<html> <body> <form-template> <fields> <field label="Travel Adventure Planning Sheet" subtype="h2" type="header"/> <field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field label="Phone number" name="phone-number" subtype="text" type="text" className="form-control"/> <field label="Type of adventure requested" name="type-of-adventure-requested" other="true" type="checkbox-group"> <option label="Ocean Cruise Vacation" value="ocean-cruise-vacation">Ocean Cruise Vacation</option> <option label="River Cruise Vacation" value="river-cruise-vacation">River Cruise Vacation</option> <option label="Adventure /Expedition Cruise Vacation" value="adventure-expedition-cruise-vacation">Adventure /Expedition Cruise Vacation</option> <option label="Cruise and Land Package Vacation" value="cruise-and-land-package-vacation">Cruise and Land Package Vacation</option> <option label="Land Package Vacation Only" value="land-package-vacation-only">Land Package Vacation Only</option> </field> <field description="If you're not sure just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" type="date" className="form-control"/> <field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" type="date" className="form-control"/> <field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> </field> <field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/> <field label="How many travelers?" name="number-of-travelers" type="text" className="form-control"/> <field label="Number of adults and ages at time of travel" name="number-of-adults-and-ages-at-time-of-travel" subtype="text" type="text" className="form-control"/> <field label="Number of children and ages at time of travel" name="number-of-children-and-ages-at-time-of-travel" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general starting point and can always be changed later." label="What is the per person budget for your travel adventure?" name="what-is-the-per-person-budget-for-your-travel-adventure" subtype="text" type="text" className="form-control"/> <field label="What best describes your hotel preference?" name="hotel-preference" other="true" type="radio-group"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" type="checkbox-group"> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> </field> <field description="Check all that apply" label="What activities are you interested in?" name="activity-preferences" other="true" type="checkbox-group"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Culinary experience" value="culinary-experience">Culinary experience</option> </field> <field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/> <field description="What else would you like me to know about your travelers budget and/or travel preferences?" label="What else would you like me to know?" name="notes" subtype="textarea" type="textarea" className="form-control"/> <field label="When you have submitted this form&nbsp; you will be contacted for your complimentary consultation.&nbsp; Following the initial consultation&nbsp; &nbsp;the following service fee will be collected before a quote can be prepared.CRUISE AND TRAVEL VENTURES LLC’S TRAVEL PLANNING SERVICE FEESService Fee Structure• Initial Phone Consultation Fee: [Complimentary]• Cruise Package Planning Fee: [$50.00]• Land Package Planning Fee: [$100.00]• Cruise Package with Pre/Post Land Package: [$125.00]• Group Planning Fee (8+travelers), per person: [$25.00]• U.S. Domestic Air Only Ticketing Fee, per person: [$25.00]• International Air Only Ticketing Fee, per person: [$35.00]• CRUISE AND TRAVEL VENTURES LLC Change Fee, per person: [$10.00]• Excessive Itinerary Proposal Revisions, per additional revision, at discretion of CRUISE AND TRAVEL VENTURES, LLC [$50.00]Fees are payable by debit or credit card (credit card preferred) via emailed invoice link. Debit and Credit cards incur a 3.5% + $0.30 fee.&nbsp; CRUISE AND TRAVEL VENTURES, LLC fees are separate from the cost of your trip and may be split between multiple travelers." subtype="p" type="paragraph"/> </fields> </form-template> </body> </html>
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