<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="CLIENT INFORMATION"/> <field type="text" required="true" label="First Name:" name="first-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" required="true" label="Preferred Name:" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email Address:" 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="text" label="Street Address:" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="City:" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State:" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip:" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="ABOUT YOUR TRIP"/> <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="date" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes - I am flexible based on availability" value="yes-i-am-flexible-based-on-availability">Yes - I am flexible based on availability</option> <option label="No - I have specific dates that I must maintain" value="no-i-have-specific-dates-that-i-must-maintain">No - I have specific dates that I must maintain</option> </field> <field type="text" label="What is your departure city? Preferred starting airport?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Who all will be traveling with you? Please list all full names (including middle) and birthdates, as listed on passport." name="who-all-will-be-traveling-with-you-please-list-all-full-names-including-middle-and-birthdates-as-listed-on-passport" className="form-control"/> <field type="radio-group" label="At what phase of planning are you currently in?" name="at-what-phase-of-planning-are-you-in"> <option label="I’m just beginning the planning process" value="im-just-beginning-the-planning-process">I’m just beginning the planning process</option> <option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option> <option label="We have hotels and flights already booked" value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers? This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later"> <option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5,000 - $7,000" value="5000-7000">$5,000 - $7,000</option> <option label="$7,000 - $10,000" value="7000-10000">$7,000 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="textarea" label="Will you be booking any portion of your trip with points? If so, which pieces?" name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces" className="form-control"/> <field type="checkbox-group" label="What travel components would you like us to assist you with? Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (car rental, trains, etc.)" value="transportation-car-rental-trains-etc">Transportation (car rental, trains, etc.)</option> <option label="Excursions & tours" value="excursions-tours">Excursions & tours</option> <option label="Insurance" value="insurance">Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What best describes your desired accommodation style?" name="what-best-describes-your-desired-accommodation-style"> <option label="Luxury & exclusive" value="luxury-exclusive">Luxury & exclusive</option> <option label="Boutique & charming" value="boutique-charming">Boutique & charming</option> <option label="Centrally located & functional" value="centrally-located-functional">Centrally located & functional</option> <option label="Large resort" value="large-resort">Large resort</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="What are your amenity “must haves”? Is there anything you would want your hotels to have such as a pool, on-site restaurant, bar, etc.?" name="what-are-your-amenity-musthaves-" className="form-control"/> <field type="checkbox-group" label="What options best describe your travel priorities? Check all that apply." name="what-options-best-describe-your-travel-priorities-checkbox-group"> <option label="Local culture & education" value="local-culture-education">Local culture & education</option> <option label="Art & architecture" value="art-architecture">Art & architecture</option> <option label="Food & wine" value="food-wine">Food & wine</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views & landscapes" value="dramatic-views-landscapes">Dramatic views & landscapes</option> <option label="Spa & wellness" value="spa-wellness">Spa & wellness</option> <option label="Rest & relaxation" value="rest-relaxation">Rest & relaxation</option> </field> <field type="textarea" label="What else would you like me to know about your ideal vacation?&nbsp;" name="describe-your-vision-for-your-ideal-vacation" className="form-control"/> <field type="text" label="Do any travelers have allergies that I should be aware of? I will do my best to accommodate." name="do-any-travelers-have-allergies-that-i-should-be-aware-of-" subtype="text" className="form-control"/> <field type="text" label="Who can I thank for referring you to us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to be subscribed to our company newsletter?&nbsp;" name="would-you-like-to-be-subscribed-to-our-newsletter-and-travel-updates" className="form-control"> <option label="Yes- sign me up!" value="yes-sign-me-up">Yes- sign me up!</option> <option label="No, I get too many emails" value="no-i-get-too-many-emails">No, I get too many emails</option> </field> <field type="paragraph" subtype="p" label="By submitting this client inquiry form, you consent to receive travel related content via email from Rose Hill Travel."/> <field type="paragraph" subtype="p" label="&nbsp;"/> </fields> </form-template> </body> </html>
SUBMIT
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Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
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Hawaiian Airlines (HawaiianMiles)
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Red Roof Inn (RediCard)
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Cosmopolitan Hotels (Identity)
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RIU Hotels & Resorts (RIU Class)
Easyjet
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Hotelbooker.org
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Yelloh! Village (Yelloh! Plus)
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Sandals Select Guest (SSG)
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Relais and Chateaux 5C
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Dorchester Diamond
Peninsula Pen
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Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways