<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Traveler Information"/> <field type="text" required="true" label="Primary Client - First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary Client - 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="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please provide the full legal name as is on your passport and birthdates for all travelers." name="please-provide-the-full-legal-name-as-is-on-your-passport-and-birthdates-for-all-travelers" className="form-control"/> <field type="text" label="Do any travelers have allergies that I should be aware of?" name="do-any-travelers-have-allergies-that-i-should-be-aware-of" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Is this your first time working with a travel advisor? If not, what was your previous experience?" name="is-this-your-first-time-working-with-a-travel-advisor-if-not-what-was-your-previous-experience" className="form-control"/> <field type="header" subtype="h1" label="Trip Specifics and Investment"/> <field type="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="checkbox-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="radio-group" required="true" label="If traveling internationally, do your passports have 6+ months of validity on them (post-trip)? Please send me a photo of each traveler's passport in a separate email.&nbsp;" name="if-traveling-internationally-do-your-passports-have-6-months-of-validity-on-them-posttrip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special?&nbsp;" name="is-this-vacation-to-celebrate-anything-special-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in" other="true"> <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 flights already booked." value="we-have-flights-already-booked">We have flights already booked.</option> <option label="We have hotels already booked." value="we-have-hotels-already-booked">We have hotels already booked.</option> </field> <field type="radio-group" required="true" label="Do you need assistance with booking flights?" description="If you will need 24/7 support during flights an additional fee may be required." name="do-you-need-assistance-with-booking-flights"> <option label="Yes, please assist." value="yes-please-assist">Yes, please assist.</option> <option label="No, I will be booking flights myself." value="no-i-will-be-booking-flights-myself">No, I will be booking flights myself.</option> </field> <field type="text" required="true" label="What would you like to spend per night on your accommodations for all rooms?" name="what-would-you-like-to-spend-per-night-on-your-accommodations-for-all-rooms" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Do you prefer private excursions/tours or group excursions/tours?" name="do-you-prefer-private-excursionstours-or-group-excursionstours"> <option label="Private" value="private">Private</option> <option label="Group" value="group">Group</option> </field> <field type="radio-group" required="true" label="What is your travel investment for all travelers (not including airfare or food)?" name="what-is-your-travel-investment-for-all-travelers-not-including-airfare-or-food"> <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="$25,000+" value="25000">$25,000+</option> <option label="Other" value="other">Other</option> <option label="I would like to see all my desires and trip goals reached, no matter the cost" value="i-would-like-to-see-all-my-desires-and-trip-goals-reached-no-matter-the-cost">I would like to see all my desires and trip goals reached, no matter the cost</option> </field> <field type="textarea" required="true" label="What hotels do you typically gravitate towards? Any favorite hotels from past stays?" name="what-hotels-do-you-typically-gravitate-towards-any-favorite-hotels-from-past-stays" className="form-control"/> <field type="checkbox-group" label="What are your accommodation amenity must haves?" description="Check all that apply" name="what-are-your-accommodation-amenity-must-haves" other="true"> <option label="Gym" value="gym">Gym</option> <option label="Pool" value="pool">Pool</option> <option label="Spa" value="spa">Spa</option> <option label="Kids club " value="kids-club-">Kids club </option> <option label="Golf" value="golf">Golf</option> <option label="Tennis" value="tennis">Tennis</option> </field> <field type="checkbox-group" label="What options best describe your travel priorities?" description="Check all that apply." name="what-options-best-describe-your-travel-priorities" other="true"> <option label="Historical Touring/Museums/Siteseeing" value="historical-touringmuseumssiteseeing">Historical Touring/Museums/Siteseeing</option> <option label="Wine tasting" value="wine-tasting">Wine tasting</option> <option label="Cooking Classes" value="cooking-classes">Cooking Classes</option> <option label="Adventure activities (i.e. hot air balloon, helicopter, etc.)" value="adventure-activities-ie-hot-air-balloon-helicopter-etc">Adventure activities (i.e. hot air balloon, helicopter, etc.)</option> <option label="Wellness (i.e. spa, hiking, biking, yoga, etc.)" value="wellness-ie-spa-hiking-biking-yoga-etc">Wellness (i.e. spa, hiking, biking, yoga, etc.)</option> <option label="Boating/Sailing/Scuba/Snorkeling" value="boatingsailingscubasnorkeling">Boating/Sailing/Scuba/Snorkeling</option> <option label="Skiing/Snowboarding" value="skiingsnowboarding">Skiing/Snowboarding</option> </field> <field type="text" label="Is there anything else that you “must do” or see? Feel free to elaborate on questions listed above." name="is-there-anything-else-that-you-must-do-or-see" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Important Disclaimers on Airbnb, VRBO, and point bookings"/> <field type="paragraph" subtype="p" label="Please note, due to insurance reasons, liability issues, and Airbnb and VRBO policy, I am unable to book Airbnb and VRBO rentals. Dainee Ross Luxury Travel LLC does require that we are the booking agent for your accommodations. Travel Advisors are also unable to book components of your trip with points. We recommend utilizing points for your airfare as they typically go the furthest this way. If you plan to utilize points, please let us know at the start of the planning process."/> <field type="paragraph" subtype="p" label="&nbsp; &nbsp;"/> <field type="checkbox-group" required="true" label="Client agreement:" name="checkbox-group-1722011249258"> <option label="I understand and agree to the points and Airbnb and VRBO disclaimer." value="i-understand-and-agree-to-the-points-and-airbnb-and-vrbo-disclaimer">I understand and agree to the points and Airbnb and VRBO disclaimer.</option> </field> <field type="header" subtype="h1" label="Insurance"/> <field type="paragraph" subtype="p" label="Insurance is always recommended, but not required (except by certain countries for entry). Trip insurance is best used for trip interruption or cancellation due to death, injury, or illness of a traveler or their immediate family, but can have other coverage benefits as well, such as emergency medical. If there is a pre-existing health condition or you need a 'Cancel for any Reason' policy, trip insurance must be purchased within 14 days of your initial charge made for the trip, including the planning fee. See link to get a quote and purchase a policy within 14 days - https://www.travelexinsurance.com/?location=43-0327dross.&nbsp;"/> <field type="paragraph" subtype="p" label="&nbsp;&nbsp;"/> <field type="paragraph" subtype="p" label="By agreeing below, I understand that it is my responsibility to purchase insurance within 14 days to cover pre-existing medical conditions or to puchase a policy with Cancel For Any Reason (CFAR) Coverage. I understand that declining insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred."/> <field type="paragraph" subtype="p" label="&nbsp;&nbsp;"/> <field type="checkbox-group" required="true" label="Client agreement:" name="client-agreement"> <option label="I understand that I need to to purchase insurance within 14 days if I need to cover a pre-existing medical condition or need a policy with CFAR. I will purchase via the link provided or through my own insurance provider." value="i-understand-that-i-need-to-to-purchase-insurance-within-14-days-if-i-need-to-cover-a-preexisting-medical-condition-or-need-a-policy-with-cfar-i-will-purchase-via-the-link-provided-or-through-my-own-insurance-provider">I understand that I need to to purchase insurance within 14 days if I need to cover a pre-existing medical condition or need a policy with CFAR. I will purchase via the link provided or through my own insurance provider.</option> </field> <field type="header" subtype="h1" label="Proposal Pricing &amp; Service Fees"/> <field type="checkbox-group" required="true" label="At times, DR Luxury Travel utilizes in-destination partners and protects their in-destination suppliers’ contract rates by providing quotes as a total package price. I understand that I may receive pricing as a bundled rate and will not be provided with component/ itemized pricing." name="at-times-st-hilaire-travel-utilizes-indestination-partners-and-protects-their-indestination-suppliers-contract-rates-by-providing-quotes-as-a-total-package-price-i-understand-that-i-may-receive-pricing-as-a-bundled-rate-and-will-not-be-provided-with-component-itemized-pricing"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Please check if you understand that there will be a service fee affiliated with proposal submission." description="Fees start at $350 for resort/all-inclusive. Fees start at $500 for custom itineraries. Hotel-only bookings are complimentary." name="please-check-if-you-understand-that-there-will-be-a-service-fee-affiliated-with-proposal-submission"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Who can I thank for referring you to us?" name="who-can-i-thank-for-referring-you-to-us" subtype="text" className="form-control"/> <field type="checkbox-group" label="Subscribe to our (future) newsletter" name="subscribe-to-our-future-newsletter"> <option label="Yes, I would like to receive newsletters from Dainee Ross Luxury Travel LLC" value="yes-i-would-like-to-receive-newsletters-from-dainee-ross-luxury-travel-llc">Yes, I would like to receive newsletters from Dainee Ross Luxury Travel LLC</option> </field> </fields> </form-template> </body> </html>
SUBMIT
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