<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="TRIP DESIGN FORM"/> <field type="select" required="true" label="Title" name="title" className="form-control"> <option label="Miss" value="Miss">Miss</option> <option label="Ms." value="Ms.">Ms.</option> <option label="Mrs." value="Mrs.">Mrs.</option> <option label="Mr." value="Mr.">Mr.</option> <option label="Dr." value="Dr.">Dr.</option> </field> <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="text" required="true" label="How did you hear about To Paradise With Love - Travel Concierge?" name="how-did-you-hear-about-to-paradise-with-love-travel-concierge" subtype="text" className="form-control"/> <field type="text" required="true" label="Have you worked with us before?" name="have-you-worked-with-us-before" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="TRIP DETAILS"/> <field type="text" required="true" label="Where would you like to go?" description="Please be as specific as possible. For example where exactly in Italy; Amalfi Coast? Tuscany? Dolomites?" placeholder="ex: Scotland Italy Ireland" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred dates of travel?" placeholder="mm/dd/yy - mm/dd/yy" name="preferred-dates-of-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="Are your dates flexible? If so, when? And what days of the week do you prefer to depart?&nbsp;" name="are-your-dates-flexible-if-so-when-and-what-days-of-the-week-do-you-prefer-to-depart-" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred departure airport(s)?" description="List all that apply." placeholder="ex: Newark JFK Atlanta" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Will you be celebrating anything special?" placeholder="ex: Honeymoon Anniversary first time in Italy" name="is-this-getaway-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Who will be traveling with you? Please let us know if you're traveling with children or teens and their ages at time of travel." placeholder="ex: John (husband) Rachel (daughter - 15) Michael (son - 12)" name="who-will-be-traveling-with-you-please-list-all-full-names-and-dates-of-birth-including-your-own" className="form-control"/> <field type="checkbox-group" required="true" label="At what phase of the planning are you in?" name="how-eager-are-you-to-book"> <option label="Just getting an idea of what's available." value="just-getting-an-idea-of-whats-available">Just getting an idea of what's available.</option> <option label="Not in a rush, but definitely want to plan something." value="not-in-a-rush-but-definitely-want-to-plan-something">Not in a rush, but definitely want to plan something.</option> <option label="Ready to put down a deposit for the right trip!" value="ready-to-put-down-a-deposit-for-the-right-trip">Ready to put down a deposit for the right trip!</option> </field> <field type="checkbox-group" required="true" label="What travel components would you like me to assist you with? Check all that apply.&nbsp;" description="If you plan on booking flights with points I recommend booking directly with the airline." name="what-travel-components-would-you-like-me-to-assist-you-with-check-all-that-apply"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation " value="transportation">Transportation </option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Excursions & Tours" value="excursions-tours">Excursions & Tours</option> <option label="Travel Insurance " value="travel-insurance-">Travel Insurance </option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="What is your total budget for all travelers? Please keep in mind, most roundtrip flights are averaging anywhere from $500-1,000 per person, sometimes higher, depending on the destination.&nbsp;" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$6000 - $8500" value="6000-8500">$6000 - $8500</option> <option label="$8500 - $10,000" value="8500-10000">$8500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="radio-group" required="true" label="Do all travelers have their passports?" name="do-all-travelers-have-their-passports-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="They are currently processing." value="they-are-currently-processing">They are currently processing.</option> <option label="We can apply ASAP." value="we-can-apply-asap">We can apply ASAP.</option> <option label="We do not want to travel internationally." value="we-do-not-want-to-travel-internationally">We do not want to travel internationally.</option> </field> <field type="radio-group" required="true" label="Will your passports have 6 months of validity left on them&nbsp; AFTER your travel dates?" description="This is a requirement to enter most destinations. If they do not I advise renewing as soon as possible." name="does-your-passport-have-6-months-of-validity-left-after-your-travel-dates"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Does Not Apply" value="does-not-apply">Does Not Apply</option> </field> <field type="radio-group" required="true" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="TRAVEL PREFERENCES"/> <field type="radio-group" required="true" label="What best describes your accommodation style?" name="what-best-describes-your-accommodation-style"> <option label="Economy/Functional" value="economyfunctional">Economy/Functional</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Boutique & Intimate " value="boutique-intimate-">Boutique & Intimate </option> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> </field> <field type="text" label="What are your amenity "must-haves"?" placeholder="ex: swim up bar Eiffel Tower view" name="what-are-your-amenity-musthaves-is-there-anything-that-you-would-want-your-hotels-to-have-ie-water-park-pool-gym-etc" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What options best describe your travel priorities?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest & Relaxation" value="rest-relaxation">Rest & Relaxation</option> <option label="Off The Beaten Path" value="off-the-beaten-path">Off The Beaten Path</option> <option label="Local Culture & Education" value="local-culture-education">Local Culture & Education</option> <option label="Adults Only " value="adults-only-">Adults Only </option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Food & Drinks " value="food-drinks-">Food & Drinks </option> <option label="Adventure" value="adventure">Adventure</option> <option label="History" value="history">History</option> <option label="Spa & Wellness" value="spa-wellness">Spa & Wellness</option> <option label="Art & Architecture" value="art-architecture">Art & Architecture</option> <option label="Dramatic Views & Landscape" value="dramatic-views-landscape">Dramatic Views & Landscape</option> </field> <field type="text" label="Anything specific you "must see" or do?" placeholder="ex: Colosseum Vatican Blarney Stone" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else I should know about your ideal getaway?" placeholder="This is a great place to let me know about any medical or mobility requirements allergies or dietary restrictions or any other details you would like me to know when planning your getaway." name="what-else-would-you-like-me-to-know-about-your-ideal-getaway" className="form-control"/> <field type="textarea" label="Any trips you've taken in the past that you've really enjoyed or hotels/resorts you have stayed at that you really loved? This helps give me a better understanding of what your expectations are." name="any-trips-youve-taken-in-the-past-that-youve-really-enjoyed-this-helps-give-me-a-better-understanding-of-what-youre-expectations-are" className="form-control"/> <field type="header" subtype="h1" label="ABOUT TO PARADISE WITH LOVE - TRAVEL CONCIERGE"/> <field type="radio-group" required="true" label="I understand that To Paradise With Love - Travel Concierge charges a nonrefundable Research &amp; Design Fee for their time and services based on specific destinations (Europe, Africa, South America and Asia)." name="do-you-agree-to-these-terms"> <option label="Yes, I understand." value="yes-i-understand">Yes, I understand.</option> <option label="No, I decline. " value="no-i-decline-">No, I decline. </option> </field> <field type="paragraph" subtype="p" label="To Paradise With Love - Travel Concierge acts solely as a booking agent for disclosed principal Suppliers and is not the source or provider of any travel service. Each Supplier is an independent entity with its own management and is not subject to the control of To Paradise With Love - Travel Concierge. For this reason, you may see pricing as bundled rates and not broken out by component. Our partners do not provide component pricing to protect their contracts, therefore To Paradise With Love - Travel Concierge is not able to provide/disclose component pricing when it comes to packaged rates.&nbsp;"/> <field type="radio-group" label="I understand and agree that I may receive all pricing as a package rate based on my trip." name="do-you-agree-and-understand-that-you-may-receive-all-pricing-as-a-package-rate"> <option label="Yes, I understand." value="yes-i-understand">Yes, I understand.</option> <option label="No, I decline." value="no-i-decline">No, I decline.</option> </field> <field type="header" subtype="h1" label="TERMS &amp; CONDITIONS"/> <field type="paragraph" subtype="p" label="To Paradise With Love - Travel Concierge is an affiliate of Travelwell Company, LLC. and operates according to their legal Terms &amp; Conditions.&nbsp;"/> <field type="radio-group" required="true" label="I accept the terms and conditions of To Paradise With Love Travel - Concierge; an affiliate of Travelwell Company, LLC (found above at https://www.travelwellco.com/tandc)" name="i-accept-the-terms-and-conditions-of-to-paradise-with-love-travel-concierge-an-affiliate-of-travelwell-company-llc-found-above-at-httpswwwtravelwellcocomtandc"> <option label="Yes, I agree." value="yes-i-agree">Yes, I agree.</option> <option label="No, I decline." value="no-i-decline">No, I decline.</option> </field> </fields> </form-template> </body> </html>
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