Share your information with Rachel Soleil

Rachel Soleil

Rachel Soleil Lerch, Lifestyle Curator LLC, an affiliate of ATG | Jetset World Travel | Virtuoso

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		<field type="header" subtype="h2" label="Contact 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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For our Sellers of Travel Licensing, which state are you based in?&amp;nbsp;" name="for-our-sellers-of-travel-licensing-which-state-are-you-based-in-" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Passport: This is a friendly reminder that all passports must have 6 months beyond your return travel date, left on your passport in order for airlines and specific countries to consider it valid. *&amp;nbsp;" name="passport-this-is-a-friendly-reminder-that-all-passports-must-have-6-months-beyond-your-return-travel-date-left-on-your-passport-in-order-for-airlines-and-specific-countries-to-consider-it-valid-" className="form-control">&#13;
			<option label="I understand, thank you." value="i-understand-thank-you">I understand, thank you.</option>&#13;
			<option label="I need to apply for a passport or my passport is expired" value="i-need-to-apply-for-a-passport-or-my-passport-is-expired">I need to apply for a passport or my passport is expired</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Trip Specifics + Investments"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Trip Start Date" name="trip-start-date" className="form-control"/>&#13;
		<field type="date" label="Trip End Date" name="trip-end-date" className="form-control"/>&#13;
		<field type="select" label="Trip Dates" name="trip-dates" className="form-control">&#13;
			<option label="I'm flexible with my dates" value="im-flexible-with-my-dates">I'm flexible with my dates</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your travel investment for all travelers (not including airfare or food)? Given the pricing for custom European trips, we do recommend a starting price range of $10,000-$12,000 for the land portion for two people for 7 days." name="what-is-your-travel-investment-for-all-travelers-not-including-airfare-or-food">&#13;
			<option label="$10,000-15,000" value="1000015000">$10,000-15,000</option>&#13;
			<option label="$15,000-20,000" value="1500020000">$15,000-20,000</option>&#13;
			<option label="$20,000- 25,000" value="20000-25000">$20,000- 25,000</option>&#13;
			<option label="$25,000-$35,000" value="2500035000">$25,000-$35,000</option>&#13;
			<option label="$35,000-45,000" value="3500045000">$35,000-45,000</option>&#13;
			<option label="$45,000-55,000" value="4500055000">$45,000-55,000</option>&#13;
			<option label="$55,000-75,000" value="5500075000">$55,000-75,000</option>&#13;
			<option label="$75,000-100,000" value="75000100000">$75,000-100,000</option>&#13;
			<option label="$100,000+" value="100000">$100,000+</option>&#13;
			<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>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Planning Fees: We will discuss our trip design services with you on our discovery call. Our services begin at $500 per travel party." name="checkbox-group-1736283955915">&#13;
			<option label="I understand, thank you." value="i-understand-thank-you">I understand, thank you.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Will you need assistance with airfare?&amp;nbsp;" name="will-you-need-assistance-with-airfare-">&#13;
			<option label="Yes, please assist." value="yes-please-assist">Yes, please assist.</option>&#13;
			<option label="No, I will be booking directly with miles or points." value="no-i-will-be-booking-directly-with-miles-or-points">No, I will be booking directly with miles or points.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Referrals"/>&#13;
		<field type="text" label="Who can we thank for referring you?" name="we-are-so-glad-you-are-here-did-one-of-our-previous-clients-refer-you-we-would-love-to-hear-how-you-found-us" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Disclaimers on Airbnb and Points"/>&#13;
		<field type="paragraph" subtype="p" label="Please note, due to insurance reasons, liability issues, and Airbnb policy, travel advisors are not able to book airbnbs. ATG does require that we are the booking agent for your accommodations. Travel Advisors are 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."/>&#13;
		<field type="checkbox-group" required="true" label="Client Agreement" name="client-agreement">&#13;
			<option label="I understand and agree to the points and airbnb disclaimer." value="i-understand-and-agree-to-the-points-and-airbnb-disclaimer">I understand and agree to the points and airbnb disclaimer.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Terms &amp;amp; Conditions" name="subscribe-to-our-newsletter">&#13;
			<option label="By entering this information, you'll instantly become an ATG insider; think travel tips, inspiration, and trends, delivered with love to your inbox. (You can unsubscribe at any time with one click.) " value="by-entering-this-information-youll-instantly-become-an-atg-insider-think-travel-tips-inspiration-and-trends-delivered-with-love-to-your-inbox-you-can-unsubscribe-at-any-time-with-one-click-">By entering this information, you'll instantly become an ATG insider; think travel tips, inspiration, and trends, delivered with love to your inbox. (You can unsubscribe at any time with one click.) </option>&#13;
		</field>&#13;
	</fields>&#13;
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