Remarkable Cruises and Vacations by Shante

Shante Hayward

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Client Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Client Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Client Phone Number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date&amp;nbsp;" name="departure-date-" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date&amp;nbsp;" name="return-date-" className="form-control"/>&#13;
		<field type="textarea" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="text" required="true" label="Number of rooms needed?" name="number-of-rooms-needed" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Adults?" name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of children under 18 (if applicable)" name="number-of-children-under-18-if-applicable" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Package Type" name="package-type">&#13;
			<option label="Hotel &amp; Flight Package" value="hotel-flight-package">Hotel &amp; Flight Package</option>&#13;
			<option label="Hotel Package without Flights" value="hotel-package-without-flights">Hotel Package without Flights</option>&#13;
			<option label="Cruise Package with Flights" value="cruise-package-with-flights">Cruise Package with Flights</option>&#13;
			<option label="Cruise Package without Flights" value="cruise-package-without-flights">Cruise Package without Flights</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel Accommodation Type" name="hotel-accommodation-type">&#13;
			<option label="3 Star Hotel" value="3-star-hotel">3 Star Hotel</option>&#13;
			<option label="4 Star Hotel" value="4-star-hotel">4 Star Hotel</option>&#13;
			<option label="5 Star Hotel" value="5-star-hotel">5 Star Hotel</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Cruise Line interested in (if applicable)" name="cruise-line-interested-in-if-applicable">&#13;
			<option label="Carnival" value="carnival">Carnival</option>&#13;
			<option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option>&#13;
			<option label="Norwegian" value="norwegian">Norwegian</option>&#13;
			<option label="Virgin Voyages" value="virgin-voyages">Virgin Voyages</option>&#13;
			<option label="MSC" value="msc">MSC</option>&#13;
			<option label="Princess" value="princess">Princess</option>&#13;
			<option label="Viking" value="viking">Viking</option>&#13;
			<option label="Regent Seven Seas" value="regent-seven-seas">Regent Seven Seas</option>&#13;
			<option label="Celebrity" value="celebrity">Celebrity</option>&#13;
			<option label="Holland America" value="holland-america">Holland America</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Trip Purpose" name="trip-purpose">&#13;
			<option label="Milestone Celebration (Birthday, Anniversary)" value="milestone-celebration-birthday-anniversary">Milestone Celebration (Birthday, Anniversary)</option>&#13;
			<option label="Girls Getaway" value="girls-getaway">Girls Getaway</option>&#13;
			<option label="Couples Getaway" value="couples-getaway">Couples Getaway</option>&#13;
			<option label="Luxury (Wellness or Relaxation)" value="luxury-wellness-or-relaxation">Luxury (Wellness or Relaxation)</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Babymoon" value="babymoon">Babymoon</option>&#13;
			<option label="Group Travel" value="group-travel">Group Travel</option>&#13;
			<option label="Destination Wedding or Vow Renewal" value="destination-wedding-or-vow-renewal">Destination Wedding or Vow Renewal</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Budget &amp;amp; Payment Information"/>&#13;
		<field type="radio-group" required="true" label="Price Range Per Person" name="price-range-per-person">&#13;
			<option label="$1,500-$2,000" value="15002000">$1,500-$2,000</option>&#13;
			<option label="$2,001- $2,500" value="2001-2500">$2,001- $2,500</option>&#13;
			<option label="$2,501- $3,000" value="2501-3000">$2,501- $3,000</option>&#13;
			<option label="$3,001- $3,500" value="3001-3500">$3,001- $3,500</option>&#13;
			<option label="$3,501- $4,000" value="3501-4000">$3,501- $4,000</option>&#13;
			<option label="$4,001- $4,500" value="4001-4500">$4,001- $4,500</option>&#13;
			<option label="$4,501- $5,000" value="4501-5000">$4,501- $5,000</option>&#13;
			<option label="$5,001 or more" value="5001-or-more">$5,001 or more</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Per Person Deposit starts at $300. When will you be ready to pay a deposit?" name="per-person-deposit-starts-at-300-when-will-you-be-ready-to-pay-a-deposit" className="form-control">&#13;
			<option label="Within 30 days" value="within-30-days">Within 30 days</option>&#13;
			<option label="Within 31-60 days" value="within-3160-days">Within 31-60 days</option>&#13;
			<option label="Within 61-90 days" value="within-6190-days">Within 61-90 days</option>&#13;
			<option label="90 days+" value="90-days">90 days+</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Experiences"/>&#13;
		<field type="radio-group" required="true" label="What kind of experience are you looking for?" name="what-kind-of-experience-are-you-looking-for" other="true">&#13;
			<option label="Luxury &amp; Relaxation" value="luxury-relaxation">Luxury &amp; Relaxation</option>&#13;
			<option label="Nightlife &amp; Entertainment" value="nightlife-entertainment">Nightlife &amp; Entertainment</option>&#13;
			<option label="Adventure &amp; Excursions" value="adventure-excursions">Adventure &amp; Excursions</option>&#13;
			<option label="Food &amp; Wine" value="food-wine">Food &amp; Wine</option>&#13;
			<option label="Cultural Exploration" value="cultural-exploration">Cultural Exploration</option>&#13;
		</field>&#13;
		<field type="text" label="Must Do Activities" name="must-do-activities" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Any additional comments you would like to add..." name="any-additional-comments-you-would-like-to-add" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="Friend" value="friend">Friend</option>&#13;
			<option label="Referral Customer/agent" value="referral-customeragent">Referral Customer/agent</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="YouTube" value="youtube">YouTube</option>&#13;
			<option label="Travel Leaders" value="travel-leaders">Travel Leaders</option>&#13;
			<option label="BBMW Marketplace Facebook Group" value="bbmw-marketplace-facebook-group">BBMW Marketplace Facebook Group</option>&#13;
			<option label="Black Business Women Networking of Florida Facebook Group" value="black-business-women-networking-of-florida-facebook-group">Black Business Women Networking of Florida Facebook Group</option>&#13;
			<option label="Mom Owned Businesses Facebook Group" value="mom-owned-businesses-facebook-group">Mom Owned Businesses Facebook Group</option>&#13;
			<option label="I Need A Travel Agent Facebook Group" value="i-need-a-travel-agent-facebook-group">I Need A Travel Agent Facebook Group</option>&#13;
		</field>&#13;
		<field type="select" label="If you heard about us from a referral customer/agent please select the agent below so that we can provide you with a discount on their behalf." name="if-you-heard-about-us-from-a-referral-customeragent-please-select-the-agent-below-so-that-we-can-provide-you-with-a-discount-on-their-behalf" className="form-control">&#13;
			<option label="Tracy Hayward" value="tracy-hayward">Tracy Hayward</option>&#13;
			<option label="I was not referred by a referral agent" value="i-was-not-referred-by-a-referral-agent">I was not referred by a referral agent</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you working with a Travel agent?" name="are-you-working-with-a-travel-agent">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Most of our proposals are Free, but sometimes a non-refundable trip/event design fee will apply based on the complexity of your trip itinerary. This fee is separate from the cost of the trip. We will discuss this with you if needed.&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing Remarkable Cruises and Vacations by Shante (RCAVBS) We look forward to creating a remarkable travel experience for you and your travel party."/>&#13;
		<field type="paragraph" subtype="p" label="**Please note that standard proposals will&amp;nbsp; take between 3-5 Business days for you to receive and&amp;nbsp; group or event proposals will take between 7-14 business days for you to receive.&amp;nbsp; Please make sure we have your correct email address and that you check it regularly as this is how you will receive your proposal and all important communications from our agency**"/>&#13;
	</fields>&#13;
</form-template>
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