<html> <body> <form-template> <fields> <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" 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="text" label="Home Address" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Home Address Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="About your trip"/> <field type="radio-group" required="true" label="The pricing and availability I pull for you won't be valid a week from now.&nbsp; Are you ready to book?" description="Pricing and availability changes very quickly. If you are not ready to book it would be best to wait until you are before pricing packages." name="the-pricing-and-availability-i-pull-for-you-wont-be-valid-a-week-from-now-are-you-ready-to-book"> <option label="I'm ready to book!" value="im-ready-to-book">I'm ready to book!</option> <option label="I'm just price shopping." value="im-just-price-shopping">I'm just price shopping.</option> </field> <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="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="Are there any destinations you would prefer to avoid?" name="are-there-any-destinations-you-would-prefer-to-avoid" subtype="text" className="form-control"/> <field type="text" required="true" label="How many nights would you like to travel?" name="how-many-nights-would-you-like-to-travel" 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="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Are there any specific resorts you're interested in visiting?" name="are-there-any-specific-resorts-youre-interested-in-visiting" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Will you be needing flights for this trip?" name="will-you-be-needing-flights-for-this-trip" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If flights are needed, what is your preferred departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special?" description="Examples of celebrations: anniversary honeymoon destination wedding birthday bachelor and bachelorette parties etc." name="will-you-be-celebrating-anything-in-particular-during-this-trip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do all travelers have a current passport with at least 6 months validity from the travel date?" description="Valid passports are required for international destinations." name="do-all-travelers-have-a-current-passport-with-at-least-6-months-validity-from-the-travel-date"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="No, but will have passports by the travel date" value="no-but-will-have-passports-by-the-travel-date">No, but will have passports by the travel date</option> </field> <field type="textarea" required="true" label="Who will be traveling?&nbsp; Please list all full names, exactly as they appear (or will appear) on your passports and birthdays for everyone who will be included in your booking.&nbsp;" name="who-will-be-traveling-please-list-all-full-names-exactly-as-they-appear-or-will-appear-on-your-passports-and-birthdays-for-everyone-who-will-be-included-in-your-booking-" rows="0" className="form-control"/> <field type="radio-group" required="true" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in"> <option label="I'm just beginning the planning process" value="im-just-beginning-the-planning-process">I'm just beginning the planning process</option> <option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option> <option label="We have hotels and flights already booked" value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked</option> </field> <field type="radio-group" required="true" 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="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $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="checkbox-group" required="true" label="What travel components would you like for me to assist you with?" description="Check all that apply" name="what-travel-components-would-you-like-for-me-to-assist-you-with" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation" value="transportation">Transportation</option> <option label="Excursions & Tours" value="excursions-tours">Excursions & Tours</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> </field> <field type="text" required="true" label="How many rooms will be needed for this trip?" name="how-many-rooms-or-cabins-will-be-needed-for-this-trip" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy " value="economy-">Economy </option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> <option label="Boutique & Charming" value="boutique-charming">Boutique & Charming</option> </field> <field type="radio-group" required="true" label="Are you wanting an all-inclusive resort? (All-inclusive options are only available for select international destinations)" description="Food drinks and some activities included" name="are-you-wanting-an-allinclusive-resort-allinclusive-options-are-only-available-for-select-international-destinations"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?&nbsp; Check all that apply." description="Check all that apply." name="vibe-preference" other="true"> <option label="Adults-Only" value="adultsonly">Adults-Only</option> <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="familyfriendly">Family-Friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="textarea" label="What are your amenity must-haves?" description="Is there anything that you would want your hotels to have (i.e. bar on-site restaurant waterpark adults-only section pool etc.)?" name="what-are-your-amenity-musthaves" className="form-control"/> <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="Spa" value="spa">Spa</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Golf" value="golf">Golf</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="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 about your ideal vacation?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="text" label="Who can I thank for referring you to me?" name="who-can-i-thank-for-referring-you-to-me" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Professional Trip Design and Reservation Management Fee"/> <field type="paragraph" subtype="p" label="Traveling today is more complex than ever.&nbsp; Between travel restrictions and entry requirements to last-minute flight cancellations, delays and changes, I am spending more time with clients guiding them through this process and being my clients' advocate when plans go awry."/> <field type="paragraph" subtype="p" label="My services are not limited to simply booking your vacation.&nbsp; I work closely with you to determine how I will design your trip so that it will be perfectly tailored to you.&nbsp; I have curated close relationships with my wonderful supplier partners all over the world and amassed years of experience booking, traveling to, and studying the destinations I specialize in.&nbsp; I know where to look and who to call to design a trip that will be uniquely memorable for you.&nbsp; I work with my partners and in-destination experts on the best options, styles, and experiences that will make your trip exceed your expectations."/> <field type="paragraph" subtype="p" label="I am not elevator hold music and 25 people ahead of you in the queue, and you are not just a number to me.&nbsp; I have your back while you’re traveling and long after you return in the event any issues arise, and I am personally available should you have any questions or concerns throughout the entire process.&nbsp; &nbsp;I remain one step ahead, by closely monitoring all flights and other important components regarding your trip, to ensure a stress-free experience for my clients."/> <field type="paragraph" subtype="p" label="You will be fully prepared for your vacation with a series of information emails you will receive prior to your trip.&nbsp; I prepare all of my travelers in advance with information on their destination, entry requirements, what to expect while traveling, and even packing lists!&nbsp; I provide recommendations on unique activities and excursions with suppliers I know and trust.&nbsp;"/> <field type="paragraph" subtype="p" label="My Planning and Reservation Management Fee allows me to carve out time in my schedule for each client I take on so I can provide the time and attention to the trip that it deserves.&nbsp; &nbsp;This fee varies, depending on the complexity of the trip and the level of planning involved.&nbsp; Once you've completed this form, you will schedule your complimentary travel consultation, where we will discuss your travel preferences, trip logistics, the services I provide, and my fee.&nbsp; From there, we will decide if we are a good fit and want to move forward with the planning process.&nbsp; It's all very simple."/> <field type="paragraph" subtype="p" label="By submitting your form below, you are stating that you understand there is a professional service fee and would like more information by scheduling your complimentary travel consultation."/> </fields> </form-template> </body> </html>
SUBMIT
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways