<html> <body> <form-template> <fields> <field type="select" required="true" label="What travel advisor are you working with? &nbsp;If you are not working with a specific advisor, please select "First Available"" name="what-travel-advisor-are-you-working-with-if-you-are-not-working-with-a-specific-advisor-please-select-first-available" className="form-control"> <option label="First Available" value="first-available">First Available</option> <option label="Jenna Dees inquiry@dwjtravel.com" value="Jenna Dees">Jenna Dees inquiry@dwjtravel.com</option> <option label="Emily Kern emily@dwjtravel.com" value="Emily Kern">Emily Kern emily@dwjtravel.com</option> <option label="Josie Dees josie@dwjtravel.com" value="Josie Dees">Josie Dees josie@dwjtravel.com</option> <option label="Mani Boutsomsi mani.boutsomsi@gmail.com" value="Mani Boutsomsi">Mani Boutsomsi mani.boutsomsi@gmail.com</option> </field> <field type="text" label="Who referred you?" name="who-referred-you" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Contact Information"/> <field type="text" required="true" label="Legal First name" description="Enter your name as it is listed on your government issued ID" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Legal Last name" description="Enter your name as it is listed on your government issued ID" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Above phone number is:" inline="true" name="above-phone-number-is"> <option label="Mobile" value="mobile">Mobile</option> <option label="Landline (Home or Work)" value="landline-home-or-work">Landline (Home or Work)</option> </field> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred Contact Method" 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> </field> <field type="checkbox-group" label="If your preferred method of contact is via phone or text, please indicate your preferred contact time:" inline="true" name="if-your-preferred-method-of-contact-is-via-phone-or-text-please-indicate-your-preferred-contact-time" other="true"> <option label="8am - 11am" value="8am-11am">8am - 11am</option> <option label="11am - 1pm" value="11am-1pm">11am - 1pm</option> <option label="1pm - 3pm" value="1pm-3pm">1pm - 3pm</option> <option label="3pm - 5pm" value="3pm-5pm">3pm - 5pm</option> <option label="5pm - 7pm" value="5pm-7pm">5pm - 7pm</option> <option label="7pm - 9pm" value="7pm-9pm">7pm - 9pm</option> </field> <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" 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="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="radio-group" required="true" label="What time frame are you wanting to book your trip within?" name="what-time-frame-are-you-wanting-to-book-your-trip-within"> <option label="Just browsing at this point" value="just-browsing-at-this-point">Just browsing at this point</option> <option label="Just comparing prices" value="just-comparing-prices">Just comparing prices</option> <option label="Within a week" value="within-a-week">Within a week</option> <option label="1-2 weeks" value="12-weeks">1-2 weeks</option> <option label="2 -6 weeks" value="2-6-weeks">2 -6 weeks</option> <option label="6 weeks or more" value="6-weeks-or-more">6 weeks or more</option> </field> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <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?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="If dates are flexible, please explain:" name="if-dates-are-flexible-please-explain" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many minor travelers?" name="how-many-minor-travelers" subtype="text" className="form-control"/> <field type="textarea" label="Please list full legal names and dates of birth for <u><b>each</b></u> traveler in your party. &nbsp;You do not need to include yourself on this portion. &nbsp;Names &amp; DOB must match government issued ID if traveling within the United States or your valid passport if traveling outside of the United States." name="textarea-1618513868068" className="form-control"/> <field type="checkbox-group" required="true" label="What travel arrangements would you like me to quote for you?" inline="true" name="what-travel-arrangements-would-you-like-me-to-quote-for-you" other="true"> <option label="Air" value="air">Air</option> <option label="Resort / Hotel" value="resort-hotel">Resort / Hotel</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Ground Transport" value="ground-transport">Ground Transport</option> <option label="Event or Theme Park Tickets" value="event-or-theme-park-tickets">Event or Theme Park Tickets</option> <option label="Train" value="train">Train</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Group Travel Planning" value="group-travel-planning">Group Travel Planning</option> <option label="Group Travel Participant" value="group-travel-participant">Group Travel Participant</option> <option label="Destination Wedding Planning" value="destination-wedding-planning">Destination Wedding Planning</option> <option label="Destination Wedding Travel Party" value="destination-wedding-travel-party">Destination Wedding Travel Party</option> <option label="Retreat / Event Organizer" value="retreat-event-organizer">Retreat / Event Organizer</option> <option label="Retreat / Event Participant" value="retreat-event-participant">Retreat / Event Participant</option> </field> <field type="text" required="true" label="What is your total budget for this trip? (For all travelers). <b>This field is required and should encompass all parts of travel that you marked above.</b>" name="what-is-your-total-budget-for-this-trip-for-all-travelers" value="$" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="header" subtype="h1" label="Air Preferences"/> <field type="checkbox-group" label="Preferred Air Class" inline="true" name="preferred-air-class" other="true"> <option label="Economy" value="economy">Economy</option> <option label="Economy Plus" value="economy-plus">Economy Plus</option> <option label="Business" value="business">Business</option> <option label="First Class" value="first-class">First Class</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" label="Air Seating Preferences" inline="true" name="seat-preference" other="true"> <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="textarea" label="Do you have any airline preferences? &nbsp;Any special seating requirements or requests i.e. require extra leg room or 2 seats? &nbsp;Please list below." name="do-you-have-any-airline-preferences-any-special-seating-requirements-or-requests-please-list-below" className="form-control"/> <field type="header" subtype="h2" label="Hotel Preferences"/> <field type="radio-group" label="Hotel preference" inline="true" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="radio-group" label="Bed preference" inline="true" name="bed-preference" other="true"> <option label="1 King/Queen" value="1-kingqueen">1 King/Queen</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="textarea" label="Do you have a specific hotel brand in mind or that you prefer? &nbsp;Do you have any specific view or amenity requests?" name="do-you-have-a-specific-hotel-brand-in-mind-or-that-you-prefer-do-you-have-any-specific-view-or-amenity-requests" className="form-control"/> <field type="header" subtype="h1" label="Cruise Preferences"/> <field type="checkbox-group" label="Cruise Cabin Preference" inline="true" name="cruise-cabin-preference" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> <option label="Specialty" value="specialty">Specialty</option> <option label="No Preference" value="no-preference">No Preference</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Cabin &nbsp;Locations" inline="true" name="cabin-locations" other="true"> <option label="Front" value="front">Front</option> <option label="Mid" value="mid">Mid</option> <option label="Aft" value="aft">Aft</option> <option label="Lower Level" value="lower-level">Lower Level</option> <option label="Mid Level" value="mid-level">Mid Level</option> <option label="Higher Level" value="higher-level">Higher Level</option> <option label="Closer to Lido" value="closer-to-lido">Closer to Lido</option> <option label="Closer to Shows" value="closer-to-shows">Closer to Shows</option> <option label="Closer to Restaurants" value="closer-to-restaurants">Closer to Restaurants</option> <option label="Closer to Kids Activities" value="closer-to-kids-activities">Closer to Kids Activities</option> <option label="Closer to Pools" value="closer-to-pools">Closer to Pools</option> <option label="Closer to Spa" value="closer-to-spa">Closer to Spa</option> <option label="Spa Area" value="spa-area">Spa Area</option> <option label="Family Area" value="family-area">Family Area</option> </field> <field type="checkbox-group" label="Enhancement Interests" inline="true" name="enhancement-interests" other="true"> <option label="Soda Packages" value="soda-packages">Soda Packages</option> <option label="Alcohol Packages" value="alcohol-packages">Alcohol Packages</option> <option label="Wi-Fi Packages" value="wifi-packages">Wi-Fi Packages</option> <option label="Specialty Dining Packages" value="specialty-dining-packages">Specialty Dining Packages</option> <option label="Spa Packages" value="spa-packages">Spa Packages</option> <option label="Photo Packages" value="photo-packages">Photo Packages</option> <option label="Cruise Line Island Rental Items" value="cruise-line-island-rental-items">Cruise Line Island Rental Items</option> </field> <field type="textarea" label="Do you have specific brand or ship requests? &nbsp;<br>Specific Ports of Call? &nbsp;<br>Specific excursion Requests?" name="do-you-have-specific-brand-or-ship-requests-specific-ports-of-call-specific-excursion-requests" className="form-control"/> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="checkbox-group" required="true" label="Vibe Preferences" description="Check all that apply." inline="true" name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest & Relaxation" value="rest-relaxation">Rest & 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 & Wine" value="food-wine">Food & Wine</option> <option label="Multi Generational" value="multi-generational">Multi Generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBTQ Friendly" value="lgbtq-friendly">LGBTQ Friendly</option> </field> <field type="checkbox-group" required="true" label="Activity preferences for this specific trip request (mark all that apply)" inline="true" name="activity-preferences" other="true"> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="All Inclusive" value="all-inclusive">All Inclusive</option> <option label="Animal Encounters" value="">Animal Encounters</option> <option label="Arts" value="arts">Arts</option> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Cenotes" value="cenotes">Cenotes</option> <option label="Culturally Immersive" value="culturally-immersive">Culturally Immersive</option> <option label="Educational" value="educational">Educational</option> <option label="Extreme Sports" value="extreme-sports">Extreme Sports</option> <option label="Family" value="family">Family</option> <option label="Fishing / Hunting" value="fishing-hunting">Fishing / Hunting</option> <option label="Foodie" value="foodie">Foodie</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Golf" value="golf">Golf</option> <option label="Great Entertainment" value="great-entertainment">Great Entertainment</option> <option label="Group Travel" value="group-travel">Group Travel</option> <option label="History" value="history">History</option> <option label="Kids Activities" value="kids-activities">Kids Activities</option> <option label="Land Activities" value="land-activities">Land Activities</option> <option label="Mountains" value="mountains">Mountains</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Oceanfront" value="oceanfront">Oceanfront</option> <option label="Ocean Views" value="ocean-views">Ocean Views</option> <option label="Over The Water Bungalows" value="over-the-water-bungalows">Over The Water Bungalows</option> <option label="Plunge Pool" value="plunge-pool">Plunge Pool</option> <option label="Privacy" value="privacy">Privacy</option> <option label="Relaxation" value="relaxation">Relaxation</option> <option label="Romance" value="romance">Romance</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Spa" value="spa">Spa</option> <option label="Sports" value="sports">Sports</option> <option label="Sporting Events" value="sporting-events">Sporting Events</option> <option label="Swim Outs" value="swim-outs">Swim Outs</option> <option label="Swimmable Beach" value="swimmable-beach">Swimmable Beach</option> <option label="Theme Parks" value="theme-parks">Theme Parks</option> <option label="Walkable Beach" value="walkable-beach">Walkable Beach</option> <option label="Water Sports (Motorized)" value="water-sports-motorized">Water Sports (Motorized)</option> <option label="Water Sports (Non-Motorized)" value="water-sports-nonmotorized">Water Sports (Non-Motorized)</option> <option label="Wellness" value="wellness">Wellness</option> <option label="Yoga" value="yoga">Yoga</option> </field> <field type="text" label="Do you have any medical, dietary concerns or mobility concerns? &nbsp;(Medical concern examples: Use supplemental oxygen, pacemaker, &nbsp;asthmatic, allergies, etc.) (Dietary concerns examples: Diabetic, Celiac, Pescatarian, food allergies etc. ) (Mobility concerns examples: &nbsp;No stairs, No long distance walks, use a scooter or wheelchair, etc.)" name="meal-preference" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Tell me a little about where you have traveled before and things you enjoyed. What were your favorite parts? &nbsp;Don't hold back! <br><br>Where did you go, where did you stay? Was there a favorite meal or activity? If you could sum up the trip in one sentence, what would it be? &nbsp;Have you had trips that that were less than stellar? &nbsp;Tell me about what made them not so great." name="tell-me-a-little-about-where-you-have-traveled-before-and-things-you-enjoyed" rows="10" className="form-control"/> <field type="textarea" required="true" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" className="form-control"/> <field type="textarea" required="true" label="Is there anything that you do NOT want?&nbsp; Any deal breakers? &nbsp;Details about what you dislike or do not want, are often just as important as the must haves in customizing the perfect itinerary for you!" name="is-there-anything-that-you-do-not-want-any-deal-breakers" className="form-control"/> <field type="textarea" required="true" label="What else would you like me to know?" description="What else would you like me to know about your traveler budget and/or travel preferences?" name="notes" className="form-control"/> <field type="radio-group" required="true" label="Does everyone in your travel party have a valid passport with at least 6 months left before it expires? &nbsp;Before booking, we do require a copy of each travelers passport to be on file if traveling outside of the United States." name="does-everyone-in-your-travel-party-have-a-valid-passport-with-at-least-6-months-left-before-it-expires"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="<b> <u>I understand that I am responsible for researching, understanding and knowing if anyone in the travel party, including myself are legally able to travel outside of the United States. </u></b><u> </u> &nbsp;Destinations Travel and its affiliates as well as our travel suppliers can not advise on this or provide legal advice. &nbsp;Please check reach out to the state department and your attorney if you have a legal issue. &nbsp;This includes, but is not limited to, DUI convictions, unpaid child support and felony convictions. &nbsp;Destinations Travel and it's affiliates are not responsible for issues that arise due to legal issues that prevent you or other travelers in your party from traveling, including being denied boarding or entry.&nbsp;" name="i-understand-that-i-am-responsible-for-knowing-if-anyone-in-the-travel-party-including-myself-are-legally-able-to-travel-outside-of-the-united-states-destinations-travel-and-its-affiliates-as-well-as-our-travel-suppliers-can-not-advise-on-this-or-provide-legal-advice-please-check-reach-out-to-the-state-department-and-your-attorney-if-you-have-a-legal-issue-this-includes-but-is-not-limited-to-dui-convictions-unpaid-child-support-and-felony-convictions-destinations-travel-and-its-affiliates-are-not-responsible-for-issues-that-arise-due-to-this"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Subscribe to our e-newsletter?" name="subscribe-to-our-enewsletter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="I have reviewed my submission for accuracy. &nbsp;Inaccurate entry can cause trip cancellations, cancellation fees and change fees. &nbsp;**PLEASE TRIPLE CHECK** Destinations Travel and it's affiliates are not responsible for errors made due to inaccurate information provided." description="Triple check your entries to ensure accuracy." name="i-have-reviewed-my-submission-for-accuracy"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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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
Cebu Pacific (Getgo)
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)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
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
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
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
Type
Draw
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