<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="CLIENT INFORMATION&nbsp;"/> <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="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Street Address" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="ABOUT YOUR TRIP&nbsp;"/> <field type="text" label="Where would you like to go?&nbsp;" name="where-would-you-like-to-go-" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?&nbsp;" name="when-would-you-like-to-depart-" className="form-control"/> <field type="date" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="radio-group" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?&nbsp;" name="what-is-your-departure-city-" subtype="text" className="form-control"/> <field type="textarea" label="Is this vacation to celebrate anything special?&nbsp;" name="is-this-vacation-to-celebrate-anything-special-" className="form-control"/> <field type="textarea" label="Who will be traveling? Please list all full names (including middle) and birthdays ." name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays-" className="form-control"/> <field type="radio-group" label="At what phase of planning are you in?&nbsp;" name="at-what-phase-of-planning-are-you-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 and flights already booked." value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked.</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers? This just gives me a general starting point and can always be changed later.&nbsp;" name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later-"> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000 to $25,000" value="20000-to-25000">$20,000 to $25,000</option> <option label="$25,000 to $35,000" value="25000-to-35000">$25,000 to $35,000</option> <option label="$35,000 +" value="35000-">$35,000 +</option> </field> <field type="textarea" label="Will you be booking any portion of your trip with points? If so, which pieces?&nbsp;" name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces-" className="form-control"/> <field type="checkbox-group" label="What travel components would you like us to assist you with? Check all that apply.&nbsp;" name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply-"> <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> <option label="Insurance" value="insurance">Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What best describes your desired accommodation style?&nbsp;" name="what-best-describes-your-desired-accommodation-style-"> <option label="Luxury and exclusive" value="luxury-and-exclusive">Luxury and exclusive</option> <option label="Boutique and charming" value="boutique-and-charming">Boutique and charming</option> <option label="Centrally located and functional" value="centrally-located-and-functional">Centrally located and functional</option> <option label="Destination resort" value="destination-resort">Destination resort</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="What are your amenity must-haves?&nbsp;" placeholder="i.e. bar on-site restaurant pool etc." name="what-are-your-amenity-musthaves-" className="form-control"/> <field type="checkbox-group" label="What options best describe your travel priorities? Check all that apply.&nbsp;" name="what-options-best-describe-your-travel-priorities-check-all-that-apply-"> <option label="Local culture and education" value="local-culture-and-education">Local culture and education</option> <option label="Art and architecture" value="art-and-architecture">Art and architecture</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views and landscapes" value="dramatic-views-and-landscapes">Dramatic views and landscapes</option> <option label="Spa and wellness" value="spa-and-wellness">Spa and wellness</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> </field> <field type="textarea" label="Is there anything else that you must do or see?&nbsp;" name="is-there-anything-else-that-you-must-do-or-see-" className="form-control"/> <field type="textarea" label="What else would you like me to know about your ideal vacation?&nbsp;" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation-" className="form-control"/> <field type="text" label="Who can we thank for referring you to us?&nbsp;" name="who-can-we-thank-for-referring-you-to-us-" subtype="text" className="form-control"/> <field type="select" label="Would you like to be subscribed to our company newsletter?&nbsp;" name="would-you-like-to-be-subscribed-to-our-company-newsletter-" className="form-control"> <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> </fields> </form-template> </body> </html>
SUBMIT
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IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
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Singapore Airlines (KrisFlyer)
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Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
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Qantas (Frequent Flyer)
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La Quinta, etc. (Returns)
Iberia Plus
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Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
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KLM (Flying Blue)
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AirBerlin (Topbonus)
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Dollar Rent A Car (Express)
Carnival (VIFP)
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Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
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Drury Hotels (Gold Key Club)
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EL AL Israel Airlines (Matmid)
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China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
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WestJet (Frequent Guest)
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Agoda Rewards
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VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
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Philippine Airlines (Mabuhay Miles)
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Hilton Grand Vacations (Club)
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Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
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Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
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Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
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HotelClub (Member Rewards)
Czech Airlines (OK Plus)
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Borgata (Rewards)
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JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
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TabletHotels (Reward Dollars)
Ace Rent a Car
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S7 Priority
Air Baltic (Pins)
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Middle East Airlines (Cedar Miles)
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Ukraine International Airlines (Panorama Club)
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Air Transat
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Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
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Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
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Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
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Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
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Tunisair (Fidelys)
Paradores (Amigos de Paradores)
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Jinling Hotels (Elite)
Moby Lines (Moby Club)
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AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
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TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
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Etihad (BusinessConnect)
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Known Traveler Number (KTN)
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American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways