Share your information with Shelley and Alberto Benitez

Shelley and Alberto Benitez

The Elegance of Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="So you like taking last minute trips!"/>&#13;
		<field type="header" subtype="h3" label="See if you qualify to become a Member of The Elegance Hotel Reserve!"/>&#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="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="Hotel preference" name="hotel-preference" other="true">&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Which luxury brands have you stayed with?" name="checkbox-group-1790711223028">&#13;
			<option label="Aman Hotels &amp; Resorts" value="aman-hotels-resorts">Aman Hotels &amp; Resorts</option>&#13;
			<option label="Banyan Tree Hotels &amp; Resorts" value="banyan-tree-hotels-resorts">Banyan Tree Hotels &amp; Resorts</option>&#13;
			<option label="Belmond Bellini Club" value="belmond-bellini-club">Belmond Bellini Club</option>&#13;
			<option label="Dorchester Collection" value="dorchester-collection">Dorchester Collection</option>&#13;
			<option label="Four Seasons Preferred" value="four-seasons-preferred">Four Seasons Preferred</option>&#13;
			<option label="Hyatt Prive" value="hyatt-prive">Hyatt Prive</option>&#13;
			<option label="Impresario - Waldorf Astoria Hotels &amp; Resorts, LXR Hotels &amp; Resorts, Conrad Hotels &amp; Resorts" value="impresario-waldorf-astoria-hotels-resorts-lxr-hotels-resorts-conrad-hotels-resorts">Impresario - Waldorf Astoria Hotels &amp; Resorts, LXR Hotels &amp; Resorts, Conrad Hotels &amp; Resorts</option>&#13;
			<option label="Mandarin Oriental Fan Club" value="mandarin-oriental-fan-club">Mandarin Oriental Fan Club</option>&#13;
			<option label="One &amp; Only Hotels &amp; Resorts" value="one-only-hotels-resorts">One &amp; Only Hotels &amp; Resorts</option>&#13;
			<option label="Relias &amp; Chateaux" value="relias-chateaux">Relias &amp; Chateaux</option>&#13;
			<option label="Ritz-Carlton Hotels &amp; Resorts" value="ritzcarlton-hotels-resorts">Ritz-Carlton Hotels &amp; Resorts</option>&#13;
			<option label="Rocco Forte Hotels" value="rocco-forte-hotels">Rocco Forte Hotels</option>&#13;
			<option label="Rosewood Elite" value="rosewood-elite">Rosewood Elite</option>&#13;
			<option label="Small Luxury Hotels of the World" value="small-luxury-hotels-of-the-world">Small Luxury Hotels of the World</option>&#13;
			<option label="Stars Marriott International" value="stars-marriott-international">Stars Marriott International</option>&#13;
			<option label="St. Regis Hotels &amp; Resorts" value="st-regis-hotels-resorts">St. Regis Hotels &amp; Resorts</option>&#13;
			<option label="The Luxury Collection" value="the-luxury-collection">The Luxury Collection</option>&#13;
			<option label="The Peninsula Pen Club" value="the-peninsula-pen-club">The Peninsula Pen Club</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" 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;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" 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="radio-group" required="true" label="How many times a year do you take last minute trips?" inline="true" name="radio-group-1790532383398">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="More than 5" value="more-than-5">More than 5</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you like finding your own hotels" inline="true" name="radio-group-1790532483762">&#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="What type of luxuries do you look for in a hotel/resort?" inline="true" name="radio-group-1790532583135">&#13;
			<option label="Free Room Upgrades" value="free-room-upgrades">Free Room Upgrades</option>&#13;
			<option label="Free Daily Breakfast" value="free-daily-breakfast">Free Daily Breakfast</option>&#13;
			<option label="Hotel Credits" value="hotel-credits">Hotel Credits</option>&#13;
			<option label="Four-Star" value="fourstar">Four-Star</option>&#13;
			<option label="Five-Star" value="fivestar">Five-Star</option>&#13;
			<option label="VIP Access" value="vip-access">VIP Access</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="I understand that after reviewing my information, The Elegance of Travel, has the right to &quot;Approve&quot; or &quot;Deny&quot; my membership into The Elegance Hotel Reserve. If I gain approval, I will not share my credentials with any individuals including family and friends. If they&#39;d like to join, direct them to The Elegance of Travel website to sign up." name="checkbox-group-1790703371923">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>