<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Lets plan your trip..."/> <field type="paragraph" subtype="p" label="I understand that this travel inquiry requires a $25 fee for 1-2 travelers $50 for 3 to 6 travelers that guarantees a 48-72 hours turnaround quote after all information is received. This fee will be paid via invoice through a secure payment system . If you do not receive a quote without any feedback within the guaranteed time frame funds will be refunded. If you are needing assistance for more than the amount of travelers stated we can discuss further. Please let me know If you have any questions or concerns."/> <field type="checkbox-group" required="true" label="Select One&nbsp; Option" name="admin-feewaiver"> <option label="I Agree to The Admin Fee to proceed my travel research" value="i-agree-to-the-admin-fee-to-proceed-my-travel-research">I Agree to The Admin Fee to proceed my travel research</option> <option label="I Do Not Agree to the Admin Fee and I do NOT wish to proceed" value="i-do-not-agree-to-the-admin-fee-and-i-do-not-wish-to-proceed" selected="selected">I Do Not Agree to the Admin Fee and I do NOT wish to proceed</option> </field> <field type="textarea" label="Text Area" description="v" name="textarea-1711605942186" className="form-control"/> <field type="radio-group" label="Which type of trip are you looking to take?" name="which-type-of-trip-are-you-looking-to-take"> <option label="Cruise" value="cruise">Cruise</option> <option label="Vacation Package(Ex. Flight, Hotel/Resort, Transfers)" value="vacation-packageex-flight-hotelresort-transfers">Vacation Package(Ex. Flight, Hotel/Resort, Transfers)</option> </field> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" 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" 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="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Are flights needed for this trip?" name="are-flights-needed-for-this-trip"> <option label="Yes" value="yes">Yes</option> <option label="No, I will book my own flights." value="no-i-will-book-my-own-flights">No, I will book my own flights.</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="Are any of these travelers kids?" name="are-any-of-these-travelers-kids"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="If so,&nbsp; what are the ages of each kid?" name="if-so-what-are-the-ages-of-each-kid" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Does each traveler have a passport?" name="does-each-traveler-have-a-passport"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> <option label="Working on it" value="working-on-it">Working on it</option> </field> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="Before I proceed with booking your luxury getaway would you first be interested in learning how you can become a travel agent yourself and earn your own commission and possibly save more on this trip and others?*"/> <field type="radio-group" required="true" label="Select One Option" name="agent-option"> <option label="Yes! I'm interested in my own commission and savings" value="yes-im-interested-in-my-own-commission-and-savings">Yes! I'm interested in my own commission and savings</option> <option label="No! I rather you book it for me!" value="no-i-rather-you-book-it-for-me">No! I rather you book it for me!</option> </field> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-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="date" label="Date Field" name="date-1710912698215" className="form-control"/> <field type="date" label="Date Field" name="date-1710912699542" className="form-control"/> <field type="date" label="Date Field" name="date-1710912769951" className="form-control"/> <field type="text" label="Text Field" name="text-1710912925871" subtype="text" className="form-control"/> <field type="text" label="Text Field" name="text-1711604701991" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Paragraph"/> <field type="paragraph" subtype="p" label="Paragraph"/> <field type="paragraph" subtype="p" label="Paragraph"/> <field type="text" label="Text Field" name="text-1711685050838" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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