Share your information with
Eve Carter
ECTC Travel Agency
<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="Full name"/> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Birth Date (required for age verification)" name="birth-date-required-for-age-verification" 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="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" label="Preferred Contact Method&nbsp;" inline="true" name="preferred-contact-method-"> <option label="Phone " value="phone-">Phone </option> <option label="Email" value="email">Email</option> <option label="Text" value="text">Text</option> <option label="Either" value="either">Either</option> </field> <field type="radio-group" required="true" label="Where would you like to explore?" description="Check all that apply" inline="true" name="radio-group-1725829881418" other="true"> <option label="US" value="us">US</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Europe" value="europe">Europe</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Africa" value="africa">Africa</option> <option label="Asia" value="asia">Asia</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="Canada" value="canada">Canada</option> </field> <field type="text" label="If you'd like to give a specific destination or location, please list below" description="Countries City, Island, or Specific Resort/Hotel" placeholder="US/Honolulu Hawaii/ Sheraton Waikiki" name="if-youd-like-to-give-a-specific-destination-or-location-please-list-below" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What type of travel are you interested in?" description="Check all that apply" name="what-type-of-travel-are-you-interested-in"> <option label="Domestic/US" value="domesticus">Domestic/US</option> <option label="All-inclusive Resort " value="allinclusive-resort-">All-inclusive Resort </option> <option label="International" value="international">International</option> <option label="Ocean Cruise " value="ocean-cruise-">Ocean Cruise </option> <option label="River Cruise " value="river-cruise-">River Cruise </option> <option label="Destination Wedding/Ceremony" value="destination-weddingceremony">Destination Wedding/Ceremony</option> <option label="Sports /Event " value="sports-event-">Sports /Event </option> <option label="Adventure/exploration " value="adventureexploration-">Adventure/exploration </option> <option label="Wellness/retreat " value="wellnessretreat-">Wellness/retreat </option> <option label="Historical/Educational" value="historicaleducational">Historical/Educational</option> </field> <field type="checkbox-group" required="true" label="Are you intrested in Pre-planned itineraries or Schduled Group Tours?&nbsp;" inline="true" name="are-you-intrested-in-preplanned-itineraries-or-schduled-group-tours-"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> <option label="Undecided" value="undecided">Undecided</option> </field> <field type="radio-group" label="Are you traveling for a special occasion?" inline="true" name="are-you-traveling-for-a-special-occasion" other="true"> <option label="Birthday " value="birthday-">Birthday </option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Wedding " value="wedding-">Wedding </option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Company/Incentive Reward Travel" value="companyincentive-reward-travel">Company/Incentive Reward Travel</option> </field> <field type="date" 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" 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="checkbox-group" label="Are your dates flexible?" description="If you have a large travel window please give other date options." toggle="true" inline="true" name="dates-flexible" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no">No </option> </field> <field type="textarea" label="Tell us more about your date flexibility.....&nbsp;" description="Please give additional information like time frames specific days of the week etc...." name="tell-us-more-about-your-date-flexibility-" className="form-control"/> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Additional Travelers"/> <field type="text" required="true" label="How many travelers total? (if more than 4 travelers please type there information in the notes section below or you can submit a separate from for each traveler or family)" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="Traveler #2 First Name &amp; Last Name" description="For international travel name must match name on passport" placeholder="Legal First/Last Name" name="traveler-2-first-name-last-name" subtype="text" className="form-control"/> <field type="date" label="Traveler #2 Birthdate" name="date-1713143180459" className="form-control"/> <field type="text" label="Traveler #2 Email Address" description="Helps me to send vital information and collect additional passenger info" placeholder="If applicable/not in the same household" name="traveler-2-email-address" subtype="text" className="form-control"/> <field type="text" label="Traveler #2 Phone Number" name="traveler-2-phone-number" subtype="text" className="form-control"/> <field type="text" label="Traveler #3 First Name &amp; Last Name" description="For international travel name must match name on passport" placeholder="Legal First/Last Name" name="traveler-3-first-name-last-name" subtype="text" className="form-control"/> <field type="date" label="Traveler #3 Birthdate" name="date-1713143186883" className="form-control"/> <field type="text" label="Traveler #3 Email Address" description="Helps me to send vital information and collect additional passenger info" placeholder="If applicable/not in the same household" name="traveler-3-email-address" subtype="text" className="form-control"/> <field type="text" label="Traveler #3 Phone Number" placeholder="If applicable/not in the same household" name="traveler-3-phone-number" subtype="text" className="form-control"/> <field type="text" label="Traveler #4 First Name &amp; Last Name" description="For international travel name must match name on passport" placeholder="Legal First/Last Name" name="traveler-4-first-name-last-name" subtype="text" className="form-control"/> <field type="date" label="Traveler #4 Birthdate" name="date-1713143205399" className="form-control"/> <field type="text" label="Traveler #4 Email Address" description="Helps me to send vital information and collect additional passenger info" placeholder="If applicable/not in the same household" name="traveler-4-email-address" subtype="text" className="form-control"/> <field type="text" label="Traveler # 4 Phone Number&nbsp;" placeholder="If applicable/ not in the same household" name="traveler-4-phone-number-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your total trip budget? (Select other to enter per person budget)" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="textarea" label="Anything else you would like to share on your budget?" name="anything-else-you-would-like-to-share-on-your-budget" className="form-control"/> <field type="radio-group" required="true" label="What would you like your booking to include?" name="what-would-you-like-your-booking-to-include" other="true"> <option label="Hotel/Resort/Cruise " value="hotelresortcruise-">Hotel/Resort/Cruise </option> <option label="Air " value="air-">Air </option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Activities " value="activities-">Activities </option> <option label="Alcohol Included (Cruise)" value="alcohol-included-cruise">Alcohol Included (Cruise)</option> <option label="Gratuities Included (Cruise)" value="gratuities-included-cruise">Gratuities Included (Cruise)</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy 2.5/3 star " value="economy-253-star-">Economy 2.5/3 star </option> <option label="Moderate- 3.5/4 star" value="moderate-354-star">Moderate- 3.5/4 star</option> <option label="Luxury -4.5/5 star" value="luxury-455-star">Luxury -4.5/5 star</option> <option label="Boutique" value="boutique">Boutique</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="Vibe preferences" name="vibe-preference"> <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-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="select" label="If applicable, What size rental car will you need?" name="if-applicable-what-size-rental-car-will-you-need" className="form-control"> <option label="Compact/Economy " value="compacteconomy-">Compact/Economy </option> <option label="Standard " value="standard-">Standard </option> <option label="Full Size" value="full-size">Full Size</option> <option label="SUV" value="suv">SUV</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Convertible" value="convertible">Convertible</option> <option label="Van/Pickup" value="vanpickup">Van/Pickup</option> </field> <field type="textarea" label="Anything you absolutely must do or see?&nbsp;" name="anything-you-absolutely-must-do-or-see-" className="form-control"/> <field type="text" label="Are there any activities you want to avoid?" name="are-there-any-activities-you-want-to-avoid" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="Seat preference (If Booking Flights)" 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="No preference " value="no-preference-">No preference </option> </field> <field type="radio-group" required="true" 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> <option label="Suite -King/Queen + Sleeper Sofa" value="suite-kingqueen-sleeper-sofa">Suite -King/Queen + Sleeper Sofa</option> </field> <field type="radio-group" label="View or Cabin Preferences?" name="view-or-cabin-preferences"> <option label="Interior (Cruise only)" value="interior-cruise-only">Interior (Cruise only)</option> <option label="Garden/Tropical (Resort)" value="gardentropical-resort">Garden/Tropical (Resort)</option> <option label="Pool view (Resort)" value="pool-view-resort">Pool view (Resort)</option> <option label="Oceanfront (Resort)" value="oceanfront-resort">Oceanfront (Resort)</option> <option label="Club Level (Resort)" value="club-level-resort">Club Level (Resort)</option> <option label="Oceanview (Resort or Cruise)" value="oceanview-resort-or-cruise">Oceanview (Resort or Cruise)</option> <option label="Balcony (Resort or Cruise)" value="balcony-resort-or-cruise">Balcony (Resort or Cruise)</option> <option label="Suite/Vilia (Resort or Cruise)" value="suitevilia-resort-or-cruise">Suite/Vilia (Resort or Cruise)</option> </field> <field type="radio-group" required="true" label="What's most Important to you?" name="whats-most-important-to-you" other="true"> <option label="Budget" value="budget">Budget</option> <option label="Experience" value="experience">Experience</option> <option label="Location" value="location">Location</option> </field> <field type="text" label="Do you need a crib or any special accommodations?" description="Please list and explain any food allergies mobility visual or auditory medical conditions, that need to be accommodated." name="do-you-need-a-crib-or-any-special-accommodations" subtype="text" 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="radio-group" required="true" label="Will you be purchasing travel protection?" name="will-you-be-purchasing-travel-protection"> <option label="Yes- definitely " value="yes-definitely-">Yes- definitely </option> <option label="No" value="no">No</option> <option label="Unsure- would like quotes" value="unsure-would-like-quotes">Unsure- would like quotes</option> </field> <field type="clientLoyaltyPrograms" label="List Any Loyalty Programs You Participate In." 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"/> <field type="checkbox-group" label="Would you like to be included on our email list?&nbsp;" name="would-you-like-to-be-included-on-our-email-list-"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field type="textarea" label="Notes&nbsp;" name="notes-" className="form-control"/> </fields> </form-template> </body> </html>
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