<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Questions for Your Trip"/> <field type="header" subtype="h2" label="Primary Traveler Name"/> <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" label="Middle name" name="middle-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 type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="select" required="true" label="Preferred method of contact" name="preferred-method-of-contact" className="form-control"> <option label="Call" value="call">Call</option> <option label="Email" value="email">Email</option> <option label="Text" value="text">Text</option> </field> <field type="checkbox-group" required="true" label="Preferred time to contact" name="preferred-time-to-contact"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon (Between 12:00 p.m. - 5:00 p.m." value="Afternoon (Between 12:00 p.m. - 5:00 p.m.">Afternoon (Between 12:00 p.m. - 5:00 p.m.</option> <option label="Evening (After 5:00 p.m.)" value="Evening (After 5:00 p.m.)">Evening (After 5:00 p.m.)</option> </field> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="checkbox-group" label="What is the purpose of this vacation?" name="what-is-the-purpose-of-this-vacation"> <option label="Romance" value="romance">Romance</option> <option label="Making memories with family" value="Making memories with family">Making memories with family</option> <option label="Just for fun" value="Just for fun">Just for fun</option> <option label="To relax and recharge (spa)" value="To relax and recharge (spa)">To relax and recharge (spa)</option> <option label="Celebrating a special occasion" value="Celebrating a special occasion">Celebrating a special occasion</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h3" label="Most all-inclusive resorts are located in Mexico, Dominican Republic and Jamaica so these destinations are where you get the most variety and value but there are a few sprinkled around in other places:"/> <field type="checkbox-group" required="true" label="Where would like to go? Select up to 3 prospective locations." name="potential-locations"> <option label="Mexico Caribbean (white sand, clear blue water)" value="Mexico Caribbean (white sand, clear blue water)">Mexico Caribbean (white sand, clear blue water)</option> <option label="Mexico West Coast (with a side of mountains)" value="mexico-west-coast-with-a-side-of-mountains">Mexico West Coast (with a side of mountains)</option> <option label="Dominican Republic" value="Dominican Republic">Dominican Republic</option> <option label="Jamaica" value="Jamaica">Jamaica</option> <option label="St. Lucia" value="St. Lucia">St. Lucia</option> <option label="Aruba" value="Aruba">Aruba</option> <option label="Costa Rica" value="Costa Rica">Costa Rica</option> <option label="Colombia" value="Colombia">Colombia</option> <option label="Spain" value="spain">Spain</option> </field> <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="text" required="true" label="How many nights do you want to be in destination?" name="how-many-nights-do-you-want-to-be-in-destination" subtype="text" 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> </field> <field type="text" label="Do you have any blackout dates?" name="do-you-have-any-blackout-dates" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" description="How many travelers would be able to put down a deposit within a week?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Passport Info"/> <field type="select" required="true" label="Do you have a passport?" name="do-you-have-a-passport" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="In progress" value="in-progress">In progress</option> </field> <field type="radio-group" required="true" label="Is your passport at valid for at least 6 months after your return date?" name="is-your-passport-at-valid-for-at-least-6-months-after-your-return-date"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/> <field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="text" required="true" label="What is your preferred departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" label="Preferred Airline" name="preferred-airline" className="form-control"> <option label="" value=""/> <option label="Southwest Airlines" value="southwest-airlines">Southwest Airlines</option> <option label="Delta Airlines" value="delta-airlines">Delta Airlines</option> <option label="Spirit" value="spirit">Spirit</option> <option label="United Airlines" value="united-airlines">United Airlines</option> <option label="American Airlines" value="american-airlines">American Airlines</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="Select all the preferences that apply:" name="select-all-the-preferences-that-apply"> <option label="Connecting flights are ok, depending on time and price" value="Connecting flights are ok, depending on time and price">Connecting flights are ok, depending on time and price</option> <option label="Nonstop flights only" value="Nonstop flights only">Nonstop flights only</option> <option label=" Less than 1 hour ride from destination airport to hotel" value=" Less than 1 hour ride from destination airport to hotel"> Less than 1 hour ride from destination airport to hotel</option> </field> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> <option label="Bulkhead" value="bulkhead">Bulkhead</option> <option label="Forward" value="forward">Forward</option> <option label="Wing Seat" value="wing-seat">Wing Seat</option> </field> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="radio-group" label="Hotel preference" name="hotel-preference"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="Resort Amenity Preferences" description="Check all that apply" name="resort-amenity-preferences"> <option label="Adults only" value="adults-only">Adults only</option> <option label="All-Inclusive" value="allinclusive">All-Inclusive</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 Airport/Cruise Port" value="near-airportcruise-port">Near Airport/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> </field> <field type="radio-group" required="true" label="Room Category Preferences" name="room-category-preferences" other="true"> <option label="Most cost effective room (not necessarily the lead-in room)" value="Most cost effective room (not necessarily the lead-in room)">Most cost effective room (not necessarily the lead-in room)</option> <option label="Oceanview Room (view may be off to the side)" value="Oceanview Room (view may be off to the side)">Oceanview Room (view may be off to the side)</option> <option label="Oceanfront Room (the room will face the ocean)" value="Oceanfront Room (the room will face the ocean)">Oceanfront Room (the room will face the ocean)</option> <option label="Swim Out/Swim Up Room (may be on bottom floor so view is not the priority)" value="Swim Out/Swim Up Room (may be on bottom floor so view is not the priority)">Swim Out/Swim Up Room (may be on bottom floor so view is not the priority)</option> <option label="Master Suites" value="master-suites">Master Suites</option> <option label="*Club Level Room (See below)" value="club-level-room-see-below">*Club Level Room (See below)</option> </field> <field type="paragraph" subtype="address" label="*Do you like special treatment, but don't need the space of a suite? Club-level rooms are a fantastic in-between option, where you get exclusive access and amenities but don't have to spring for a suite."/> <field type="select" label="When it comes to the ocean, do you want to:" name="select-1624713206557" className="form-control"> <option label="Swim in it" value="Swim in it">Swim in it</option> <option label="Surf in it" value="Surf in it">Surf in it</option> <option label="I just want to see, hear and smell it" value="I just want to see, hear and smell it">I just want to see, hear and smell it</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply." name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</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> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" 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="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 and wine">Food and wine</option> <option label="Sightseeing " value="sightseeing">Sightseeing </option> <option label="Shopping" value="shopping">Shopping</option> <option label="Spa" value="spa">Spa</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="select" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book" className="form-control"> <option label="Immediately" value="immediately">Immediately</option> <option label="Within the next week" value="within-the-next-week">Within the next week</option> <option label="Within two - three weeks" value="within-two-three-weeks">Within two - three weeks</option> <option label="Within the next month" value="within-the-next-month">Within the next month</option> <option label="Within the next two - three months" value="within-the-next-two-three-months">Within the next two - three months</option> <option label="More than three months" value="more-than-three-months">More than three months</option> </field> <field type="date" required="true" label="Best date to follow up with your proposal:" name="best-date-to-follow-up-with-your-proposal" className="form-control"/> <field type="textarea" required="true" label="Are there any medical or dietary restrictions?" name="are-there-any-dietary-restrictions" className="form-control"/> <field type="header" subtype="h1" label="Supplemental Info"/> <field type="text" label="Where have you vacationed in the past?" name="where-have-you-vacationed-in-the-past" subtype="text" className="form-control"/> <field type="textarea" label="What did you like the most?" name="what-did-you-like-the-most" 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="paragraph" subtype="p" label="LET'S REVIEW THE FINE PRINT"/> <field type="checkbox-group" required="true" label="Please note: Some of our proposals come from suppliers who provide bundles rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and create a seamless holistic approach to your travel plans. Do you agree and understand that your proposal will come as one packaged rate and itemized pricing will not be available?&nbsp;" name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundles-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-create-a-seamless-holistic-approach-to-your-travel-plans-do-you-agree-and-understand-that-your-proposal-will-come-as-one-packaged-rate-and-itemized-pricing-will-not-be-available-"> <option label="Yes, I agree" value="Yes, I agree">Yes, I agree</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="COMMUNICATIONS EXPECTATIONS"/> <field type="checkbox-group" required="true" label="Please understand that while planning your trip, we will primarily be in contact via email or scheduled phone calls. This approach provides you with the best level of service while ensuring that no important information is overlooked. We strongly discourage questions or change requests via text message in order to maintain accuracy and clarity during the trip planning phase. In advance of the departure date, we will provide you the best local contact information for prompt assistance after business hours. Unscheduled calls and texts will still be available to you for any in-travel emergencies that arise.&nbsp;" name="checkbox-group-1730023619055"> <option label="Yes, I agree" value="Yes, I agree">Yes, I agree</option> </field> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="paragraph" subtype="p" label="TRIP PLANNING FEES"/> <field type="checkbox-group" required="true" label="Please be aware that there will be a planning fee associated with the creation of your personalized itinerary. During our complimentary intake call, we will discuss your travel goals and provide you with a detailed understanding of any associated fees based on the unique aspects and complexities of your trip request." name="please-be-aware-that-there-will-be-a-planning-fee-associated-with-the-creation-of-your-personalized-itinerary-during-our-complimentary-intake-call-we-will-discuss-your-travel-goals-and-provide-you-with-a-detailed-understanding-of-any-associated-fees-based-on-the-unique-aspects-and-complexities-of-your-trip-request"> <option label="Yes, I agree" value="yes-i-agree">Yes, I agree</option> </field> </fields> </form-template> </body> </html>
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