<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" 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" required="true" label="How many total travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Which travel services do you need at this time? Check all that apply.&nbsp;" name="which-travel-services-do-you-need-at-this-time-check-all-that-apply-"> <option label="Full Customized Travel Package" value="full-customized-travel-package">Full Customized Travel Package</option> <option label="Full Travel Package without air" value="full-travel-package-without-air">Full Travel Package without air</option> <option label="Hotel/resort(s)" value="hotelresorts">Hotel/resort(s)</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> </field> <field type="text" required="true" label="Where would you like to go for this particular request?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart? Or approximate date" 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"/> <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"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="if you need air priced, what is your approx budget per person?&nbsp;" name="if-you-need-air-priced-what-is-your-approx-budget-per-person-"> <option label="$500-$750 (We will do our best)" value="500750-we-will-do-our-best">$500-$750 (We will do our best)</option> <option label="$750-$1000 Economy Caribbean/Mexico" value="7501000-economy-caribbeanmexico">$750-$1000 Economy Caribbean/Mexico</option> <option label="$1000-$1500 (Economy Over seas or premium Caribbean /Mexico)" value="10001500-economy-over-seas-or-premium-caribbean-mexico">$1000-$1500 (Economy Over seas or premium Caribbean /Mexico)</option> <option label="$1500-$3000 (Comfort Plus or Premium Economy)" value="15003000-comfort-plus-or-premium-economy">$1500-$3000 (Comfort Plus or Premium Economy)</option> <option label="$3000-$5000 ( Premium Economy)" value="30005000-premium-economy">$3000-$5000 ( Premium Economy)</option> <option label="$5000-$8000 (Premium Economy maybe 1st Class) " value="50008000-premium-economy-maybe-1st-class-">$5000-$8000 (Premium Economy maybe 1st Class) </option> <option label="$8000-$10000 ( Business Class/First Class)" value="800010000-business-classfirst-class">$8000-$10000 ( Business Class/First Class)</option> <option label="greater than $10000 ( Business Class Lay down Seats) " value="greater-than-10000-business-class-lay-down-seats-">greater than $10000 ( Business Class Lay down Seats) </option> <option label="I do not need air" value="i-do-not-need-air">I do not need air</option> </field> <field type="checkbox-group" required="true" label="What is your approx total budget for all transportation not including tours&nbsp; (Pick up drop off from Airport/Hotel, trains, ferries, car rental)&nbsp;" name="what-is-your-approx-total-budget-for-all-transportation-not-including-tours-pick-up-drop-off-from-airporthotel-trains-ferries-car-rental-"> <option label=" I do not need transportation services" value="-i-do-not-need-transportation-services"> I do not need transportation services</option> <option label="$100-$300 total" value="100300-total">$100-$300 total</option> <option label="$300-$500 total " value="300500-total-">$300-$500 total </option> <option label="$500-$1000 total " value="5001000-total-">$500-$1000 total </option> <option label="Greater than $1000 ( Private and first class al the way)" value="greater-than-1000-private-and-first-class-al-the-way">Greater than $1000 ( Private and first class al the way)</option> </field> <field type="checkbox-group" required="true" label="What is your budget per night for hotels including taxes and breakfast where possible?&nbsp;" name="what-is-your-budget-per-night-for-hotels-including-taxes-and-breakfast-where-possible-"> <option label="$400-$500 (Think 3.5 star low season) " value="400500-think-35-star-low-season-">$400-$500 (Think 3.5 star low season) </option> <option label="$500-$600 ( 3.5 High season or 4 star low season) " value="500600-35-high-season-or-4-star-low-season-">$500-$600 ( 3.5 High season or 4 star low season) </option> <option label="$600-$800 ( 4 star High season or 4.5 star low season) Excluding exotics or Santorini" value="600800-4-star-high-season-or-45-star-low-season-excluding-exotics-or-santorini">$600-$800 ( 4 star High season or 4.5 star low season) Excluding exotics or Santorini</option> <option label="$800-$1000 ( 4.5 star low season or 5 star low season)" value="8001000-45-star-low-season-or-5-star-low-season">$800-$1000 ( 4.5 star low season or 5 star low season)</option> <option label="Greater than $1000 5 star all the way" value="greater-than-1000-5-star-all-the-way">Greater than $1000 5 star all the way</option> </field> <field type="checkbox-group" required="true" label="What is your approximate total budget per excursion? We do require Hotel bookings for all trips we plan.&nbsp;" name="what-is-your-approximate-total-budget-per-excursion-we-do-require-hotel-bookings-for-all-trips-we-plan-"> <option label="$100-$200 per person ( think group tour without transportation)" value="100200-per-person-think-group-tour-without-transportation">$100-$200 per person ( think group tour without transportation)</option> <option label="$200-$300 per person (same as above can be private tours under 3 hours" value="200300-per-person-same-as-above-can-be-private-tours-under-3-hours">$200-$300 per person (same as above can be private tours under 3 hours</option> <option label="$300-$500 per person Private with or without transportation 2-4 hours)" value="300500-per-person-private-with-or-without-transportation-24-hours">$300-$500 per person Private with or without transportation 2-4 hours)</option> <option label="Over$500 per person for each tour Private with transportation and tickets" value="over500-per-person-for-each-tour-private-with-transportation-and-tickets">Over$500 per person for each tour Private with transportation and tickets</option> <option label="I will plan my own activities or do not need any thankyou" value="i-will-plan-my-own-activities-or-do-not-need-any-thankyou">I will plan my own activities or do not need any thankyou</option> </field> <field type="checkbox-group" required="true" label="How many tours or activites would you like to experience?&nbsp;" name="how-many-tours-or-activites-would-you-like-to-experience-"> <option label="1-2 group" value="12-group">1-2 group</option> <option label="1-2 Private" value="12-private">1-2 Private</option> <option label="3-5 group" value="35-group">3-5 group</option> <option label="3-5 private" value="35-private">3-5 private</option> <option label="1-2 mix group and private" value="12-mix-group-and-private">1-2 mix group and private</option> <option label="3-5mixed group and private" value="35mixed-group-and-private">3-5mixed group and private</option> <option label="greater than 5 group" value="greater-than-5-group">greater than 5 group</option> <option label="greater than 5 private" value="greater-than-5-private">greater than 5 private</option> <option label="greater than 5 mixed group and private" value="greater-than-5-mixed-group-and-private">greater than 5 mixed group and private</option> </field> <field type="checkbox-group" required="true" label="What is your budget for travel advisor services?&nbsp;" name="what-is-your-budget-for-travel-advisor-services-"> <option label="$50 I just need consultation" value="50-i-just-need-consultation">$50 I just need consultation</option> <option label="$125 i just need you help to self book" value="125-i-just-need-you-help-to-self-book">$125 i just need you help to self book</option> <option label="$250 I would like for you to plan my air, hotel and transportation" value="250-i-would-like-for-you-to-plan-my-air-hotel-and-transportation">$250 I would like for you to plan my air, hotel and transportation</option> <option label="$350 I would like youto plan my air, hotel, transportation and activities" value="350-i-would-like-youto-plan-my-air-hotel-transportation-and-activities">$350 I would like youto plan my air, hotel, transportation and activities</option> <option label="$500 I want logistic planning for multiple destinations, for air, hotel, transportation and activities" value="500-i-want-logistic-planning-for-multiple-destinations-for-air-hotel-transportation-and-activities">$500 I want logistic planning for multiple destinations, for air, hotel, transportation and activities</option> <option label="I do not want to pay any fees for your time and service" value="i-do-not-want-to-pay-any-fees-for-your-time-and-service">I do not want to pay any fees for your time and service</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="textarea" label="I need full names and dates of birth for all travelers if you would like an estimate to review on our call&nbsp;" name="i-need-full-names-and-dates-of-birth-for-all-travelers" className="form-control"/> <field type="textarea" label="If you were referred to me, who referred you?&nbsp;" name="if-you-were-referred-to-me-who-referred-you-" className="form-control"/> <field type="header" subtype="h1" label="We appreciate your consideration to hire Lavishly Travel for this trip request. We offer an array of services and will review your request and be in touch to go over the services we feel may work for you.&nbsp;"/> </fields> </form-template> </body> </html>
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