<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="Line 2" name="address-line-2" 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="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Important Dates"/> <field type="date" label="Birthdate" name="birthday" className="form-control"/> <field type="text" label="How did you hear about us? (many of our clients are personal referrals, so we like to know who to thank!)" description="A friend recommended you I saw a Facebook Ad I subscribe to your weekly ezine I saw your Virtuoso profile etc." name="how-did-you-hear-about-us-many-of-our-clients-are-personal-referrals-so-we-like-to-know-who-to-thank" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you celebrating anything special on this trip?" name="are-you-celebrating-anything-special-on-this-trip" other="true"> <option label="No- it's just time for a getaway" value="no-its-just-time-for-a-getaway">No- it's just time for a getaway</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Friends/Couples Getaway" value="friendscouples-getaway">Friends/Couples Getaway</option> <option label="Girls' Getaway" value="girls-getaway">Girls' Getaway</option> <option label="Guys' Trip" value="guys-trip">Guys' Trip</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> </field> <field type="radio-group" label="How do you prefer to meet for our complimentary consultation?" name="how-do-you-prefer-to-meet-for-our-complimentary-consultation"> <option label="By Phone" value="by-phone">By Phone</option> <option label="Zoom Call" value="zoom-call">Zoom Call</option> <option label="In Person" value="in-person">In Person</option> </field> <field type="header" subtype="h1" label="ABOUT YOUR TRIP&nbsp;"/> <field type="checkbox-group" label="Where would you like to go?&nbsp;" name="where-would-you-like-to-go-" other="true"> <option label="Africa" value="africa">Africa</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Antarctica" value="antarctica">Antarctica</option> <option label="Australia" value="australia">Australia</option> <option label="Canada" value="canada">Canada</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Central America" value="central-america">Central America</option> <option label="China" value="china">China</option> <option label="Continental USA" value="continental-usa">Continental USA</option> <option label="Egypt" value="egypt">Egypt</option> <option label="France" value="france">France</option> <option label="Galapagos Islands" value="galapagos-islands">Galapagos Islands</option> <option label="Germany" value="germany">Germany</option> <option label="Greece" value="greece">Greece</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Hong Kong" value="hong-kong">Hong Kong</option> <option label="Iceland" value="iceland">Iceland</option> <option label="Italy" value="italy">Italy</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Middle East" value="middle-east">Middle East</option> <option label="New Zealand" value="new-zealand">New Zealand</option> <option label="Pacific Rim/Japan" value="pacific-rimjapan">Pacific Rim/Japan</option> <option label="Russia" value="russia">Russia</option> <option label="Scandanavia" value="scandanavia">Scandanavia</option> <option label="South America" value="south-america">South America</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Spain" value="spain">Spain</option> <option label="UK/Ireland" value="ukireland">UK/Ireland</option> </field> <field type="textarea" label="Have you traveled internationally or visited any of the places above? If so, I would love to hear your experiences. Where did you go? What were your highlights/ dislikes about your travel experience?" name="have-you-traveled-internationally-or-visited-any-of-the-places-above-if-so-i-would-love-to-hear-your-experiences-where-did-you-go-what-were-your-highlights-dislikes-about-your-travel-experience" 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 as shown on passports (including middle) and birthdays&nbsp;" name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays-" className="form-control"/> <field type="radio-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process" other="true"> <option label="Just getting started!" value="just-getting-started">Just getting started!</option> <option label="I know where I want to go, but need help with the research, planning and booking." value="i-know-where-i-want-to-go-but-need-help-with-the-research-planning-and-booking">I know where I want to go, but need help with the research, planning and booking.</option> <option label="I don't know where I want to go and am anxious to get your suggestions." value="i-dont-know-where-i-want-to-go-and-am-anxious-to-get-your-suggestions">I don't know where I want to go and am anxious to get your suggestions.</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 are you looking to invest in this trip 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="$30,000+ Ultra Luxe Travel Experience" value="30000-ultra-luxe-travel-experience">$30,000+ Ultra Luxe Travel Experience</option> <option label="$20,000-$30,000 Travel Experience" value="2000030000-travel-experience">$20,000-$30,000 Travel Experience</option> <option label="$15,000 - $20,000 Travel Experience" value="15000-20000-travel-experience">$15,000 - $20,000 Travel Experience</option> <option label="$10,000 - $15,000 Travel Experience" value="10000-15000-travel-experience">$10,000 - $15,000 Travel Experience</option> <option label="$5,000 - $10,000 Travel Experience" value="5000-10000-travel-experience">$5,000 - $10,000 Travel Experience</option> <option label="up to $5,000 Weekend Trip" value="up-to-5000-weekend-trip">up to $5,000 Weekend Trip</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-" other="true"> <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="All-inclusive (where available)" value="allinclusive-where-available">All-inclusive (where available)</option> <option label="Moderate 4*" value="moderate-4">Moderate 4*</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="select" label="How often do you travel?" description="(check one)" name="how-often-do-you-travel" className="form-control"> <option label="Once a year" value="once-a-year">Once a year</option> <option label="2-3x/year" value="23xyear">2-3x/year</option> <option label="4-5x/year" value="45xyear">4-5x/year</option> <option label="Over 5x/year" value="over-5xyear">Over 5x/year</option> </field> <field type="checkbox-group" label="What options best describe your travel priorities (what makes you happy)? Check all that apply.&nbsp;" 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="Food & wine" value="food-wine">Food & wine</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views & landscapes" value="dramatic-views-landscapes">Dramatic views & landscapes</option> <option label="Spa & wellness" value="spa-wellness">Spa & wellness</option> <option label="Rest & relaxation" value="rest-relaxation">Rest & relaxation</option> <option label="Theater" value="theater">Theater</option> <option label="Ballooning" value="ballooning">Ballooning</option> <option label="Beach & Water" value="beach-water">Beach & Water</option> <option label="Cruise-Expedition" value="cruiseexpedition">Cruise-Expedition</option> <option label="Cruise-Ocean" value="cruiseocean">Cruise-Ocean</option> <option label="Cruise-River" value="cruiseriver">Cruise-River</option> <option label="Cruise-Small ship" value="cruisesmall-ship">Cruise-Small ship</option> <option label="Cruise-Large ship" value="cruiselarge-ship">Cruise-Large ship</option> <option label="Eco-Tourism" value="ecotourism">Eco-Tourism</option> <option label="Escorted Tours" value="escorted-tours">Escorted Tours</option> <option label="Fishing" value="fishing">Fishing</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Gardens/Horticulture" value="gardenshorticulture">Gardens/Horticulture</option> <option label="Golf" value="golf">Golf</option> <option label="Hiking" value="hiking">Hiking</option> <option label="History" value="history">History</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Private Jet" value="private-jet">Private Jet</option> <option label="Rafting/Kayaking" value="raftingkayaking">Rafting/Kayaking</option> <option label="Rail Travel" value="rail-travel">Rail Travel</option> <option label="Resorts" value="resorts">Resorts</option> <option label="Safari" value="safari">Safari</option> <option label="Sailing" value="sailing">Sailing</option> <option label="Scuba/Snorkeling" value="scubasnorkeling">Scuba/Snorkeling</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Skiing/Snow Sports" value="skiingsnow-sports">Skiing/Snow Sports</option> <option label="Spas" value="spas">Spas</option> <option label="Sporting Events" value="sporting-events">Sporting Events</option> <option label="Wildlife" value="wildlife">Wildlife</option> <option label="Equestrian" value="equestrian">Equestrian</option> <option label="Museum" value="museum">Museum</option> <option label="Private Yacht" value="private-yacht">Private Yacht</option> </field> <field type="textarea" label="Premiere Luxury Travel takes pride in curating vacations that inspire memories that last a lifetime. What would make this trip PERFECT for you?" description="What else would you like me to know about your travel preferences?" 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 (describe your favorite vacation and why it was so special)?&nbsp;" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation-" className="form-control"/> <field type="checkbox-group" label="Premiere Luxury Travel can provide a service to our clients known as Wanderlist. Wanderlist is a virtual way to share, plan, and save for other future travel dreams. Are you interested in discussing your Wanderlist for the next 5 years? If so, where would you be interested in going?" name="premiere-luxury-travel-can-provide-a-service-to-our-clients-known-as-wanderlist-wanderlist-is-a-virtual-way-to-share-plan-and-save-for-other-future-travel-dreams-are-you-interested-in-discussing-your-wanderlist-for-the-next-5-years-if-so-where-would-you-be-interested-in-going" other="true"> <option label="Africa" value="africa">Africa</option> <option label="Europe" value="europe">Europe</option> <option label="Australia" value="australia">Australia</option> <option label="South America" value="south-america">South America</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="South Pacific" value="south-pacific">South Pacific</option> </field> <field type="textarea" label="Do any travelers have allergies that we should be aware of?&nbsp;" description="We will do our best to accommodate" name="do-any-travelers-have-allergies-that-we-should-be-aware-of-" className="form-control"/> <field type="select" label="Would you like to be subscribed to our weekly e-newsletter filled with valuable travel tips?&nbsp;" description="(You can unsubscribe at any time)" 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
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
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)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
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BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
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Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
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WestJet (Frequent Guest)
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Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
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)
British Airways (On Business, Corporate)
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)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
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Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
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Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
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
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
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Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
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Oman Air (Sindbad)
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Marriott Gift Cards
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Air Transat
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Brussels Airlines (LOOPs)
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Eurowings (Boomerang)
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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
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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
Macdonald Hotels (The Club)
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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CAT (C-Club)
Opinion Miles Club
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AtlasGlobal (AtlasMiles)
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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)
Air Moldova Club
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Air Macau (Privileges)
Etihad (BusinessConnect)
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Silversea Venetian
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