Share your information with Bria Ash

Bria Ash

Luxe Vacations

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Luxe Vacations Travel Inquiry Form"/>&#13;
		<field type="paragraph" subtype="p" label="I look forward to working with you and helping you plan your perfect getaway!"/>&#13;
		<field type="paragraph" subtype="p" label="Complete the Travel Inquiry Form in its entirety. The information you provide will allow me to recommend travel accommodations that best suit your preferences and desires. Please allow 3-5 days to receive a response via email. Quoted prices are subject to change until a deposit is made."/>&#13;
		<field type="header" subtype="h2" label="Traveler 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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Street Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Street Address 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Please select the service you are interested in." name="checkbox-group-1752588918792" other="true">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Airfare " value="airfare-">Airfare </option>&#13;
			<option label="Customized Itinerary" value="customized-itinerary">Customized Itinerary</option>&#13;
			<option label="Car Rental" value="car-rental">Car Rental</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="All international travel requires a passport book that does not expire within 6 months of your travel date. " name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="ending-at" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Please list the # of Adults." name="text-1752540801819" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Please list the # of children and provide their ages. If there are not any children, please type 0." description="This information will help ensure that accommodations and activities are suitable for all travelers." name="text-1752540817119" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of rooms needed." name="text-1753840988843" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers in each room?" name="text-1753842152955" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your desired budget per person?" description="Excluding activities and excursions." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What is the occasion?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Solo Trip" value="solo-trip">Solo Trip</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary " value="anniversary-">Anniversary </option>&#13;
			<option label="Couples Trip" value="couples-trip">Couples Trip</option>&#13;
			<option label="Group Trip" value="group-trip">Group Trip</option>&#13;
			<option label="Work" value="work">Work</option>&#13;
			<option label="Bachelor/ Bachelorette" value="bachelor-bachelorette">Bachelor/ Bachelorette</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Leisure" value="leisure">Leisure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Type of Room" description="Please note that the room category may increase the price of your package." name="room" other="true">&#13;
			<option label="Standard Room" value="standard-room">Standard Room</option>&#13;
			<option label="Garden View" value="garden-view">Garden View</option>&#13;
			<option label="Ocean View/ Front" value="ocean-view-front">Ocean View/ Front</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Hotel and Resort Features" name="hotel-and-resort-features" other="true">&#13;
			<option label="All Inclusive" value="">All Inclusive</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="On the Beach" value="on-the-beach">On the Beach</option>&#13;
			<option label="Luxury Resort" value="luxury-resort">Luxury Resort</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you need transfers to and from the airport?" name="do-you-need-transfers-to-and-from-the-airport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Would you like to add travel insurance? * Please note that adding travel protection will increase the price of your quote." description="We strongly recommend that all travelers purchase comprehensive travel insurance prior to departure. Travel insurance is essential in protecting you against unexpected events such as trip cancellations  medical emergencies  lost luggage  or travel delays. While we do our best to support your travel plans, unforeseen circumstances can arise that are beyond our control. Travel insurance provides peace of mind and financial protection to help you navigate such situations. By choosing to travel without insurance, you assume full responsibility for any associated risks or losses." name="would-you-like-to-add-travel-insurance">&#13;
			<option label="Yes, I would like to add travel insurance to protect my trip." value="yes-i-would-like-to-add-travel-insurance-to-protect-my-trip">Yes, I would like to add travel insurance to protect my trip.</option>&#13;
			<option label="No , I do not want to add travel insurance. I understand that my trip may be non-refundable and that I will not be covered in the event of an emergency. " value="no-i-do-not-want-to-add-travel-insurance-i-understand-that-my-trip-may-be-nonrefundable-and-that-i-will-not-be-covered-in-the-event-of-an-emergency-">No , I do not want to add travel insurance. I understand that my trip may be non-refundable and that I will not be covered in the event of an emergency. </option>&#13;
		</field>&#13;
		<field type="textarea" label="When completing the Travel Inquiry Form, please be sure to include any travel restrictions, preferred resort choices, cruise preferences, or other important details. The more information you provide, the better we can tailor your proposal to fit your needs." name="other" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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