<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="CLIENT INFORMATION"/> <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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="ABOUT YOUR TRIP:"/> <field type="text" required="true" label="Where would you like to go?" description="Have a specific destination in mind? Looking for some guidance? What all are you considering?" placeholder="Ex: Tahiti Caribbean island East coast road trip etc." name="destination" subtype="text" className="form-control"/> <field type="text" label="What are your preferred dates of travel?" placeholder="mm/dd/yy - mm/dd/yy" name="what-are-your-preferred-dates-of-travel" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe- depending on weather and value" value="maybe-depending-on-weather-and-value">Maybe- depending on weather and value</option> </field> <field type="text" required="true" label="What is your preferred airport of departure/city of origin?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Is this vacation to celebrate anything special?" placeholder="Ex: Honeymoon anniverary birthday retirement etc." name="what-is-the-reasons-for-your-trip" subtype="text" className="form-control"/> <field type="select" required="true" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in" className="form-control"> <option label="We are just starting to brainstorm and are open to suggestions" value="we-are-just-starting-to-brainstorm-and-are-open-to-suggestions">We are just starting to brainstorm and are open to suggestions</option> <option label="We have dates, but we need everything else" value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else</option> <option label="Flights are all booked - now help us fill in the blanks!" value="flights-are-all-booked-now-help-us-fill-in-the-blanks">Flights are all booked - now help us fill in the blanks!</option> </field> <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"> <option label="$3000 to $5000" value="3000-to-5000">$3000 to $5000</option> <option label="$5000 to $7,500" value="5000-to-7500">$5000 to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 +" value="15000-">$15,000 +</option> </field> <field type="textarea" label="Will you be booking any portion of your trip with points?" description="If so which pieces?" placeholder="Ex: flights hotels etc." name="will-you-be-booking-any-portion-of-your-trip-with-points" className="form-control"/> <field type="checkbox-group" required="true" label="What components would you like included in your proposal?" name="what-components-would-you-like-included-in-your-proposal"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (transfer, rental car, train, etc.)" value="transportation-transfer-rental-car-train-etc">Transportation (transfer, rental car, train, etc.)</option> <option label="Excursions & activities" value="excursions-activities">Excursions & activities</option> <option label="Insurance" value="insurance">Insurance</option> </field> <field type="radio-group" label="What best describes your accommodation style?" name="hotel-preference"> <option label="Economy / Functional" value="economy-functional">Economy / Functional</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Boutique & Intimate" value="boutique-intimate">Boutique & Intimate</option> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> </field> <field type="textarea" label="What your "must have" amenities?" description="Is there anything that you would want your hotels to have (i.e. bar on-site restaurant pool etc.)?" placeholder="Ex: hotel bar all-inclusive resort over-water bungalow private plunge pool etc." name="what-your-must-have-amenities" className="form-control"/> <field type="checkbox-group" label="What options best describe your travel priorities? Check all that apply.&nbsp;" name="vibe-preference" other="true"> <option label="Romance" value="romance">Romance</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="radio-group" label="Can you confirm that all travelers have a current/ unexpired passport with at least 6 months of eligibility from the end date of your trip?&nbsp;" description="This is recommended for all itineraries prior to planning due to the current passport application delays." name="can-you-confirm-that-all-travelers-have-a-current-unexpired-passport-with-at-least-6-months-of-eligibility-from-the-end-date-of-your-trip-"> <option label="Yes, I can confirm" value="yes-i-can-confirm">Yes, I can confirm</option> <option label="No, travelers will need to update their passports prior to travel" value="no-travelers-will-need-to-update-their-passports-prior-to-travel">No, travelers will need to update their passports prior to travel</option> </field> <field type="radio-group" label="OPTIONAL: Some current travel restrictions include only allow travelers who are fully vaccinated (14+ days after an approved vaccine program in the destination). If you are comfortable sharing, please advise if you are open to destinations that require vaccine records to enter the country.&nbsp;" name="optional-some-current-travel-restrictions-include-only-allowing-passengers-who-are-fully-vaccinated-14-days-after-an-approved-vaccine-program-if-you-are-comfortable-sharing-please-advise-if-you-are-open-to-destinations-that-require-vaccine-records-to-enter-the-country-"> <option label="Yes- I am able to provide vaccination records" value="yes-i-am-able-to-provide-vaccination-records">Yes- I am able to provide vaccination records</option> <option label="No- I do not wish to travel where vaccination records are required" value="no-i-do-not-wish-to-travel-where-vaccination-records-are-required">No- I do not wish to travel where vaccination records are required</option> <option label="I am uncertain about the vaccination status of all parties traveling with me" value="i-am-uncertain-about-the-vaccination-status-of-all-parties-traveling-with-me">I am uncertain about the vaccination status of all parties traveling with me</option> <option label="I decline to answer" value="i-decline-to-answer">I decline to answer</option> </field> <field type="textarea" required="true" label="Describe your vision for your ideal vacation" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="text" label="Is there anything that you "must do" or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please list all full names (including middle) and birthdates (as listed on passport) for all travelers." description="This will help us put quotes on complimentary holds for you!" name="please-list-all-full-names-and-birthdays-as-listed-on-passports" className="form-control"/> <field type="select" required="true" label="Did you have a specific agent that you were hoping to work with (select one)?" name="did-you-have-a-specific-agent-that-you-were-hoping-to-work-with" className="form-control"> <option label="Open to the best match" value="open-to-the-best-match" selected="selected">Open to the best match</option> <option label="Jordan Hahn" value="jordan-hahn">Jordan Hahn</option> <option label="Kim Hebert" value="kim-hebert">Kim Hebert</option> <option label="Amanda Wollam" value="amanda-wollam">Amanda Wollam</option> <option label="Carly Mellin" value="carly-mellin">Carly Mellin</option> <option label="Allison Barrett" value="allison-barrett">Allison Barrett</option> <option label="Breanna Purnell" value="breanna-purnell">Breanna Purnell</option> <option label="Logan Doucet" value="logan-doucet">Logan Doucet</option> <option label="Jamie Frantz" value="jamie-frantz">Jamie Frantz</option> <option label="Katherine Boulet" value="katherine-boulet">Katherine Boulet</option> <option label="Colleen Broussard" value="colleen-broussard">Colleen Broussard</option> <option label="Amanda Favara" value="amanda-favara">Amanda Favara</option> <option label="Laurel Fitzgerald" value="laurel-fitzgerald">Laurel Fitzgerald</option> <option label="Maribeth LaGrange" value="maribeth-lagrange">Maribeth LaGrange</option> <option label="Katie Perret" value="katie-perret">Katie Perret</option> <option label="Sarah Sirzyk" value="sarah-sirzyk">Sarah Sirzyk</option> <option label="Alexis Taliaferro" value="alexis-taliaferro">Alexis Taliaferro</option> <option label="Jennifer Templeton" value="jennifer-templeton">Jennifer Templeton</option> <option label="Molly Curry" value="molly-curry">Molly Curry</option> </field> <field type="text" label="Have you worked with an Explorateur advisor previously? If so, please name who you worked with." name="have-you-worked-with-an-explorateur-advisor-previously-if-so-please-name-who-you-worked-with" subtype="text" className="form-control"/> <field type="text" label="How did you hear about us? Tell us who we can thank!" description="Please share so that we can express our gratitude!" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to be added to our newsletter?" name="would-you-like-to-be-added-to-our-newsletter" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="ABOUT EXPLORATEUR TRAVEL"/> <field type="paragraph" subtype="p" label="Before we get started, it's important to know that each advisor owns their own book of business. You will start the process with an intake call, and if you decide to move forward from there, the advisor will be your main point of contact from that point forward. Each advisor works under the Explorateur name, but is an independent contractor of the brand. Due to this, we work to ensure that each potential client is matched to the best possible advisor for their trip. Our team is not able to facilitate changes of advisors past the initial stages of proposal creation and planning fees are non-transferrable to other advisors.&nbsp;"/> <field type="radio-group" label="Do you understand that agreeing to work together is a mutual decision made by both the individual Explorateur advisor and the potential client?*&nbsp;" name="do-you-understand-that-agreeing-to-work-together-is-a-mutual-decision-made-by-both-the-individual-explorateur-advisor-and-the-potential-client-"> <option label="Yes, I agree and understand that once I begin the process, my advisor will be my sole point of contact" value="yes-i-agree-and-understand-that-once-i-begin-the-process-my-advisor-will-be-my-sole-point-of-contact">Yes, I agree and understand that once I begin the process, my advisor will be my sole point of contact</option> <option label="I decline" value="i-decline">I decline</option> </field> <field type="radio-group" required="true" label="Explorateur acts solely as a booking agent for disclosed principal Suppliers and is not the source or provider of any travel service. Each Supplier is an independent entity with its own management and is not subject to the control of Explorateur. For this reason, you will see all pricing as bundled rates and not broken out by component. Our partners do not provide component pricing to protect their contracts, therefore Explorateur is not able to provide /disclose component pricing. Do you agree and understand that you will receive all pricing as a "package rate."" name="explorateur-acts-solely-as-a-booking-agent-for-disclosed-principal-suppliers-and-is-not-the-source-or-provider-of-any-travel-service-each-supplier-is-an-independent-entity-with-its-own-management-and-is-not-subject-to-the-control-of-explorateur-for-this-reason-you-will-see-all-pricing-as-bundled-rates-and-not-broken-out-by-component-our-partners-do-not-provide-component-pricing-to-protect-their-contracts-therefore-explorateur-is-not-able-to-provide-disclose-component-pricing-do-you-agree-and-understand-that-you-will-receive-all-pricing-as-a-package-rate"> <option label="Yes, I understand" value="yes-i-understand">Yes, I understand</option> <option label="No, I decline" value="no-i-decline">No, I decline</option> </field> <field type="header" subtype="h1" label="TERMS &amp; CONDITIONS"/> <field type="radio-group" required="true" label="I accept the terms and conditions of Explorateur Travel (found at https://www.explorateurtravel.com/terms-conditions)&nbsp;" name="i-accept-the-terms-and-conditions-of-exploraur-travel-found-at-httpswwwexplorateurtravelcomtermsconditions-"> <option label="Yes, I agree" value="yes-i-agree">Yes, I agree</option> <option label="No, I decline" value="no-i-decline">No, I decline</option> </field> </fields> </form-template> </body> </html>
SUBMIT
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
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