Latisha Brooks

Lux Travel Experience

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions About your Upcoming Trip"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for reaching out to Lux Travel to assist you with your travel planning needs! Travel with confidence knowing you will be in good hands. In order for us to provide you with the best quotes for your travel needs, we need a few details about your trip. Please fill out this form to the best of your ability. Our desire is to provide you with a seamless travel experience. You will be contacted about your inquiry and we look forward to working with you on your next luxury destination."/>&#13;
		<field type="text" required="true" label="First name" name="first-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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" 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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="date" required="true" 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"/>&#13;
		<field type="date" required="true" 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"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers ?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers per room?" name="text-1733411427707" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms?" name="text-1733411353292" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Are you Ready To Book?" name="are-you-ready-to-book" className="form-control">&#13;
			<option label="ASAP and Deposit Ready" value="asap-and-deposit-ready" selected="selected">ASAP and Deposit Ready</option>&#13;
			<option label="Within the next 2 weeks" value="within-the-next-2-weeks">Within the next 2 weeks</option>&#13;
			<option label="Within the Next Month" value="within-the-next-month">Within the Next Month</option>&#13;
			<option label="Just looking at my Options" value="just-looking-at-my-options">Just looking at my Options</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Travel Preferences"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat Preference" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed Preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="text" label="Meal Preference" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Important Dates"/>&#13;
		<field type="date" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
		</field>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Travel Insurance" name="please-acknowledge" className="form-control">&#13;
			<option label="I do  want to purchase Travel Insurance" value="i-do-want-to-purchase-travel-insurance">I do  want to purchase Travel Insurance</option>&#13;
			<option label=" I Decline Travel insurance and I will sign a waiver" value="-i-decline-travel-insurance-and-i-will-sign-a-waiver"> I Decline Travel insurance and I will sign a waiver</option>&#13;
		</field>&#13;
		<field type="text" label="How did you Hear About Us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="My time is valuable and your vacation is as well. The Research fee eliminates wasted hours and help me help serious inquiries only!! All clients will be required to pay a research fee prior to receiving a proposal.&amp;nbsp;"/>&#13;
		<field type="select" required="true" label="Which category applies to you?" description="Which category applies to you?" name="which-category-applies-to-you" className="form-control">&#13;
			<option label="Planning Fee for Groups 1-5-$25" value="planning-fee-for-groups-1525">Planning Fee for Groups 1-5-$25</option>&#13;
			<option label="Planning Fee for Groups 6-12-$35" value="planning-fee-for-groups-61235">Planning Fee for Groups 6-12-$35</option>&#13;
			<option label="Planning Fee for Groups 13-25-$50" value="planning-fee-for-groups-132550">Planning Fee for Groups 13-25-$50</option>&#13;
			<option label="Planning Fee for Groups 26-60-$75" value="planning-fee-for-groups-266075">Planning Fee for Groups 26-60-$75</option>&#13;
			<option label="Planning Fee for Groups 61 &amp; Above-$100" value="planning-fee-for-groups-61-above100">Planning Fee for Groups 61 &amp; Above-$100</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How will you be paying the fee?" name="how-will-you-be-paying-the-fee">&#13;
			<option label="CashApp ($luxtravel4you)" value="cashapp-luxtravel4you">CashApp ($luxtravel4you)</option>&#13;
			<option label="Please send me an invoice so I can pay via card instead" value="please-send-me-an-invoice-so-i-can-pay-via-card-instead">Please send me an invoice so I can pay via card instead</option>&#13;
			<option label="Research Fee Waived-This only applies if have booked with Lux Travel for at least 2 destinations over the last 2 years . Approval MUST be granted by management." value="research-fee-waivedthis-only-applies-if-have-booked-with-lux-travel-for-at-least-2-destinations-over-the-last-2-years-approval-must-be-granted-by-management">Research Fee Waived-This only applies if have booked with Lux Travel for at least 2 destinations over the last 2 years . Approval MUST be granted by management.</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="It is our assumption that when you are completing this form you are planning to book within 2 weeks from the date you receive your quote. EXAMPLE: IF you receive your quote on the 10th, you should be ready to book by the 24th. If you have no intentions on booking that soon, it is our recommendation you do not submit a quote form. Pricing and availability are always subject to change. Our current turn around time is **3 business days** Weekends are not included in the 3 business days. As long as you receive a confirmation after submitting this form, that means we received your inquiry."/>&#13;
	</fields>&#13;
</form-template>
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