Share your information with Ryan Thomas

Ryan Thomas

Grace Resorts Agency

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full 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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="select" required="true" label="Trip Type" name="package-type" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Business Travel" value="business-travel">Business Travel</option>&#13;
			<option label="Birthday &amp; Milestone Celebrations" value="birthday-milestone-celebrations">Birthday &amp; Milestone Celebrations</option>&#13;
			<option label="Family &amp; Friends Getaway" value="family-friends-getaway">Family &amp; Friends Getaway</option>&#13;
			<option label="Weddings &amp; Destination Vow Renewals" value="weddings-destination-vow-renewals">Weddings &amp; Destination Vow Renewals</option>&#13;
			<option label="Fundraising &amp; Charity Travel" value="fundraising-charity-travel">Fundraising &amp; Charity Travel</option>&#13;
			<option label="Individual (one primary traveler)" value="individual-one-primary-traveler">Individual (one primary traveler)</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Package Type" name="select-1747673995853" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>&#13;
			<option label="Hotel + Flight" value="hotel-flight">Hotel + Flight</option>&#13;
			<option label="Cruise Only" value="cruise-only">Cruise Only</option>&#13;
			<option label="Cruise + Flight" value="cruise-flight">Cruise + Flight</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Destination&amp;nbsp;" placeholder="ex: Miami; London; Jamaica" name="specific-destination-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Hotel or Resort Name&amp;nbsp;" placeholder="ex: Hilton" name="hotel-or-resort-name-" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="Any Children? If yes, please list their ages" description="17 or under" placeholder="5;7;11" name="any-children-if-yes-please-list-their-ages" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Flight Preferences"/>&#13;
		<field type="radio-group" label="Flight Class (if applicable):" inline="true" name="flight-class-if-applicable">&#13;
			<option label="Basic Economy" value="basic-economy">Basic 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" label="Seat preference (if applicable):" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers?" description="10 rooms qualify for group rates and special perks" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is everyone departing from the same airport?" description="10 passengers on same flight qualify for group rates" inline="true" name="is-everyone-departing-from-the-same-airport">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" label="Bed preference" inline="true" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel preference" inline="true" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Activity preferences" name="activity-preferences">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is the estimated budget per traveler?" name="budget">&#13;
			<option label="$750 to  $1500" value="750-to-1500">$750 to  $1500</option>&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you prepared to make a minimum deposit of $200 per person (quote is only valid for 24hours} ?" name="are-you-prepared-to-make-a-minimum-deposit-of-200-per-person-quote-is-only-valid-for-24hours-">&#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="Would you like to include Travel Insurance?" description="Provides financial protection against unexpected events  such as trip cancellations  medical emergencies  lost luggage  and other travel-related mishaps." inline="true" name="would-you-like-to-include-travel-insurance">&#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="Payment Options (select the ones that would best suit you)&amp;nbsp;" name="payment-options-select-the-ones-that-would-best-suit-you-">&#13;
			<option label="Deposit with Payment Plan " value="deposit-with-payment-plan-">Deposit with Payment Plan </option>&#13;
			<option label="Finance with Flexpay (Book Now, Pay Later) " value="finance-with-flexpay-book-now-pay-later-">Finance with Flexpay (Book Now, Pay Later) </option>&#13;
			<option label="Full Payment " value="full-payment-">Full Payment </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="text" label="Charity" description="501c3 organization that you would like to support  and they must be registered with GuideStar." placeholder="27Strong" name="charity" subtype="text" className="form-control"/>&#13;
		<field type="text" label="EIN Number" description="This will ensure your travel benefits the correct organization." name="text-1742930736055" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Donation Link&amp;nbsp;" placeholder="https://27strong.org/donate" name="donation-link-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="How Did You Hear About Grace Resorts?"/>&#13;
		<field type="radio-group" required="true" label="Please select below" inline="true" name="please-select-below" other="true">&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Direct Mail" value="direct-mail">Direct Mail</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Return Client " value="return-client-">Return Client </option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>