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="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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" 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="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" 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="paragraph" subtype="p" label="By law I am required to offer you travel insurance. For this reason I require that all of my clients complete, sign and submit this Travel Insurance Form 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="select" required="true" label="Please Acknowledge:" name="please-acknowledge" className="form-control">&#13;
			<option label="I do  want to purchase Travel Insurance" value="i-do-want-to-purchase-travel-insurance" selected="selected">I do  want to purchase 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="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!!"/>&#13;
		<field type="paragraph" subtype="p" label="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?" 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" selected="selected">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. 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."/>&#13;
	</fields>&#13;
</form-template>
  </body>
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