Share your information with Kourtney Emmert

Kourtney Emmert

Glorious Travels

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Please complete the form below with your travel details. The more accurate and detailed your information, the better I can tailor your trip to fit your preferences, budget, and travel goals—ensuring a smooth, stress-free, and unforgettable experience from start to finish."/>&#13;
		<field type="header" subtype="h1" label="Name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Contact"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred Contact Method:&amp;nbsp;" name="preferred-contact-method-">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone Call" value="phone-call">Phone Call</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Deal Details"/>&#13;
		<field type="text" required="true" label="Deal Name or Deal Code (as listed in the ad):" name="text-1741331975083" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to make any modifications to this deal?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="If yes, what modifications would you like? (check all that apply)" name="if-yes-what-modifications-would-you-like-check-all-that-apply" other="true">&#13;
			<option label="Increase/decrease the number of travelers" value="increasedecrease-the-number-of-travelers">Increase/decrease the number of travelers</option>&#13;
			<option label="Change travel dates (if allowed)" value="change-travel-dates-if-allowed">Change travel dates (if allowed)</option>&#13;
			<option label="Room upgrade request" value="room-upgrade-request">Room upgrade request</option>&#13;
			<option label="Add additional amenities (spa, excursions, dining, etc.)" value="add-additional-amenities-spa-excursions-dining-etc">Add additional amenities (spa, excursions, dining, etc.)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Traveler Information"/>&#13;
		<field type="textarea" required="true" label="Number of Travelers (Adults &amp;amp; Children + Ages of Children):" name="number-of-travelers-adults-children-ages-of-children" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you need a single or double occupancy room?" inline="true" name="radio-group-1741518829526">&#13;
			<option label="Single" value="single">Single</option>&#13;
			<option label="Double" value="double">Double</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Bed Type:" inline="true" name="radio-group-1741518629294">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="Two Queens" value="two-queens">Two Queens</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Any special requests?" placeholder="e.g.  handicap-accessible room, adjoining rooms, etc." name="travel-dates-or-estimated-timeframe" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Flight Information (If Flights Are Included in the Deal)"/>&#13;
		<field type="text" label="What airport do you plan to fly out of?" name="departure-city-airport-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you need different departure airports for multiple travelers?" inline="true" name="do-you-need-flight-recommendations">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like to add flight options if they are not included in the deal?" inline="true" name="radio-group-1741518869376">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Accommodation &amp;amp; Add-Ons"/>&#13;
		<field type="radio-group" required="true" label="Would you like to request a room upgrade (if available)?" inline="true" name="radio-group-1741519124450">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Would you like to add any extras to your stay? (Check all that apply)" inline="true" name="preferred-hotelresort-amenities-check-all-that-apply" other="true">&#13;
			<option label="All-Inclusive Upgrade (If available)" value="allinclusive-upgrade-if-available">All-Inclusive Upgrade (If available)</option>&#13;
			<option label="Airport Transfers" value="airport-transfers">Airport Transfers</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
			<option label="Excursions &amp; Activities" value="excursions-activities">Excursions &amp; Activities</option>&#13;
			<option label="Spa Services (If available)" value="spa-services-if-available">Spa Services (If available)</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="Are your travel dates flexible?" inline="true" name="radio-group-1741518933879">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If flexible, provide alternate dates:" name="text-1741514028043" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to extend your stay?&amp;nbsp;" inline="true" name="radio-group-1741519163945">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Final Details"/>&#13;
		<field type="textarea" label="Do you have any special requests or additional comments?" name="do-you-have-any-special-requests-or-additional-comments" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="I understand that travel deals are based on live pricing and availability, and changes may result in a price adjustment." name="i-understand-that-this-service-includes-research-only-and-bookings-are-my-responsibility-unless-otherwise-noted">&#13;
			<option label="Yes, I agree" value="yes-i-agree">Yes, I agree</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="📌&amp;nbsp; Once your request is submitted, you will receive an email within 24-48 hours with an invoice for the appropriate deposit and/or service fees. Upon payment I will review your request and get back to you with any updates or modifications. If your requested changes impact the deal price, I will provide a revised quote."/>&#13;
		<field type="header" subtype="h1" label="📌&amp;nbsp; For details on deposits and service fees, please refer to: https://www.forhisglorytravels.com/deposits-pricing"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>