<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="CLIENT INFORMATION&nbsp;"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="ABOUT YOUR TRIP:"/> <field type="text" required="true" label="Where would you like to go?" 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?" 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" required="true" 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> <option label="Maybe " value="maybe">Maybe </option> </field> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred airport of departure/city of origin?" description="Where do you prefer to leave from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Are you celebrating a special occasion on this trip? If yes, what is the occasion?" name="are-you-celebrating-an-occasion-on-this-trip-if-yes-what-is-the-occasion" subtype="text" className="form-control"/> <field type="text" required="true" label="At what phase of planning are you in?*&nbsp;" description="We are just starting to brainstorm and are open to suggestions. We have dates but we need everything else. Flights are all booked - now help us fill in the blanks!" name="at-what-phase-of-planning-are-you-in-" subtype="text" className="form-control"/> <field type="text" required="true" label="How much would you like to spend on this vacation (EXCLUDING FLIGHTS), hotels, local transportation, tours, activities and special experiences? Appointments without a budget will not be honored." name="how-much-would-you-like-to-spend-on-this-vacation-excluding-flights-hotels-local-transportation-tours-activities-and-special-experiences-appointments-without-a-budget-will-not-be-honored" subtype="text" className="form-control"/> <field type="text" required="true" label="Is budget more important or experience?" name="is-budget-more-important-or-experience" subtype="text" className="form-control"/> <field type="checkbox-group" label="Will you be booking any portion of your trip with points??" name="will-you-be-booking-any-portion-of-your-trip-with-points"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="What components would you like included in your proposal?" description="Check all that apply." name="what-components-would-you-like-included-in-your-proposal" other="true"> <option label="Flights " value="flights-">Flights </option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (transfer, rental car, train, etc.)" value="transportation-transfer-rental-car-train-etc">Transportation (transfer, rental car, train, etc.)</option> <option label="Insurance" value="insurance">Insurance</option> </field> <field type="radio-group" required="true" label="What best describes your accommodation style?" inline="true" name="what-best-describes-your-accommodation-style"> <option label="Boutique & Intimate" value="boutique-intimate">Boutique & Intimate</option> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> <option label="Both" value="both">Both</option> <option label="Other " value="describe">Other </option> </field> <field type="text" label="What your "must have" amenities at the hotel /resort/ villa?" name="what-your-must-have-amenities" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What options best describe your travel priorities? Check all that apply." description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Nightlife" value="nightlife">Nightlife</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="Multi-Generational" value="multigenerational">Multi-Generational</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" required="true" label="Can you confirm that all travelers have a current/ unexpired passport with at least 6 months of eligibility from the end date of your trip?" name="can-you-confirm-that-all-travelers-have-a-current-unexpired-passport-with-at-least-6-months-of-eligibility-from-the-end-date-of-your-trip"> <option label="Yes, I can confirm" value="yes-i-can-confirm">Yes, I can confirm</option> <option label="No, travelers will need to update their passports prior to travel" value="no-travelers-will-need-to-update-their-passports-prior-to-travel">No, travelers will need to update their passports prior to travel</option> </field> <field type="textarea" required="true" label="Describe your vision for your ideal vacation." name="tell-us-about-your-favorite-vacation-and-what-made-it-memorable" className="form-control"/> <field type="textarea" label="Tell us about your favorite vacation. What made it memorable?" name="tell-us-about-your-favorite-vacation-what-made-it-memorable" className="form-control"/> <field type="textarea" required="true" label="Tell us about your favorite travel memory." name="tell-us-about-your-favorite-travel-memory" className="form-control"/> <field type="textarea" required="true" label="Is there any place you've been that you would never go back?" name="is-there-any-place-youve-been-that-you-would-never-go-back" className="form-control"/> <field type="textarea" required="true" label="What would make this vacation a success for you?" name="what-would-make-this-vacation-a-success-for-you" className="form-control"/> <field type="text" label="What stresses you out about traveling?" name="what-stresses-you-out-about-traveling" subtype="text" className="form-control"/> <field type="text" label="What excites you about traveling" name="what-excites-you-about-traveling" subtype="text" className="form-control"/> <field type="text" label="You're in a new town and you pop into a bar. Do you order your usual drink? Or are you trying something new? Please answer this question for you and your travel partner" name="youre-in-a-new-town-and-you-pop-into-a-bar-do-you-order-your-usual-drink-or-are-you-trying-something-new-please-answer-this-question-for-you-and-your-travel-partner" subtype="text" className="form-control"/> <field type="text" required="true" label="You &amp; your partner's ideal day - do you have plans scheduled? Or just seeing where the day takes you?" name="your-your-partners-ideal-day-do-you-have-plans-scheduled-or-just-seeing-where-the-day-takes-you" subtype="text" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you hear about us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="radio-group" label="Would you like to be added to our newsletter?" inline="true" name="would-you-like-to-be-added-to-our-newsletter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</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="header" subtype="h2" label="ABOUT HARNAL TRAVEL&nbsp;"/> <field type="checkbox-group" label="Harnal 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 Harnal 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 Harnal Travel is not able to provide /disclose component pricing. Do you agree and understand that you will receive all pricing as a "package rate."" name="harnal-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-harnal-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-harnal-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" value="yes-i-understand">Yes, I understand</option> <option label="No, I decline" value="no-i-decline">No, I decline</option> </field> <field type="header" subtype="h2" label="TERMS &amp; CONDITIONS"/> <field type="checkbox-group" label="I accept the terms and conditions of Harnal Travel&nbsp;" name="i-accept-the-terms-and-conditions-of-harnal-travel-found-at-"> <option label="Yes, I agree" value="yes-i-agree">Yes, I agree</option> <option label="No, I decline" value="no-i-decline">No, I decline</option> </field> </fields> </form-template> </body> </html>
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