<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Resort Quote Request"/> <field type="paragraph" subtype="p" label="Please fill out the form below to help me find the perfect resort that meets your needs and preferences. All quotes are for high-quality resorts starting at 4-star ratings. Please allow 7-10 days from your deposit-ready date for me to curate your well-deserved vacation. Prices and availability are subject to change until a deposit or payment is made and confirmed. Air travel reservations are optional and can be self-booked if you prefer."/> <field type="header" subtype="h1" label="Contact Information"/> <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="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" label="Country" name="address-country" 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="radio-group" required="true" label="Payment Option" name="payment-option"> <option label="Full Payment" value="full-payment">Full Payment</option> <option label="Deposit with Monthly Payments" value="deposit-with-monthly-payments">Deposit with Monthly Payments</option> <option label="Reduced Deposit with Monthly Payments (Fees May Apply)" value="reduced-deposit-with-monthly-payments-fees-may-apply">Reduced Deposit with Monthly Payments (Fees May Apply)</option> <option label="Financing with Uplift" value="financing-with-uplift">Financing with Uplift</option> </field> <field type="date" required="true" label="What date will you be deposit or payment ready? This is the time I will begin researching your trip. Prices change within minutes. Today's prices may not be tomorrow's prices.&nbsp;" description="What date will you be making your first payment to secure your trip?" name="what-date-will-you-be-ready-to-put-down-a-deposit" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for this trip for each individual traveler?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,000 to $2,500" value="1000-to-2500">$1,000 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="header" subtype="h1" label="Trip Information"/> <field type="text" required="true" label="Are you celebrating anything?" description="Birthday Honeymoon Anniversary Girls Trip etc." name="are-you-celebrating-anything" subtype="text" className="form-control"/> <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?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city and state?" description="What city will you be flying out of?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would you like flight information included?" name="would-you-like-flight-information-included"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="text" required="true" label="How many adult travelers?" name="number-of-travelers" value="0" subtype="text" className="form-control"/> <field type="text" required="true" label="How many children travelers?" name="number-1523378007739" value="0" subtype="text" className="form-control"/> <field type="text" required="true" label="What are the ages of all travelers?" name="what-are-the-ages-of-all-travelers" value="0" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="HOTEL AND RESORT VACATION"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true"> <option label="Select One" value="select-one">Select One</option> <option label="Economy" value="economy">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="text" label="Number of nights?" name="number-1545008858239" value="0" subtype="text" className="form-control"/> <field type="text" label="Preferred Hotel&nbsp;" placeholder="Frequent Guest Rewards Program" name="preferred-hotel-" subtype="text" className="form-control"/> <field type="text" label="Number of rooms with King beds?" name="number-1545008931665" value="0" subtype="text" className="form-control"/> <field type="text" label="Number of rooms with two double beds?" name="number-1545009033198" value="0" subtype="text" className="form-control"/> <field type="text" label="Number of Suites?" name="number-1545009065670" value="0" subtype="text" className="form-control"/> <field type="text" label="If more than one room is needed, please state how many individuals to a room and their ages." name="if-more-than-one-room-is-needed-please-state-how-many-individuals-to-a-room-and-their-ages" subtype="text" className="form-control"/> <field type="radio-group" label="Room Type" inline="true" name="room-type"> <option label="Standard" value="standard">Standard</option> <option label="Garden View" value="garden-view">Garden View</option> <option label="Ocean View/Front" value="ocean-viewfront">Ocean View/Front</option> <option label="Suite" value="suite">Suite</option> </field> <field type="checkbox-group" label="Features" description="Check all that apply" inline="true" name="checkbox-group-1523380534070" other="true"> <option label="Select All That Apply" value="select-all-that-apply">Select All That Apply</option> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Concierge Level" value="concierge-level">Concierge Level</option> <option label="Suite/Jr. Suite" value="suitejr-suite">Suite/Jr. Suite</option> <option label="On the Beach" value="on-the-beach">On the Beach</option> <option label="Near City Center" value="near-city-center">Near City Center</option> <option label="Kids Club" value="kids-club">Kids Club</option> <option label="Near Air/Cruise Port" value="near-aircruise-port">Near Air/Cruise Port</option> <option label="Luxury Resort" value="luxury-resort">Luxury Resort</option> <option label="Activities On-Site" value="activities-onsite">Activities On-Site</option> <option label="Restaurant On-Site" value="restaurant-onsite">Restaurant On-Site</option> <option label="Microwave in room" value="microwave-in-room">Microwave in room</option> <option label="Refrigerator in room" value="refrigerator-in-room">Refrigerator in room</option> <option label="Kitchenette" value="kitchenette">Kitchenette</option> <option label="Handicap Accessible" value="handicap-accessible">Handicap Accessible</option> <option label="First Floor" value="first-floor">First Floor</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." inline="true" name="vibe-preference" other="true"> <option label="Select All That Apply" value="select-all-that-apply">Select All That Apply</option> <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="Party" value="party">Party</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 type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" inline="true" name="activity-preferences" other="true"> <option label="Select All That Apply" value="select-all-that-apply">Select All That Apply</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="Shopping" value="shopping">Shopping</option> <option label="Food & Wine Tasting" value="food-wine-tasting">Food & Wine Tasting</option> <option label="Beach and water" value="beach-and-water">Beach and water</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <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="h1" label="CAR RENTAL"/> <field type="radio-group" required="true" label="Do &nbsp;you need a rental car?" inline="true" name="radio-group-1524535737779"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Car Preference" placeholder="Frequent Rental Rewards Program" name="car-preference" subtype="text" className="form-control"/> <field type="checkbox-group" label="Car Category" description="Check all that apply" inline="true" name="checkbox-group-1523381023759"> <option label="Select One" value="select-one">Select One</option> <option label="Compact" value="compact">Compact</option> <option label="Mid Size" value="mid-size">Mid Size</option> <option label="Full Size" value="full-size">Full Size</option> <option label="Luxury" value="luxury">Luxury</option> <option label="SUV" value="suv">SUV</option> <option label="Multi Passenger Van" value="multi-passenger-van">Multi Passenger Van</option> </field> <field type="header" subtype="h1" label="Hotel Transfers"/> <field type="radio-group" required="true" label="If yes, do you agree to provide your flight information upon final payment?" name="if-yes-do-you-agree-to-provide-your-flight-information-upon-final-payment"> <option label="Yes, shared transfer" value="yes-shared-transfer">Yes, shared transfer</option> <option label="Yes, private transfer" value="yes-private-transfer">Yes, private transfer</option> <option label="No, transfers are not needed" value="no-transfers-are-not-needed">No, transfers are not needed</option> </field> <field type="header" subtype="h1" label="Military Status"/> <field type="select" required="true" label="Select" name="select-1544985997649" className="form-control"> <option label="Select One" value="select-one">Select One</option> <option label="Active" value="active">Active</option> <option label="Retired" value="retired">Retired</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="Add-ons" description="ex: Navigation Car Seat etc." name="addons" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Other Information&nbsp;"/> <field type="textarea" label="What if any ADA or special needs do you have?" description="ex. wheelchair oxygen etc." name="is-there-anything-else-that-you-want-me-to-know" className="form-control"/> <field type="text" required="true" label="T-shirt Size" name="tshirt-size" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Passport"/> <field type="radio-group" required="true" label="Does everyone in your party (including children) have passports that are valid and up to date? MUST BE VALID FOR AT LEAST 6 MONTHS AFTER YOUR VACATION RETURN DATE AND HAVE A MINIMUM OF TWO BLANK PAGES!" name="does-everyone-in-your-party-including-children-have-passports-that-are-valid-and-up-to-date-must-be-valid-for-at-least-6-months-after-your-vacation-return-date-and-have-a-minimum-of-two-blank-pages"> <option label="Yes, I will supply you with a copy upon booking my trip." value="yes-i-will-supply-you-with-a-copy-upon-booking-my-trip">Yes, I will supply you with a copy upon booking my trip.</option> <option label="No, but I plan on getting it soon (waiver must be signed)." value="no-but-i-plan-on-getting-it-soon-waiver-must-be-signed">No, but I plan on getting it soon (waiver must be signed).</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="radio-group" required="true" label="Travel insurance is highly recommended for the protection of your investment. Travel insurance must be paid in full at the time of booking. If you Do Not wish to purchase travel insurance please click no below. By clicking no below you fully understand that your travel agent is not liable or responsible for any expense incurred as a result of cancellation &amp; interruption, emergency medical/transportation,&nbsp; baggage &amp; personal effects, flight &amp; travel accident, and/or rental car physical damage.&nbsp;&nbsp;" name="travel-insurance-must-be-paid-in-full-at-the-time-of-booking-if-you-do-not-wish-to-purchase-travel-insurance-please-initial-below-by-clicking-no-below-you-fully-understand-that-your-travel-agent-is-not-liable-or-responsible-for-any-expense-incurred-as-a-result-of-cancellation-interruption-emergency-medicaltransportation-baggage-personal-effects-flight-travel-accident-andor-rental-car-physical-damage-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to receive promotions and travel information from Travel in Tranquility?" name="radio-group-1727297231696"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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