Share your information with Rachel Soleil

Rachel Soleil

Rachel Soleil Lerch | Lifestyle Curator LLC Affiliate of Anthology Travel Group, a Jetset World Travel and Virtuoso member

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		<field type="header" subtype="h1" label="Thank you for taking a moment to share these details — it helps me get a feel for your travel style right from the start."/>&#13;
		<field type="header" subtype="h1" 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 type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" description="Optional" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If another traveler should also receive trip updates, please include their name and email here (optional)." name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="For our Sellers of Travel Licensing, which state are you based in?" name="for-our-sellers-of-travel-licensing-which-state-are-you-based-in-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Passport"/>&#13;
		<field type="select" label="Please confirm that all travelers’ passports are valid for at least six months beyond your return date, as required by most airlines and destinations." name="select-1762464744520" 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="h1" label="Destination"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Tell me a bit about what you’re imagining for this trip — who’s coming along and what would make it feel just right." name="text-1762483184965" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Trip Dates"/>&#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="text" label="I’m flexible with my dates" description="Date range" name="im-flexible-with-my-dates" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Investment"/>&#13;
		<field type="radio-group" required="true" label="As a general reference, custom European trips typically begin around $10,000–$15,000 for two travelers over seven days. What is your total travel investment for all travelers, not including international airfare or meals?" 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-$30,000" value="2000030000">$20,000-$30,000</option>&#13;
			<option label="$30,000-$40,000" value="3000040000">$30,000-$40,000</option>&#13;
			<option label="$40,000-$50,000" value="4000050000">$40,000-$50,000</option>&#13;
			<option label="$50,000-$75,000" value="5000075000">$50,000-$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;
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		<field type="header" subtype="h1" label="Accommodations"/>&#13;
		<field type="text" label="What are you comfortable investing per night on accommodations? I’ll tailor hotel recommendations to your travel style and budget." name="what-are-you-comfortable-investing-per-night-on-accommodations-ill-tailor-hotel-recommendations-to-your-travel-style-and-budget" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Airfare"/>&#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="h1" label="Fees"/>&#13;
		<field type="checkbox-group" label="We’ll review my design fee together on our call. Fees start at $500 and vary depending on the length and style of your trip." name="checkbox-group-1736283955915">&#13;
			<option label="Great to know, thanks!" value="great-to-know-thanks">Great to know, thanks!</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Referrals"/>&#13;
		<field type="text" label="Who can we thank for referring you? (If applicable, I always love to send a thank 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="h1" label="Important Disclaimers on Airbnb and Points"/>&#13;
		<field type="checkbox-group" required="true" label="Due to insurance and supplier policies, I’m unable to book Airbnb or points-based hotel stays. You’re welcome to use points for flights — they usually go the furthest that way. If you plan to do so, please let me know at the start of the planning process so we can plan accordingly." 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="header" subtype="h1" label="Terms &amp;amp; Conditions"/>&#13;
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By submitting this form, you acknowledge that your travel planning will be facilitated by Rachel Soleil Lerch, DBA Lifestyle Curator LLC, an affiliate of Anthology Travel Group (ATG), a Jetset World Travel and Virtuoso member agency. I understand and agree to the Anthology Travel Group Terms & Conditions linked below: https://www.anthologytravel.com/terms-conditions

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