Share your information with Debbra Snow-Cain

Debbra Snow-Cain

Bronze Luxe Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Bronze Luxe Travel designs small-group trips for curious, moderately active travelers who value authentic cultural experiences, connection, and effortless luxury. We create enriching experiences for social clubs, organizations, families, and friend groups who love exploring the world together."/>&#13;
		<field type="paragraph" subtype="p" label="Once you complete the Travel Interest Form below, you will receive a link to schedule a short travel discovery video call. During this call, we’ll dive deeper into your trip details and give you a chance to get to know me and the Bronze Luxe Travel experience better."/>&#13;
		<field type="header" subtype="h2" label="Full Name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Contact Information"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" 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="radio-group" required="true" label="Preferred Contact Method" name="preferred-contact-method">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone call" value="phone-call">Phone call</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="No preference " value="no-preference-">No preference </option>&#13;
		</field>&#13;
		<field type="text" required="true" 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="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="text-1738729749200" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Your party includes" description="Check all that apply." name="radio-group-1738729751016">&#13;
			<option label="Infant/Toddler" value="infanttoddler">Infant/Toddler</option>&#13;
			<option label="Children (&lt;13 yrs)" value="children-13-yrs">Children (&lt;13 yrs)</option>&#13;
			<option label="Teens (13-19 yrs)" value="teens-1319-yrs">Teens (13-19 yrs)</option>&#13;
			<option label="Adults (20-59 yrs)" value="adults-2059-yrs">Adults (20-59 yrs)</option>&#13;
			<option label="Seniors (60 yrs +)" value="seniors-60-yrs-">Seniors (60 yrs +)</option>&#13;
			<option label="Travelers who require physical accommodations" value="travelers-who-require-physical-accommodations">Travelers who require physical accommodations</option>&#13;
			<option label="Travelers who use mobility or assistive devices" value="travelers-who-use-mobility-or-assistive-devices">Travelers who use mobility or assistive devices</option>&#13;
			<option label="Veterans/Military" value="veteransmilitary">Veterans/Military</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is the per person budget person?" description="This just gives me a general starting point and can always be changed later." name="radio-group-1738729756641">&#13;
			<option label="$10,000+ per person" value="10000-per-person">$10,000+ per person</option>&#13;
			<option label="$8,500 to $10,000 per person" value="8500-to-10000-per-person">$8,500 to $10,000 per person</option>&#13;
			<option label="$5,000 to $8,500 per person" value="5000-to-8500-per-person">$5,000 to $8,500 per person</option>&#13;
			<option label="$3000 to $5000 per person" value="3000-to-5000-per-person">$3000 to $5000 per person</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" description="Check all that apply." name="hotel-preference" other="true">&#13;
			<option label="3 star" value="3-star">3 star</option>&#13;
			<option label="4 star" value="4-star">4 star</option>&#13;
			<option label="5 star" value="5-star">5 star</option>&#13;
			<option label="Boutique hotel" value="boutique-hotel">Boutique hotel</option>&#13;
			<option label="Large hotel" value="large-hotel">Large hotel</option>&#13;
			<option label="All inclusive resorts (meals/drinks)" value="all-inclusive-resorts-mealsdrinks">All inclusive resorts (meals/drinks)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your room view or cruise cabin preferences?" name="what-best-describes-your-room-view-or-cruise-cabin-preferences" other="true">&#13;
			<option label="Oceanfront" value="oceanfront">Oceanfront</option>&#13;
			<option label="Ocean view" value="ocean-view">Ocean view</option>&#13;
			<option label="Garden view" value="garden-view">Garden view</option>&#13;
			<option label="Suite " value="suite-">Suite </option>&#13;
			<option label="Balcony " value="balcony-">Balcony </option>&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your ground transportation preferences during your trip?" name="radio-group-1760062870595">&#13;
			<option label="Private transportation (driver, car service, or private transfers)" value="private-transportation-driver-car-service-or-private-transfers">Private transportation (driver, car service, or private transfers)</option>&#13;
			<option label="Shared transportation (group transfers or shared shuttles)" value="shared-transportation-group-transfers-or-shared-shuttles">Shared transportation (group transfers or shared shuttles)</option>&#13;
			<option label="Explore independently (rental car, ride shares)" value="explore-independently-rental-car-ride-shares">Explore independently (rental car, ride shares)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="text" label="Meal preference or dietary restrictions" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Vibe"/>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply." name="activity-preferences" other="true">&#13;
			<option label="Culinary classes" value="culinary-classes">Culinary classes</option>&#13;
			<option label="Private or semi private cultural tours with expert guides" value="private-or-semi-private-cultural-tours-with-expert-guides">Private or semi private cultural tours with expert guides</option>&#13;
			<option label="Adventure expeditions or activities" value="adventure-expeditions-or-activities">Adventure expeditions or activities</option>&#13;
			<option label="Villa rentals with personal staff" value="villa-rentals-with-personal-staff">Villa rentals with personal staff</option>&#13;
			<option label="Wellness retreats or detox programs" value="wellness-retreats-or-detox-programs">Wellness retreats or detox programs</option>&#13;
			<option label="Hot air balloon ride" value="hot-air-balloon-ride">Hot air balloon ride</option>&#13;
			<option label="VIP Access to major events (sports, festivals, performances)" value="vip-access-to-major-events-sports-festivals-performances">VIP Access to major events (sports, festivals, performances)</option>&#13;
			<option label="Wine tastings" value="wine-tastings">Wine tastings</option>&#13;
			<option label="Helicopter tours" value="helicopter-tours">Helicopter tours</option>&#13;
			<option label="Private jets" value="private-jets">Private jets</option>&#13;
			<option label="Fine dining experiences" value="fine-dining-experiences">Fine dining experiences</option>&#13;
			<option label="Exclusive golf course access" value="exclusive-golf-course-access">Exclusive golf course access</option>&#13;
			<option label="Ocean or river cruise" value="ocean-or-river-cruise">Ocean or river cruise</option>&#13;
			<option label="Beach and or water" value="beach-and-or-water">Beach and or water</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Spiritual and sacred sites" value="spiritual-and-sacred-sites">Spiritual and sacred sites</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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