<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Lead Traveler"/> <field type="text" label="Prefix" placeholder="Mrs Ms Miss Mr Dr" 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" required="true" label="Last name" name="last-name" 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="Cell number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you find us? / Who can we thank for referring us to you?" name="who-can-we-thank-for-referring-us-to-you" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Vacation Plans"/> <field type="paragraph" subtype="p" label="NOTE: If you are considering multiple trips within the next several months, let's focus on the one you want to do first."/> <field type="text" required="true" label="How many in your travel party or group? (estimates are fine)" placeholder="If any are under the age of 18 please tell us how many and the ages at time of travel." name="travel-party" subtype="text" className="form-control"/> <field type="date" label="When are you available to depart?" description="This gives us a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" label="When are you available to return?" description="This gives us a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="radio-group" label="Are your dates flexible" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="How many nights for the TOTAL vacation" name="how-many-nights-for-the-total-vacation"> <option label="5 - 7 Nights" value="5-7-nights">5 - 7 Nights</option> <option label="8 - 11 Nights" value="8-11-nights">8 - 11 Nights</option> <option label="12 -15 Nights" value="12-15-nights">12 -15 Nights</option> <option label="16 - 20 Nights" value="16-20-nights">16 - 20 Nights</option> <option label="21+ Nights" value="21-nights">21+ Nights</option> </field> <field type="text" required="true" label="Destination" placeholder="Name the region specific countries, or cities you want to visit." name="destination" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Type of Trip" description="Select all options that you are considering" name="type-of-trip"> <option label="River Cruising" value="river-cruising">River Cruising</option> <option label="Ocean Cruising" value="ocean-cruising">Ocean Cruising</option> <option label="Expedition Cruising" value="expedition-cruising">Expedition Cruising</option> <option label="Small Ship/Yachting/Sailing" value="small-shipyachtingsailing">Small Ship/Yachting/Sailing</option> <option label="Guided Group Tour" value="guided-group-tour">Guided Group Tour</option> <option label="VIP Custom Private Tour Vacation" value="vip-custom-private-tour-vacation">VIP Custom Private Tour Vacation</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="header" subtype="h2" label="What You Have In Mind"/> <field type="checkbox-group" required="true" label="Preferred Level of Experience" name="preferred-accommodation-care"> <option label="Premium - excellent quality & care" value="premium-excellent-quality-care">Premium - excellent quality & care</option> <option label="Luxury - exceptional quality & often private services" value="luxury-exceptional-quality-often-private-services">Luxury - exceptional quality & often private services</option> <option label="Ultra Luxury - exclusive experiences & private staff" value="ultra-luxury-exclusive-experiences-private-staff">Ultra Luxury - exclusive experiences & private staff</option> </field> <field type="text" label="Preferred Hotel, Cruise, or Tour Brands" placeholder="Four Seasons Regent AmaWaterways Tauck etc." name="preferred-hotel-or-resort-brands" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Preferred Experiences" placeholder="Historical or geographical sites, local cultural, food tour, private guided tour, art gallery, museum, wine tasting, biking, hiking, beach resort, explore on your own, etc." name="preferred-experiences" className="form-control"/> <field type="textarea" required="true" label="How Do You Envision the Trip? / General Itinerary" placeholder="Give as much information as possible about your must see & do list." name="how-do-you-envision-the-trip-general-itinerary" className="form-control"/> <field type="textarea" required="true" label="What aspects about this vacation are most important to you?" name="what-aspects-about-this-vacation-are-most-important-to-you" className="form-control"/> <field type="textarea" required="true" label="What would be disappointing if you, your group, or a loved one did not get to experience?" name="what-would-be-disappointing-if-you-your-group-or-a-loved-one-did-not-get-to-experience" className="form-control"/> <field type="header" subtype="h2" label="Additional Information"/> <field type="checkbox-group" required="true" label="Select all trip components that you would like included in the vacation package" name="select-all-trip-components-that-you-would-like-included-in-the-vacation-package"> <option label="Flights" value="flights">Flights</option> <option label="VIP Airport Escort" value="vip-airport-escort">VIP Airport Escort</option> <option label="Transfers" value="transfers">Transfers</option> <option label="Accommodations (hotel/cruise/villa)" value="accommodations-hotelcruisevilla">Accommodations (hotel/cruise/villa)</option> <option label="Tours / Activities" value="tours-activities">Tours / Activities</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="Estimated price for TOTAL vacation package (flights, cruise, hotel, transfers, tours, etc.)" description="per couple / per family" name="vacation-budget" other="true"> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000 - $25,000" value="15000-25000">$15,000 - $25,000</option> <option label="$25,000 - $40,000" value="25000-40000">$25,000 - $40,000</option> <option label="$40,000 - $60,000" value="40000-60000">$40,000 - $60,000</option> <option label="$60,000+" value="60000">$60,000+</option> </field> <field type="textarea" label="Any special needs, allergies, or other things to consider when planning?" name="notes" className="form-control"/> <field type="textarea" label="Additional Comments" name="additional-comments" className="form-control"/> <field type="header" subtype="h2" label="Working with Dogwood Travel Designs"/> <field type="paragraph" subtype="p" label="Dogwood Travel Designs (DTD) is an independent affiliate of Gifted Travel Network, a Virtuoso member agency. We sell travel related products such as accommodations, transportation, tours, travel insurance and many other components of a vacation package on behalf of a variety of Travel Partners. We do our best to match you with the appropriate Travel Partner(s) for your particular vacation wishlist and budget. Travel Partners, not DTD, provide, own, or control the travel services and products that are provided as part of your trip. The Travel Partners are responsible for the Travel Products. "/> <field type="paragraph" subtype="p" label="The planning process begins by submitting this Trip Form and scheduling your consult call. After the call, if we are a good fit and you are ready to move to the next step, you will receive an invoice to securely purchase the non-refundable Trip Design Fee. "/> <field type="header" subtype="h2" label="Terms &amp; Conditions"/> <field type="radio-group" required="true" label="I have reviewed and agree to the Terms and Conditions of Dogwood Travel Designs found at the bottom of this webpage or by visiting https://app.tern.travel/public/terms_of_service/3J0TmFAfG32jTXnCaNMlUA" name="i-have-reviewed-and-agree-to-the-terms-and-conditions-of-dogwood-travel-co-found-at-the-bottom-of-this-webpage-or-by-visiting-httpswwwdogwoodtravelcomsdtctermsandconditionspdf"> <option label="Yes, I agree" value="yes-i-agree">Yes, I agree</option> <option label="No, I decline" value="no-i-decline">No, I decline</option> </field> </fields> </form-template> </body> </html>
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