<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="YOUR TRIP"/> <field type="text" required="true" label="Where would you like to go?" description="Enter as many as you want" placeholder="Italy Hawaii Japan Costa Rica, UK" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to go?" name="4-when-would-you-like-to-depart" className="form-control"/> <field type="text" required="true" label="How many days?" name="what-is-your-departure-city-" subtype="text" className="form-control"/> <field type="select" required="true" label="How many people are traveling?" name="how-many-people-are-traveling" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10+" value="10">10+</option> <option label="15+" value="15">15+</option> </field> <field type="radio-group" required="true" label="How much would you like to spend per person?" description="Please note we have a $10k per trip minimum" name="how-much-would-you-like-to-spend-per-person"> <option label="$5,000-8,000" value="50008000">$5,000-8,000</option> <option label="$8,000-11,000" value="800011000">$8,000-11,000</option> <option label="$11,000-14,000" value="1100014000">$11,000-14,000</option> <option label="$14,000-17,000" value="1400017000">$14,000-17,000</option> <option label="$17,000-$20,000" value="1700020000">$17,000-$20,000</option> <option label="$20,000 +" value="20000-">$20,000 +</option> </field> <field type="textarea" label="Any other comments or requests?" description="e.g. celebrating special occasion any must-do's/dont's" name="any-other-comments-or-requests" className="form-control"/> <field type="header" subtype="h1" label="YOUR DETAILS"/> <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="Email Address" name="email" subtype="text" className="form-control"/> <field type="text" label="Telephone" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us"> <option label="Andare' emails/newsletters" value="andare-emailsnewsletters">Andare' emails/newsletters</option> <option label="Friend or family" value="friend-or-family">Friend or family</option> <option label="I've enquired of you before" value="ive-enquired-of-you-before">I've enquired of you before</option> <option label="I've traveled with you before" value="ive-traveled-with-you-before">I've traveled with you before</option> <option label="Newspaper or magazine" value="newspaper-or-magazine">Newspaper or magazine</option> <option label="Search engine e.g. Google" value="search-engine-eg-google">Search engine e.g. Google</option> <option label="Travel + Leisure" value="travel-leisure">Travel + Leisure</option> <option label="Other" value="other">Other</option> <option label="Social Media" value="social-media">Social Media</option> <option label="Website or Blog" value="website-or-blog">Website or Blog</option> </field> <field type="header" subtype="h1" label="Please Note:"/> <field type="checkbox-group" required="true" label="To start crafting your tailored proposal and itinerary, a separate trip design fee is required, distinct from the price of your travel arrangements. Our complimentary planning call will allow us to delve into your travel vision, so we can fine-tune every detail to suit your preferences. The process is simple—one flat fee, with no hidden costs—offering you a seamless and sophisticated planning experience from beginning to end.&nbsp;" name="andare-luxury-travel-acts-solely-as-a-booking-agent-for-disclosed-principal-suppliers-and-is-not-the-source-or-provider-of-any-travel-service-each-supplier-is-an-independent-entity-with-its-own-management-and-is-not-subject-to-the-control-of-andareluxury-travel-for-this-reason-you-will-see-all-pricing-as-bundled-rates-and-not-broken-out-by-component-our-partners-do-not-provide-component-pricing-to-protect-their-contracts-therefore-andare-luxury-travel-is-not-able-to-provide-disclose-component-pricing-do-you-agree-and-understand-that-you-will-receive-all-pricing-as-a-package-rate"> <option label="Yes, I understand and agree" value="yes-i-understand-and-agree">Yes, I understand and agree</option> </field> <field type="paragraph" subtype="p" label="All details provided by you will be held by Andare Travel LLC and used in accordance with our privacy policy."/> </fields> </form-template> </body> </html>
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