<html> <body> <form-template> <fields> <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" placeholder="e.g. example@email.com" 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="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="e.g. South Africa" name="text-1735533146164" subtype="text" className="form-control"/> <field type="text" required="true" label="What your travel dates?" description="If you're undecided please share the time of year or month and how long you would like to travel for." name="text-1735531453148" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your overall investment for this trip? (excluding flights)" name="radio-group-1735531643894"> <option label="Looking for a weekend getaway" value="looking-for-a-weekend-getaway">Looking for a weekend getaway</option> <option label="$5,000-$10,000" value="500010000">$5,000-$10,000</option> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000-$20,000" value="1500020000">$15,000-$20,000</option> <option label="$20,000-$25,000" value="2000025000">$20,000-$25,000</option> <option label="$30,000-$35,000" value="3000035000">$30,000-$35,000</option> <option label="$40,000+" value="40000">$40,000+</option> </field> <field type="radio-group" required="true" label="What services are you looking for?" description="See the Services page for details on each option. Please note there are planning fees associated with Custom Travel Design and Look Book options.." name="radio-group-1735531354196"> <option label="Custom Travel Design " value="custom-travel-design-">Custom Travel Design </option> <option label="The Look Book" value="the-look-book">The Look Book</option> <option label="Hotel Booking Only" value="hotel-booking-only">Hotel Booking Only</option> <option label="Something Else" value="something-else">Something Else</option> </field> <field type="radio-group" required="true" label="How many people are traveling including yourself?" name="budget"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6+" value="6">6+</option> </field> <field type="text" required="true" label="Please list full names of all travelers and your relation" description="Allison Marie Smith and my husband Matthew Davis Smith" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your ideal per night hotel spend?" name="radio-group-1735532566164"> <option label="Up to $500" value="up-to-500">Up to $500</option> <option label="$500-750" value="500750">$500-750</option> <option label="$750-$1,000" value="7501000">$750-$1,000</option> <option label="$1,000-$1,500" value="10001500">$1,000-$1,500</option> <option label="$1,500+" value="1500">$1,500+</option> </field> <field type="radio-group" required="true" label="Are you interested in flight assistance?" description="We are happy to assist with Premium Economy and Business Class International Flights. Note we cannot book flights using points." name="radio-group-1735534630426"> <option label="Yes, I'm booking Premium Economy or Business Class" value="yes-im-booking-premium-economy-or-business-class">Yes, I'm booking Premium Economy or Business Class</option> <option label="No, thank you" value="no-thank-you">No, thank you</option> <option label="Maybe, I'd like to know more" value="maybe-id-like-to-know-more">Maybe, I'd like to know more</option> </field> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="text-1735531483735" subtype="text" className="form-control"/> <field type="text" label="If you have already booked flights, please share the details" description="Include Flight Number Dates and Departure Times" placeholder="e.g. arrival Virgin Airlines 0105 ATL to LHR Feb 1" name="text-1735534778141" subtype="text" className="form-control"/> <field type="textarea" required="true" label="When you envision yourself on this trip, what do you see?&nbsp;" description="If you have specific must-do activities in mind please list them." name="when-you-envision-yourself-on-this-trip-what-do-you-see-" className="form-control"/> <field type="textarea" required="true" label="What's the best trip you've ever taken or hotel you've staying in, and why?" name="textarea-1735535673263" className="form-control"/> <field type="text" required="true" label="Are you celebrating a special occasion?&nbsp;" description="If celebrating something specific please include the date." name="must-dos" subtype="text" className="form-control"/> <field type="textarea" required="true" label="How did you hear about us?&nbsp;" description="Let me know if there's someone I can thank!" name="notes" className="form-control"/> <field type="checkbox-group" required="true" label="Please be aware that there may be a planning fee associated with the creation of your personalized itinerary. During our complimentary intake call, we'll discuss your travel goals and provide you with a detailed understanding of any associated fees based upon the unique aspects and complexities of your trip request." name="please-be-aware-that-there-may-be-a-planning-fee-associated-with-the-creation-of-your-personalized-itinerary-during-our-complimentary-intake-call-well-discuss-your-travel-goals-and-provide-you-with-a-detailed-understanding-of-any-associated-fees-based-upon-the-unique-aspects-and-complexities-of-your-trip-request"> <option label="I understand and agree" value="i-understand-and-agree">I understand and agree</option> </field> <field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans. Do you agree and understand that your proposal may come as one packaged rate and itemized pricing will not be available?" name="checkbox-group-1735536386670"> <option label="I understand and agree" value="i-understand-and-agree">I understand and agree</option> </field> </fields> </form-template> </body> </html>
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