invest-in-travel-per-year" className="form-control"> <option label="Less than $25,000" value="less-than-25000">Less than $25,000</option> <option label="$25,000 - $50,000" value="25000-50000">$25,000 - $50,000</option> <option label="$50,000 - $100,000" value="50000-100000">$50,000 - $100,000</option> <option label="$100,000+" value="100000+">$100,000+</option> </field> </fields> </form-template> </body> </html>
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