<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="Arrival Information for Airport Transfers (Airport to Hotel)"/> <field type="paragraph" subtype="p" label="You indicated that you would be booking your own flights for your upcoming trip. &nbsp;Because you requested ground transfers from LUXE Worldwide Travel, we ask that you provide your flight details no later than 2 weeks prior to travel so that we can confirm your Transportation Provider. Kindly submit details below. You will receive an email, text message and phone call 24 hours prior to arrival with a reminder.&nbsp;"/> <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" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Mobile Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="# of people sharing your vehicle with you" placeholder="2" name="-of-people-sharing-your-vehicle-with-you" subtype="text" className="form-control"/> <field type="text" required="true" label="Name of Resort / Destination" name="name-of-resort-destination" subtype="text" className="form-control"/> <field type="date" required="true" label="Arrival Date" name="arrival-date" className="form-control"/> <field type="radio-group" required="true" label="Arrival Airline" inline="true" name="arrival-airline" other="true"> <option label="Air Canada" value="air-canada">Air Canada</option> <option label="American" value="american">American</option> <option label="Delta" value="delta">Delta</option> <option label="JetBlue" value="jetblue">JetBlue</option> <option label="Frontier" value="frontier">Frontier</option> <option label="Southwest" value="southwest">Southwest</option> <option label="Spirit" value="spirit">Spirit</option> <option label="United" value="united">United</option> </field> <field type="text" required="true" label="Flight Confirmation # / Record Locator" name="flight-confirmation-record-locator" subtype="text" className="form-control"/> <field type="text" required="true" label="Arrival Flight Number" description="Needed for updates / delays" name="arrival-flight-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Arrival Time" placeholder="9:00PM" name="arrival-time" subtype="text" className="form-control"/> <field type="text" required="true" label="Arrival City of Origin (non-stop)" name="arrival-city-of-origin-nonstop" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Departure Information for Airport Transfers (Hotel to Airport)"/> <field type="paragraph" subtype="p" label="Kindly submit details below for your return flight. Pick Up shall be arranged to meet you in the Lobby three (3) hours prior to your flight time. You will receive an email, text message and phone call 24 hours prior to arrival with a reminder.&nbsp;"/> <field type="date" required="true" label="Departure Date" name="date-1644640237757" className="form-control"/> <field type="radio-group" required="true" label="Departure Airline" inline="true" name="departure-airline" other="true"> <option label="Air Canada" value="air-canada">Air Canada</option> <option label="American" value="american">American</option> <option label="Delta" value="delta">Delta</option> <option label="JetBlue" value="jetblue">JetBlue</option> <option label="Frontier" value="frontier">Frontier</option> <option label="Southwest" value="southwest">Southwest</option> <option label="Spirit" value="spirit">Spirit</option> <option label="United" value="united">United</option> </field> <field type="text" required="true" label="Departure Flight Number" name="departure-flight-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Departure Flight Time" placeholder="11:00AM" name="departure-flight-time" subtype="text" className="form-control"/> <field type="text" required="true" label="Departure City" name="departure-city-flight-destination" subtype="text" className="form-control"/> <field type="text" required="true" label="Departure Destination (non-stop)" name="departure-destination-nonstop" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="I agree to have LUXE Worldwide Travel charge my card on file for the Transfers requested on this form that will appear on my Invoice. I confirm that I would like LUXE to book transfers on my behalf. &nbsp;Depending on the # of passengers traveling I understand that my charge per person may vary, space is based on availability and rates are subject to change.&nbsp;" name="i-agree-to-have-luxe-worldwide-travel-charge-my-card-on-file-for-the-transfers-requested-on-this-form-that-will-appear-on-my-invoice-i-confirm-that-i-would-like-luxe-to-book-transfers-on-my-behalf-depending-on-the-of-passengers-traveling-i-understand-that-my-charge-per-person-may-vary-space-is-based-on-availability-and-rates-are-subject-to-change-"> <option label="YES - I agree to pay LUXE for the transfers requested." value="Yes I agree" selected="selected">YES - I agree to pay LUXE for the transfers requested.</option> <option label="NO - I decline transfers." value="No I decline">NO - I decline transfers.</option> <option label="MAYBE - I think that transfers are included in my LUXE package. " value="Not Sure">MAYBE - I think that transfers are included in my LUXE package. </option> </field> </fields> </form-template> </body> </html>
Submit flight details for transfers
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