Share your information with Kourtney Emmert

Kourtney Emmert

Glorious Travels

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing my flight booking service! Please complete the form below with your travel details. The more accurate the information, the better I can find the best flight options for you."/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h2" label="Personal Information"/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h1" label="Name (as it appears on your ID/passport):"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" 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:" 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="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h2" label="Departure &amp;amp; Return Details"/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="text" required="true" label="Departure City &amp;amp; Airport:" name="departure-city-airport" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Arrival City &amp;amp; Airport:" name="arrival-city-airport" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date:" name="departure-date" className="form-control"/>&#13;
		<field type="date" label="Return Date (if round-trip):" name="return-date-if-roundtrip" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Flight Preferences&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Trip Type:" inline="true" name="trip-type">&#13;
			<option label="One-Way" value="oneway">One-Way</option>&#13;
			<option label="Round-Trip " value="roundtrip-">Round-Trip </option>&#13;
			<option label="Multi-City (additional charge applies)" value="multicity-additional-charge-applies">Multi-City (additional charge applies)</option>&#13;
		</field>&#13;
		<field type="text" label="Preferred Airlines (if any):" name="preferred-airlines-if-any" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Seat Preference:&amp;nbsp;" inline="true" name="seat-preference-">&#13;
			<option label="Window " value="window-">Window </option>&#13;
			<option label="Aisle " value="aisle-">Aisle </option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Class of Service:" inline="true" name="class-of-service">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Premium Economy" value="premium-economy">Premium Economy</option>&#13;
			<option label="Business Class " value="business-class-">Business Class </option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you require a refundable ticket?" inline="true" name="do-you-require-a-refundable-ticket">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h2" label="Budget &amp;amp; Flexibility"/>&#13;
		<field type="text" required="true" label="Estimated Flight Budget (per person):" name="estimated-flight-budget-per-person" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are your travel dates flexible?&amp;nbsp;" inline="true" name="are-your-travel-dates-flexible-">&#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="if-flexible-provide-alternate-dates" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h2" label="Travelers Information"/>&#13;
		<field type="text" required="true" label="Number of Adults (18+):" name="number-of-adults-18" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Children (Under 18):" name="number-of-children-under-18" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Ages of Children (for fare calculation):" name="ages-of-children-for-fare-calculation" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you need special accommodations (e.g., wheelchair assistance, extra baggage, pet travel, etc.)?" inline="true" name="do-you-need-special-accommodations-eg-wheelchair-assistance-extra-baggage-pet-travel-etc">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If yes, please specify:" name="if-yes-please-specify" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h2" label="Baggage &amp;amp; Extras"/>&#13;
		<field type="radio-group" required="true" label="Do you require checked baggage?" inline="true" name="do-you-require-checked-baggage">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you traveling with pets?" inline="true" name="are-you-traveling-with-pets">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h2" label="Additional Information"/>&#13;
		<field type="textarea" label="Anything else I should know to find the best flight for you?" name="anything-else-i-should-know-to-find-the-best-flight-for-you" className="form-control"/>&#13;
		<field type="paragraph" subtype="p"/>&#13;
		<field type="header" subtype="h1" label="⚠ Important Notice"/>&#13;
		<field type="paragraph" subtype="p" label="	•	Flight prices are subject to change until booking is confirmed."/>&#13;
		<field type="paragraph" subtype="p" label="	•	You must be ready to book when receiving your flight proposal."/>&#13;
		<field type="paragraph" subtype="p" label="	•	A service fee may apply for additional destination requests."/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="✈ 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, please allow 1-3 business days to receive your flight proposal.&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="For details on deposits and service fees, please refer to: https://www.forhisglorytravels.com/deposits-pricing"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>