<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="New Trip Request Form"/> <field type="paragraph" subtype="p" label="I am thrilled to assist you on this journey. Before we proceed, please take a moment to complete the requested trip information below. Depending on your needs, we likely need to schedule a complimentary trip planning consultation call (typically a 30-minute call) to get to know each other and your travel needs. If we both feel like it is a good fit, we can discuss the next steps. You may also see the attached information for more guidance to get started. "/> <field type="paragraph" subtype="p" label="Please also note I operate standard business hours, weekdays on central time. I am looking forward to learning more about you and your travel needs once I receive the requested details in the form below. "/> <field type="paragraph" subtype="p" label="A little bit about me, I am a Baton Rouge based travel advisor affiliated with SmartFlyer, a NYC headquartered full-service luxury travel firm. Thanks to my global SmartFlyer team, I have very strong hotel and ground operator relationships throughout the business. We have preferred partnerships with world-wide brands, hotel groups, and travel operators, as well as member of Virtuoso all of which elevate my clients travel experiences.&nbsp;"/> <field type="text" label="Are you a new or existing client? If new, how did you hear about me?&nbsp;" name="are-you-a-new-or-existing-client-if-new-how-did-you-hear-about-me-" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go or what style of trip are you interested in taking? Do you need comprehensive travel (air + accommodations + activities), hotel only, private or commercial air only, cruise or yacht, etc.?" 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> </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="text" required="true" label="Names and dates of birth of travel companions" description="If solo note "solo" if you don't have all information list "TBD" or list names and ages to your best ability." name="names-and-dates-of-birth-of-travel-companions" subtype="text" className="form-control"/> <field type="radio-group" label="What is your overall budget (not including airfare) for all travelers? If a group, what is the budget per household/couple?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="Under $7,000" value="under-7000">Under $7,000</option> <option label="$7,000 to $10,000" value="7000-to-10000">$7,000 to $10,000</option> <option label="$11,000 to $15,000" value="11000-to-15000">$11,000 to $15,000</option> <option label="$16,000 to $20,000" value="16000-to-20000">$16,000 to $20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field type="radio-group" label="Only need hotel rates? What is your nightly budget per hotel room?&nbsp;" name="only-need-hotel-rates-what-is-your-nightly-budget-for-accommodations-only" other="true"> <option label="Under $300" value="under-300">Under $300</option> <option label="$400 - $800" value="400-800">$400 - $800</option> <option label="$800 - $1000" value="800-1000">$800 - $1000</option> <option label="$1100 - $1600" value="1100-1600">$1100 - $1600</option> <option label="$1700++" value="1700">$1700++</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="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="Legal First Name (as issued on passport/ID)" 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="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" 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="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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