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Sublime Travel | Babette Hughes

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		<field type="header" subtype="h1" label="CLIENT INFORMATION"/>&#13;
		<field type="text" required="true" label="First name&amp;nbsp;" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle Name&amp;nbsp;" name="middle-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="Cell Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Home Address Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="ABOUT YOUR TRIP"/>&#13;
		<field type="radio-group" required="true" label="What kind of trip do you want to plan?" name="what-kind-of-trip-do-you-want-to-plan" other="true">&#13;
			<option label="Vacation at an all-inclusive resort" value="vacation-at-an-allinclusive-resort">Vacation at an all-inclusive resort</option>&#13;
			<option label="Ski Trip" value="ski-trip">Ski Trip</option>&#13;
			<option label="Villa Rental" value="villa-rental">Villa Rental</option>&#13;
			<option label="Large multi-generational trip" value="large-multigenerational-trip">Large multi-generational trip</option>&#13;
			<option label="Private guided tour" value="private-guided-tour">Private guided tour</option>&#13;
			<option label="Participate in a group tour" value="participate-in-a-group-tour">Participate in a group tour</option>&#13;
			<option label="Rail Tour" value="rail-tour">Rail Tour</option>&#13;
			<option label="Self guided tour through multiple countries " value="self-guided-tour-through-multiple-countries-">Self guided tour through multiple countries </option>&#13;
			<option label="Luxury hotel stay " value="luxury-hotel-stay-">Luxury hotel stay </option>&#13;
			<option label="I am not sure" value="i-am-not-sure">I am not sure</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please list the names of any additional travelers; as well as their relationship to you. If children under the age of 18 will be traveling with you please include the age the child will be on the trip.&amp;nbsp;" name="please-list-the-names-of-any-additional-travelers-as-well-as-their-relationship-to-you-if-children-under-the-age-of-18-will-be-traveling-with-you-please-include-the-age-the-child-will-be-on-the-trip-" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in">&#13;
			<option label="I have dates but no other details confirmed" value="i-have-dates-but-no-other-details-confirmed">I have dates but no other details confirmed</option>&#13;
			<option label="I have flights already booked" value="i-have-flights-already-booked">I have flights already booked</option>&#13;
			<option label="I need help to figure out where to stay and what to do" value="i-need-help-to-figure-out-where-to-stay-and-what-to-do">I need help to figure out where to stay and what to do</option>&#13;
			<option label="I know exactly what I want to do on this trip" value="i-know-exactly-what-i-want-to-do-on-this-trip">I know exactly what I want to do on this trip</option>&#13;
			<option label="Open to ideas" value="open-to-ideas">Open to ideas</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your timeline for booking this trip?" name="what-is-your-timeline-for-booking-this-trip">&#13;
			<option label="In the next few days" value="in-the-next-few-days">In the next few days</option>&#13;
			<option label="In the next week" value="in-the-next-week">In the next week</option>&#13;
			<option label="I am just starting to think about this trip" value="i-am-just-starting-to-think-about-this-trip">I am just starting to think about this trip</option>&#13;
			<option label="Unsure " value="unsure-">Unsure </option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Will you be booking any portion of your trip with points/credits/miles?&amp;nbsp; Please share the details.&amp;nbsp;" name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces" className="form-control"/>&#13;
		<field type="text" required="true" label="Describe your ideal trip. If you have an itinerary/order of the trip in mind, please. The more you can share the better.&amp;nbsp;" name="describe-your-ideal-trip-please" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are your dates flexible?&amp;nbsp; Please share more in the &quot;other&quot; box.&amp;nbsp;" name="are-your-dates-flexible" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If you plan to travel internationally, does everyone in your travel party have a US passport that is valid six months post travel?&amp;nbsp; If not please explain below.&amp;nbsp;" description=":)" name="does-everyone-in-your-travel-party-have-a-us-passport-that-is-valid-six-months-post-travel-if-not-please-explain-below-" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="text" required="true" label="What&amp;nbsp; is your departure city?" description="If your party will be traveling from different airports please note this below." name="what-is-your-departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be celebrating anything special on this trip?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What travel components would you like us to assist you with?" description="Check all that apply." name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply" other="true">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Accommodations" value="accommodations">Accommodations</option>&#13;
			<option label="Transportation between the airport and hotel" value="transportation-between-the-airport-and-hotel">Transportation between the airport and hotel</option>&#13;
			<option label="Lift tickets" value="lift-tickets">Lift tickets</option>&#13;
			<option label="Ski school " value="ski-school-">Ski school </option>&#13;
			<option label="Ski equiptment " value="ski-equiptment-">Ski equiptment </option>&#13;
			<option label="Excursions &amp; tours" value="excursions-tours">Excursions &amp; tours</option>&#13;
			<option label="Long Distance Transportation (car rental, trains, etc.)" value="long-distance-transportation-car-rental-trains-etc">Long Distance Transportation (car rental, trains, etc.)</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Which best describes the style of the property or cruise ship you have in mind for this trip?" name="what-best-describes-your-desired-accommodation-style" other="true">&#13;
			<option label="Luxurious &amp; exclusive" value="luxurious-exclusive">Luxurious &amp; exclusive</option>&#13;
			<option label="Boutique &amp; charming" value="boutique-charming">Boutique &amp; charming</option>&#13;
			<option label="Centrally located &amp; functional" value="centrally-located-functional">Centrally located &amp; functional</option>&#13;
			<option label="Large resort" value="large-resort">Large resort</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What are your desired accomodations?" name="what-is-your-desired-accomodations" other="true">&#13;
			<option label="Ski in/Ski Out Resort" value="ski-inski-out-resort">Ski in/Ski Out Resort</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Resort" value="resort">Resort</option>&#13;
			<option label="All Inclusive Resort " value="all-inclusive-resort-">All Inclusive Resort </option>&#13;
			<option label="Villa" value="villa">Villa</option>&#13;
			<option label="Unsure " value="unsure-">Unsure </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your preferred bedding set up? You may detail your needs in the &quot;other&quot; section below." name="what-is-your-preferred-bedding-you-may-detail-your-needs-in-the-other-section-below" other="true">&#13;
			<option label="1 King/Queen  " value="1-kingqueen-">1 King/Queen  </option>&#13;
			<option label="King + sofa bed" value="king-sofa-bed">King + sofa bed</option>&#13;
			<option label="2 Queens " value="2-queens-">2 Queens </option>&#13;
			<option label="1 bedroom suite with sofa bed in the living room" value="1-bedroom-suite-with-sofa-bed-in-the-living-room">1 bedroom suite with sofa bed in the living room</option>&#13;
			<option label="2 bedroom suite" value="2-bedroom-suite">2 bedroom suite</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What type of view do you prefer?" name="what-type-of-view-would-you-like" other="true">&#13;
			<option label="Best view " value="best-view-">Best view </option>&#13;
			<option label="Least expensive" value="least-expensive">Least expensive</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything&amp;nbsp; you must see or do on this trip?" name="is-there-anything-else-you-must-do-or-see" className="form-control"/>&#13;
		<field type="radio-group" label="How would you describe your desired pacing when traveling?" name="how-would-you-describe-your-desired-pacing-when-traveling">&#13;
			<option label="Relaxed morning and tour later in the day or evening" value="relaxed-morning-and-tour-later-in-the-day-or-evening">Relaxed morning and tour later in the day or evening</option>&#13;
			<option label="I like to wake up early and go all day" value="i-like-to-wake-up-early-and-go-all-day">I like to wake up early and go all day</option>&#13;
			<option label="I don't like to plan in advance" value="i-dont-like-to-plan-in-advance">I don't like to plan in advance</option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Do any travelers have allergies. dietary restrictions, mobility issues or require any accomodations?" name="do-any-travelers-have-allergies-that-i-should-be-aware-of-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Additional Info"/>&#13;
		<field type="radio-group" required="true" label="What is your ideal budget for for this trip? You can list a specific amount by clicking the &quot;other&quot; box.&amp;nbsp;" name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later" other="true">&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $8,000" value="5000-8000">$5,000 - $8,000</option>&#13;
			<option label="$8,000 - $10,000" value="8000-10000">$8,000 - $10,000</option>&#13;
			<option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
			<option label="$20,000+" value="20000">$20,000+</option>&#13;
			<option label="$30,00+" value="3000">$30,00+</option>&#13;
			<option label="$50,000+" value="50000">$50,000+</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about Sublime Travel?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for taking the time to explain your ideal vacation. We will reach out to you soon to discuss further.&amp;nbsp;"/>&#13;
		<field type="text" label="Bucket List Destinations for Future Travel:" name="bucket-list-destnations" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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