<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="paragraph" subtype="p" label="Hello, and thank you for contacting Bluetail Travel! The purpose of this form is to collect initial information about your vacation planning ideas. We'll be in touch once we receive your information. Thanks!"/> <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="textarea" label="List those traveling with you below. Please share full official names (first, middle, last), ages, and relation to you.&nbsp;" name="list-those-traveling-with-you-below-please-share-names-ages-and-relation-to-you-" className="form-control"/> <field type="checkbox-group" label="Are any of the travelers in one of the following professions: law enforcement, active or retired military, EMT or firefighter?" description="Occasionally cruise lines or other travel suppliers offer special pricing for these career fields. ID required at check-in." name="are-any-of-the-travelers-in-one-of-the-following-professions-law-enforcement-active-or-retired-military-emt-or-firefighter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" label="Depart no earlier than:" name="depart-no-earlier-than" className="form-control"/> <field type="date" label="Return no later than:" name="return-no-later-than" className="form-control"/> <field type="text" label="How many days would you like to be on your vacation?" name="how-many-days-would-you-like-to-be-on-your-vacation" subtype="text" className="form-control"/> <field type="textarea" label="If you have specific dates and/or number of days for your vacation, please enter them here." description="If you have specific dates of travel be sure to let us know here." name="if-you-have-specific-dates-andor-number-of-days-for-your-vacation-please-enter-them-here" className="form-control"/> <field type="checkbox-group" label="What are you looking for in your vacation?" description="You may choose multiple options." name="what-are-you-looking-for-in-your-vacation"> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="Independent Custom Travel" value="independent-custom-travel">Independent Custom Travel</option> <option label="Affinity Group Travel" value="affinity-group-travel">Affinity Group Travel</option> <option label="Resort" value="resort">Resort</option> <option label="Cultural Tour(s)" value="cultural-tours">Cultural Tour(s)</option> <option label="Light Adventure" value="light-adventure">Light Adventure</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Escorted Travel" value="escorted-travel">Escorted Travel</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Romance/Honeymoon" value="romancehoneymoon">Romance/Honeymoon</option> <option label="Private Touring" value="private-touring">Private Touring</option> <option label="Multiple Destinations (island hopping or multiple countries)" value="multiple-destinations-island-hopping-or-multiple-countries">Multiple Destinations (island hopping or multiple countries)</option> </field> <field type="checkbox-group" label="Where would you like to spend your vacation?" name="where-would-you-like-to-spend-your-vacation"> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Mexico" value="mexico">Mexico</option> <option label="South Pacific (Tahiti, Fiji, Cook Islands...)" value="south-pacific-tahiti-fiji-cook-islands">South Pacific (Tahiti, Fiji, Cook Islands...)</option> <option label="United States (specify state in textbox)" value="united-states-specify-state-in-textbox">United States (specify state in textbox)</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="Asia" value="asia">Asia</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Central America (Costa Rica, Belize...)" value="central-america-costa-rica-belize">Central America (Costa Rica, Belize...)</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Europe" value="europe">Europe</option> <option label="Australia" value="australia">Australia</option> <option label="Africa" value="africa">Africa</option> </field> <field type="checkbox-group" label="Which options are important to you on your vacation?" description="Check all that apply." name="which-options-are-important-to-you-on-your-vacation"> <option label="Excursions" value="excursions">Excursions</option> <option label="Guided Tour(s)" value="guided-tours">Guided Tour(s)</option> <option label="Snorkeling / Scuba" value="snorkeling-scuba">Snorkeling / Scuba</option> <option label="All inclusive" value="all-inclusive">All inclusive</option> <option label="Adults only" value="adults-only">Adults only</option> <option label="Suite (Hotel)" value="suite-hotel">Suite (Hotel)</option> <option label="Balcony or Suite (Cruise)" value="balcony-or-suite-cruise">Balcony or Suite (Cruise)</option> <option label="Culture" value="culture">Culture</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Authentic local experiences" value="authentic-local-experiences">Authentic local experiences</option> <option label="Spa" value="spa">Spa</option> <option label="Culinary Focus" value="culinary-focus">Culinary Focus</option> <option label="Other (enter in textbox below)" value="other-enter-in-textbox-below">Other (enter in textbox below)</option> </field> <field type="textarea" label="Enter any details about desired dates, destination, options, or other info to help us tailor your ideal vacation." description="You can be as specific as you like here. If you have a particular place you want to visit or particular interests (e.g. winery tours) let us know!" name="enter-any-details-about-desired-dates-destination-options-or-other-info-to-help-us-tailor-your-ideal-vacation" className="form-control"/> <field type="textarea" label="Do you have a preferred cruise line, resort, or other specific supplier, or would you like Bluetail&nbsp; Travel to provide recommendations?" description="Please mention any applicable loyalty programs (e.g. Crown & Anchor Delta SkyMiles United Milege Plus etc.). Please provide relevant numbers at your earliest convenience." name="do-you-have-a-preferred-cruise-line-resort-or-other-specific-supplier-or-would-you-like-bluetail-travel-to-provide-recommendations" className="form-control"/> <field type="checkbox-group" label="What is your ballpark total budget? If you are in between two ranges, please select more than one." name="what-is-your-ballpark-per-person-budget-if-you-are-in-between-two-ranges-please-select-more-than-one" other="true"> <option label="Under $10000" value="under-10000">Under $10000</option> <option label="$10,000 - 20,000" value="10000-20000">$10,000 - 20,000</option> <option label="$20,000 - $30,000" value="20000-30000">$20,000 - $30,000</option> <option label="$30,000 - $40,000" value="30000-40000">$30,000 - $40,000</option> <option label="$40,000 - $50,000" value="40000-50000">$40,000 - $50,000</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="text" label="What is your preferred departure airport?" name="what-is-your-preferred-departure-airport" subtype="text" className="form-control"/> <field type="text" label="Alternative(s)?" name="alternatives" subtype="text" className="form-control"/> <field type="text" label="What is your airline class preference?" name="what-is-your-airline-class-preference" subtype="text" className="form-control"/> <field type="text" label="What is your stateroom preference, if applicable (cruise)?" name="what-is-your-stateroom-preference-if-applicable-cruise" subtype="text" className="form-control"/> <field type="textarea" label="Are you celebrating any special events (birthday, anniversary, etc.) during your vacation? Please specify event(s) and date(s)." name="are-you-celebrating-any-special-events-birthday-anniversary-etc-during-your-vacation-please-specify-events-and-dates" className="form-control"/> <field type="checkbox-group" label="I acknowledge my responsibility to validate that names on reservation/confirmation documents exactly match passports." name="i-acknowledge-my-responsibility-to-validate-that-names-on-reservationconfirmation-documents-exactly-match-passports"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="I acknowledge that I must provide passport numbers and bring passports on international trip; must be valid 6 months beyond travel." name="i-acknowledge-that-i-must-provide-passport-numbers-and-bring-passports-on-trip-must-be-valid-6-months-beyond-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="I am aware of TSA's Real ID Act for domestic air travel: https://www.tsa.gov/real-id." name="i-am-aware-of-tsas-real-id-act-for-domestic-air-travel-httpswwwtsagovsitesdefaultfilesresourcesrealidfactsheetpdf"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Additional Comments. Anything we missed? Anything you would like to add?" name="additional-comments-anything-we-missed-anything-you-would-like-to-add" className="form-control"/> <field type="paragraph" subtype="p" label="All quotes, prices, special promotions, and availability subject to supplier terms, conditions, and restrictions. Travel protection will be offered and is highly recommended by travel professionals, but not obligatory. A waiver is required if travelers decline travel protection. Bluetail Travel of Arlington, VA is a member of the American Society of Travel Advisors, and is proud to be affiliated with Travel Experts, Inc., a Virtuoso member agency."/> </fields> </form-template> </body> </html>
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