Latisha Brooks

Lux Travel Experience

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let's Plan Your Next cruise!"/>&#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" 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" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" 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="Date of Birth" name="date-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="State of Residency" name="state-of-residency" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which cruise line are you interested in?" name="which-cruise-line-are-you-interested-in">&#13;
			<option label="Carnival Cruises" value="carnival-cruises">Carnival Cruises</option>&#13;
			<option label="Royal Caribbean Cruises" value="royal-caribbean-cruises">Royal Caribbean Cruises</option>&#13;
			<option label="Norwegian Cruise Line" value="norwegian-cruise-line">Norwegian Cruise Line</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers?&amp;nbsp;" name="how-many-travelers-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="What type of cabin would you interested in?&amp;nbsp;" name="what-type-of-cabin-would-you-interested-in-" className="form-control">&#13;
			<option label="Interior" value="interior" selected="selected">Interior</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Which state would you like to depart from?&amp;nbsp;" name="which-state-would-you-like-to-depart-from-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?&amp;nbsp;" name="what-is-your-budget-for-all-travelers-">&#13;
			<option label="$1500-$2000" value="15002000">$1500-$2000</option>&#13;
			<option label="$2000-2500" value="20002500">$2000-2500</option>&#13;
			<option label="$2500-3000" value="25003000">$2500-3000</option>&#13;
			<option label="$3000-3500" value="30003500">$3000-3500</option>&#13;
			<option label="$3500-4000" value="35004000">$3500-4000</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Approximately around what date would you like to&amp;nbsp; start your vacation?&amp;nbsp;" name="approximately-around-what-date-would-you-like-to-start-your-vacation-" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Special Accommodations" name="vibe-preference">&#13;
			<option label="Wheelchair" value="">Wheelchair</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="By law we are required to offer you travel insurance. For this reason we&amp;nbsp; require that all of my clients acknowledge&amp;nbsp; indicating that you have been offered travel insurance, and should you chose not to purchase travel insurance you accept all responsibility. "/>&#13;
		<field type="paragraph" subtype="p" label="Emergencies can happen when you least expect it. I highly recommend that you protect your vacation with a travel insurance policy. The cruise lines, airlines, hotels and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. Your Travel Insurance will protect you in the following areas:"/>&#13;
		<field type="paragraph" subtype="p" label="Trip Cancellation"/>&#13;
		<field type="paragraph" subtype="p" label="Trip Interruption"/>&#13;
		<field type="paragraph" subtype="p" label="Baggage Loss, Theft or Damage"/>&#13;
		<field type="paragraph" subtype="p" label="Trip Delay"/>&#13;
		<field type="radio-group" required="true" label="Please Acknowledge:" name="please-acknowledge">&#13;
			<option label="I do Accept Travel Insurance" value="i-do-accept-travel-insurance">I do Accept Travel Insurance</option>&#13;
			<option label="I Decline Travel insurance and I do assume all responsibility." value="i-decline-travel-insurance-and-i-do-assume-all-responsibility">I Decline Travel insurance and I do assume all responsibility.</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Would you like to prepay gratuities?" description="Optional to pay prior to final due date or billed onboard" name="would-you-like-to-prepay-gratuities">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="All clients will be required to pay a research fee prior to receiving a proposal. My time is valuable and your vacation is as well. The Research fee eliminates wasted hours and help me help serious inquiries only!!"/>&#13;
		<field type="radio-group" required="true" label="Which option works best for you?&amp;nbsp;" name="which-option-works-best-for-you-">&#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 and Approval MUST be granted by management." value="research-fee-waivedthis-only-applies-if-have-booked-with-lux-travel-and-approval-must-be-granted-by-management">Research Fee Waived-This only applies if have booked with Lux Travel and 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. 2 weeks after we have sent pricing, the quote is no longer active and a new form and fee are required for additional pricing. 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.&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
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