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Melissa Elliott
Elevated Travel
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Passenger Details"/> <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" required="true" label="Preferred name" name="preferred-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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Details"/> <field type="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?" description="If you don't have specific dates just give me a month or two" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="text" label="Text Field" name="text-1720914208133" value="If you don't have exact dates please specify which month (s) you'd like to travel and for how many days." subtype="text" className="form-control"/> <field type="checkbox-group" required="true" 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="text" required="true" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="textarea" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" className="form-control"/> <field type="checkbox-group" required="true" label="At what phase of planning are you currently in?" name="at-what-phase-of-planning-are-you-currently-in"> <option label="I’m just beginning the planning process" value="im-just-beginning-the-planning-process">I’m just beginning the planning process</option> <option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option> <option label="We have hotels & flights already booked" value="we-have-hotels-flights-already-booked">We have hotels & flights already booked</option> </field> <field type="textarea" required="true" label="Who will be traveling? Please list all full names including middle names. If traveling with children, please list their ages at time of travel.&nbsp;" name="who-will-be-traveling-please-list-all-full-names-including-middle-names" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers? This just gives me a general starting point." description="Please take some time to think about a reasonable budget. This will help me narrow down and present you with the best options." name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point"> <option label="$1,000 - $3,000" value="1000-3000">$1,000 - $3,000</option> <option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="textarea" required="true" label="Will you be booking any portion of your trip with points? If so, which pieces?" name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces" className="form-control"/> <field type="checkbox-group" required="true" label="What travel components would you like me to assist you with? Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (car rental, trains, etc.)" value="transportation-car-rental-trains-etc">Transportation (car rental, trains, etc.)</option> <option label="Excursions & tours" value="excursions-tours">Excursions & tours</option> </field> <field type="radio-group" required="true" label="What describes your desired accommodation style?" name="what-describes-your-desired-accommodation-style"> <option label="Luxury & exclusive" value="luxury-exclusive">Luxury & exclusive</option> <option label="Boutique & charming" value="boutique-charming">Boutique & charming</option> <option label="Centrally located & functional" value="centrally-located-functional">Centrally located & functional</option> <option label="Large resort" value="large-resort">Large resort</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="How would you describe your ideal itinerary pace?" name="how-would-you-describe-your-ideal-itinerary-pace"> <option label="Structured and consistent plans throughout the day" value="structured-and-consistent-plans-throughout-the-day">Structured and consistent plans throughout the day</option> <option label="A balance of some pre-planned activities and downtime" value="a-balance-of-some-preplanned-activities-and-downtime">A balance of some pre-planned activities and downtime</option> <option label="Laid back with no obligations" value="laid-back-with-no-obligations">Laid back with no obligations</option> </field> <field type="radio-group" required="true" label="How would you describe your morning routine while on vacation?" name="how-would-you-describe-your-morning-routine-while-on-vacation"> <option label="Up & eager to embrace the day" value="up-eager-to-embrace-the-day">Up & eager to embrace the day</option> <option label="Open to some morning activities with a balance of slower mornings" value="open-to-some-morning-activities-with-a-balance-of-slower-mornings">Open to some morning activities with a balance of slower mornings</option> <option label="Slow moving without any morning obligations" value="slow-moving-without-any-morning-obligations">Slow moving without any morning obligations</option> </field> <field type="textarea" label="What are your amenity “must haves”? Is there anything you would want your hotels to have such as a pool, on-site restaurant, bar, etc.?" name="what-are-your-amenity-must-haves-is-there-anything-you-would-want-your-hotels-to-have-such-as-a-pool-onsite-restaurant-bar-etc" className="form-control"/> <field type="checkbox-group" label="What options best describe your travel priorities? Check all that apply." name="what-options-best-describe-your-travel-priorities-check-all-that-apply"> <option label="Local culture & education" value="local-culture-education">Local culture & education</option> <option label="Art & architecture" value="art-architecture">Art & architecture</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views & landscape" value="dramatic-views-landscape">Dramatic views & landscape</option> <option label="Spa & wellness" value="spa-wellness">Spa & wellness</option> <option label="Rest & relaxation" value="rest-relaxation">Rest & relaxation</option> </field> <field type="textarea" label="What else would you like me to know about your travel vacation?" name="what-else-would-you-like-me-to-know-about-your-travel-vacation" className="form-control"/> <field type="text" label="Do any travelers have allergies that I should be aware of? I will do my best to accommodate." name="do-any-travelers-have-allergies-that-i-should-be-aware-of-i-will-do-my-best-to-accommodate" subtype="text" className="form-control"/> <field type="textarea" label="Who can I thank for referring you to us?" name="who-can-i-thank-for-referring-you-to-us" className="form-control"/> <field type="checkbox-group" label="Would you like to be subscribed to our company newsletter?" name="would-you-like-to-be-subscribed-to-our-company-newsletter"> <option label="Yes - sign me up!" value="yes-sign-me-up">Yes - sign me up!</option> <option label="No, I get too many emails." value="no-i-get-too-many-emails">No, I get too many emails.</option> </field> <field type="header" subtype="h1" label="LET’S REVIEW THAT “FINE PRINT"/> <field type="checkbox-group" required="true" label="Please note that some of our proposals come from suppliers who provide bundled rates without breaking down individual components. This practice protects our valued partners who may have confidential, contracted rates from local vendors, and creates a seamless and holistic approach to your travel plans. Do you agree and understand that your proposal may come as one packaged rate and itemized pricing will not be available, depending on the type of trip you request." name="please-note-that-some-of-our-proposals-come-from-suppliers-who-provide-bundled-rates-without-breaking-down-individual-components-this-practice-protects-our-valued-partners-who-may-have-confidential-contracted-rates-from-local-vendors-and-creates-a-seamless-and-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 understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option> </field> <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 via text message in order to maintain accuracy and clarity while we plan your trip. In advance of your departure date, we will provide you the best local contact information for prompt assistance after business hours. Unscheduled calls and texts are of course available to you for any in-travel emergencies that arise." name="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-via-text-message-in-order-to-maintain-accuracy-and-clarity-while-we-plan-your-trip-in-advance-of-your-departure-date-we-will-provide-you-the-best-local-contact-information-for-prompt-assistance-after-business-hours-unscheduled-calls-and-texts-are-of-course-available-to-you-for-any-intravel-emergencies-that-arise"> <option label="Yes, I understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option> </field> <field type="checkbox-group" label="Please be aware that there may be a planning fee associated with the creation of your personalized itinerary. During our complimentary intake call, we'll discuss your travel goals and provide you with a detailed understanding of any associated fees based upon the unique aspects and complexities of your trip request." name="please-be-aware-that-there-may-be-a-planning-fee-associated-with-the-creation-of-your-personalized-itinerary-during-our-complimentary-intake-call-well-discuss-your-travel-goals-and-provide-you-with-a-detailed-understanding-of-any-associated-fees-based-upon-the-unique-aspects-and-complexities-of-your-trip-request"> <option label="Yes, I understand and agree." value="yes-i-understand-and-agree">Yes, I understand and agree.</option> </field> </fields> </form-template> </body> </html>
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