<html> <body> <form-template> <fields> <field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Middle name" name="middle-name" 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="Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field description="This provides a general idea of when you like to go; it can be changed later." label="Departure Date:" name="starting-at" required="true" type="date" className="form-control"/> <field label="Are your dates flexible?" name="dates-flexible" required="true" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" required="true" subtype="text" type="text" className="form-control"/> <field label="Number of Nights:" name="number-of-nights" placeholder="..." required="true" type="select" className="form-control"> <option label="Less than 7 nights" value="less-than-7-nights">Less than 7 nights</option> <option label="7 nights" value="7-nights">7 nights</option> <option label="8 nights" value="8-nights">8 nights</option> <option label="9 nights" value="9-nights">9 nights</option> <option label="10 nights" value="10-nights">10 nights</option> <option label="11 nights" value="11-nights">11 nights</option> <option label="12 nights" value="12-nights">12 nights</option> <option label="13 nights" value="13-nights">13 nights</option> <option label="14 nights" value="14-nights">14 nights</option> <option label="15 nights" value="15-nights">15 nights</option> <option label="16 nights" value="16-nights">16 nights</option> <option label="More than 16 nights" value="more-than-16-nights">More than 16 nights</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: Rome Italy" required="true" subtype="text" type="text" className="form-control"/> <field label="Number of adults" name="number-of-travelers" required="true" type="text" value="1" className="form-control"/> <field label="Age Group of Adults" name="age-group-of-adults" required="true" type="checkbox-group"> <option label="18-30" value="1830">18-30</option> <option label="31-50" value="3150">31-50</option> <option label="50-65" value="5065">50-65</option> <option label="65+" value="65">65+</option> </field> <field label="Traveling with children?" name="traveling-with-children" required="true" type="radio-group"> <option label="Yes" selected="selected" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field label="Number of children" name="number-of-children" subtype="text" type="text" className="form-control"/> <field label="Age Group of Children" name="age-group-of-children" type="checkbox-group"> <option label="0-2" value="02">0-2</option> <option label="3-6" value="36">3-6</option> <option label="7-10" value="710">7-10</option> <option label="11-14" value="1114">11-14</option> <option label="15-17" value="1517">15-17</option> </field> <field label="Type of Travel" name="type-of-travel" placeholder="..." required="true" type="select" className="form-control"> <option label="Custom Trip Package (on your own schedule with private or shared activities) " selected="selected" value="custom-trip-package-on-your-own-schedule-with-private-or-shared-activities-">Custom Trip Package (on your own schedule with private or shared activities) </option> <option label="Scheduled Group Tour (multi-day guided group tour)" value="scheduled-group-tour-multiday-guided-group-tour">Scheduled Group Tour (multi-day guided group tour)</option> </field> <field label="What best describes your hotel preference?" name="hotel-preference" other="true" required="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 label="Services Needed:" name="services-needed" required="true" type="checkbox-group"> <option label="Activities + Unique Experiences" value="activities-unique-experiences">Activities + Unique Experiences</option> <option label="Tour Guides" value="tour-guides">Tour Guides</option> <option label="In-Country Transportation" value="incountry-transportation">In-Country Transportation</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Flights" value="flights">Flights</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> </field> <field description="This just provides a general starting point and can always be changed later." label="Per Person Budget for Entire Trip" name="per-person-budget-for-entire-trip" placeholder="..." required="true" type="select" className="form-control"> <option label="Per Person: $1500 to $2000" selected="selected" value="per-person-1500-to-2000">Per Person: $1500 to $2000</option> <option label="Per Person: $2000 to $2500" value="per-person-2000-to-2500">Per Person: $2000 to $2500</option> <option label="Per Person: $2500 to $3000" value="per-person-2500-to-3000">Per Person: $2500 to $3000</option> <option label="Per Person: $3000 to $4000" value="per-person-3000-to-4000">Per Person: $3000 to $4000</option> <option label="Per Person: $4000 to $5000" value="per-person-4000-to-5000">Per Person: $4000 to $5000</option> <option label="Per Person: $5000 to $6000" value="per-person-5000-to-6000">Per Person: $5000 to $6000</option> <option label="Per Person: $6000 to $7000" value="per-person-6000-to-7000">Per Person: $6000 to $7000</option> <option label="Per Person: $7000 to $8000" value="per-person-7000-to-8000">Per Person: $7000 to $8000</option> <option label="Per Person: $8000 to $9000" value="per-person-8000-to-9000">Per Person: $8000 to $9000</option> <option label="Per Person: $9000 to $10,000" value="per-person-9000-to-10000">Per Person: $9000 to $10,000</option> <option label="Per Person: $10,000 to $12,500" value="per-person-10000-to-12500">Per Person: $10,000 to $12,500</option> <option label="Per Person: Over $12,500" value="per-person-over-12500">Per Person: Over $12,500</option> </field> <field label="International Flights included in Budget?" name="flights-included-in-budget" required="true" type="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field label="Is Budget Flexible?" name="is-budget-flexible" placeholder="..." required="true" type="select" className="form-control"> <option label="I prefer not to increase my budget." selected="selected" value="i-prefer-not-to-increase-my-budget">I prefer not to increase my budget.</option> <option label="I can increase my budget up to 20%." value="i-can-increase-my-budget-up-to-20">I can increase my budget up to 20%.</option> <option label="I have a very flexible budget." value="i-have-a-very-flexible-budget">I have a very flexible budget.</option> </field> <field label="Stage in Planning:" name="stage-in-planning" placeholder="..." required="true" type="select" className="form-control"> <option label="Still dreaming; not sure if I'm going." selected="selected" value="still-dreaming-not-sure-if-im-going">Still dreaming; not sure if I'm going.</option> <option label="I'm going, but I'm not sure when." value="im-going-but-im-not-sure-when">I'm going, but I'm not sure when.</option> <option label="I'm definitely going and have chosen the dates." value="im-definitely-going-and-have-chosen-the-dates">I'm definitely going and have chosen the dates.</option> </field> <field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" required="true" type="checkbox-group"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</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> </field> <field description="Any specific areas of Italy or interests (i.e. culture food wine romance, adventure, etc.)? Special occasion? Relaxing vs. fast-paced trip?" label="What would you like to see and do?" name="must-dos" placeholder="The more you tell us the better!" required="true" 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="Are you celebrating any milestones on this trip?" name="notes" placeholder="Birthday? Honeymoon? Anniversary?" type="textarea" className="form-control"/> <field label="How did you hear about us?" name="how-did-you-hear-about-us" other="true" type="checkbox-group"> <option label="Search engine (Google, Yahoo, etc.)" selected="selected" value="search-engine-google-yahoo-etc">Search engine (Google, Yahoo, etc.)</option> <option label="Recommended by a friend or colleague" value="recommended-by-a-friend-or-colleague">Recommended by a friend or colleague</option> <option label="Social Media (Facebook, Instagram, etc.)" value="social-media-facebook-instagram-etc">Social Media (Facebook, Instagram, etc.)</option> <option label="Blog or publication" value="blog-or-publication">Blog or publication</option> </field> <field description="Please enter an email address if you know it!" label="If recommended by a friend or colleague, who can we thank?" name="if-recommended-by-a-friend-or-colleague-who-can-we-thank" subtype="text" type="text" className="form-control"/> </fields> </form-template> </body> </html>
Submit form
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
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
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways