<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Group Trip Vacation Request"/> <field type="paragraph" subtype="p" label="Thank you for your interest in OnePulse Travel planning your vacation. If you're here, it means you are in the early stages of planning a trip that must really be important to you. Please take a brief moment to enter your travel details below. The information gathered will allow us to connect with you and begin designing a unique vacation experience based on your personal style and travel needs."/> <field type="header" subtype="h1" label="Lead Traveler Information"/> <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="radio-group" required="true" label="I attest that the name above is listed exactly as it appears on my passport." name="i-attest-that-the-name-above-is-listed-exactly-as-it-appears-on-my-passport"> <option label="Yes" value="yes">Yes</option> <option label="No. I do not have a passport." value="no-i-do-not-have-a-passport">No. I do not have a passport.</option> <option label="N/A" value="na">N/A</option> </field> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h1" label="Methods of Communication"/> <field type="paragraph" subtype="p" label="OnePulse Travel will communicate with you by both email and mobile phone. Please check for emails with the "O" icon and heading "OnePulse Travel". Also, please save my mobile number to your contacts 832.229.2701; and business number 832.719.2546 (text messaging available)"/> <field type="paragraph" subtype="p" label="&nbsp;"/> <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="header" subtype="h1" label="Social Media Contact"/> <field type="paragraph" subtype="p" label="You are welcomed to send a friend request to LIZ BRYANT and also become a part of my travel facebook group LET'S GET AWAY! For group travel, I will often set up our own private facebook group to keep everyone posted on trip updates and ideas."/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="text" label="Facebook Profile Name (optional)" name="facebook-profile-name" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Travelers"/> <field type="text" label="INCLUDING YOU, how many adult travelers?" placeholder="18+ or older" name="including-you-how-many-adult-travelers" subtype="text" className="form-control"/> <field type="text" label="How many children?" placeholder="17 or younger" name="how-many-children" subtype="text" className="form-control"/> <field type="text" label="If children, please list age and/or date of birth of each child" name="if-children-please-list-age-andor-date-of-birth-of-each-child" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel information"/> <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="radio-group" label="Do You Have A Valid Passport?" description="Required to travel internationally" name="do-you-have-a-valid-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="What is your departure date?" name="what-is-your-departure-date" className="form-control"/> <field type="date" required="true" label="What is your return date?" name="what-is-your-return-date" className="form-control"/> <field type="text" required="true" label="What is your depart city or airport? (May list more than one if necessary)" name="depart-city" subtype="text" className="form-control"/> <field type="text" label="If different depart cities or airports, how many guests from each departure?" placeholder="ex. Houston (3 guests); Austin (2 guests)" name="if-different-depart-cities-or-airports-how-many-guests-from-each-departure" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is the estimated budget PER PERSON?" name="what-is-the-estimated-budget-per-person"> <option label="$1000 - $1500" value="1000-1500">$1000 - $1500</option> <option label="$1501-$2500" value="15012500">$1501-$2500</option> <option label="$2501-$4500" value="25014500">$2501-$4500</option> <option label="$4501-$6500" value="45016500">$4501-$6500</option> <option label="$6501-$8500" value="65018500">$6501-$8500</option> <option label="$8501+" value="8501">$8501+</option> </field> <field type="checkbox-group" label="Purpose of Trip" name="what-kind-of-trip-are-you-interested-in" other="true"> <option label="Girls Trip" value="girls-trip">Girls Trip</option> <option label="Guys Trip" value="guys-trip">Guys Trip</option> <option label="Mixed (Both Girls and Guys)" value="mixed-both-girls-and-guys">Mixed (Both Girls and Guys)</option> <option label="Couples Getaway" value="couples-getaway">Couples Getaway</option> <option label="Friends Getaway" value="friends-getaway">Friends Getaway</option> <option label="Birthday Celebration" value="birthday-celebration">Birthday Celebration</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Class Reunion" value="class-reunion">Class Reunion</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Graduation Trip" value="graduation-trip">Graduation Trip</option> </field> <field type="text" label="Do you have a specific name for your group? If so, please list." placeholder="ex. Johnson's Family Reunion" name="do-you-have-a-specific-name-for-your-group-if-so-please-list" subtype="text" className="form-control"/> <field type="checkbox-group" label="What are we booking? (Check all that apply)" name="what-are-we-booking" other="true"> <option label="All-Inclusive Vacation Package" value="allinclusive-vacation-package">All-Inclusive Vacation Package</option> <option label="Hotel only" value="hotel-only">Hotel only</option> <option label="Flights only" value="flights-only">Flights only</option> <option label="Vacation Rental/Home" value="vacation-rentalhome">Vacation Rental/Home</option> <option label="Tours/Excursions" value="toursexcursions">Tours/Excursions</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Private Transfers" value="private-transfers">Private Transfers</option> </field> <field type="text" label="Number of Rooms Needed" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/> <field type="checkbox-group" label="What activities are you interested in for this trip?" inline="true" name="what-activities-are-you-interested-in-for-this-trip"> <option label="Active/Outdoor" value="activeoutdoor">Active/Outdoor</option> <option label="Beach/Sun/Water sports" value="beachsunwater-sports">Beach/Sun/Water sports</option> <option label="Sightseeing/History" value="sightseeinghistory">Sightseeing/History</option> <option label="Culture/Arts" value="culturearts">Culture/Arts</option> <option label="Wine/Culinary " value="wineculinary-">Wine/Culinary </option> <option label="Shopping" value="shopping">Shopping</option> <option label="Party Vibe (Day and/or Night)" value="party-vibe-day-andor-night">Party Vibe (Day and/or Night)</option> <option label="Spa/Relaxation" value="sparelaxation">Spa/Relaxation</option> </field> <field type="textarea" label="What else would you like me to know that will make this trip the best vacation ever!" name="what-else-would-you-like-me-to-know" className="form-control"/> <field type="radio-group" label="How soon are you ready to book this vacation?" name="how-soon-are-you-ready-to-book-a-vacation"> <option label="Within 48 hours of receiving quote" value="within-48-hours-of-receiving-quote">Within 48 hours of receiving quote</option> <option label="In less than 2 weeks of receiving quote" value="in-less-than-2-weeks-of-receiving-quote">In less than 2 weeks of receiving quote</option> <option label="By the end of the month" value="by-the-end-of-the-month">By the end of the month</option> <option label="Unsure; just shopping around" value="unsure-just-shopping-around">Unsure; just shopping around</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="header" subtype="h1" label="Thank you for taking time to complete inquiry form. OnePulse Travel will be in touch within 24 hours."/> </fields> </form-template> </body> </html>
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