<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Travel Intake Form"/> <field type="paragraph" subtype="p" label="Let's Start Planning Your Dream Trip!"/> <field type="paragraph" subtype="p" label="Welcome to Belle Vie Travel's intake form! By completing this form, you'll help us understand your travel preferences and goals. This information will be the foundation for creating a personalized travel experience."/> <field type="paragraph" subtype="p" label="Your responses will allow us to make the most of our initial consultation and start bringing your dream trip to life. All information provided will be kept confidential and used only to ensure your travel experience is truly extraordinary."/> <field type="paragraph" subtype="p" label="Thank you for taking the time to fill out this form. If you have any questions, please don't hesitate to ask. We're excited to start turning your travel dreams into reality!"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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" label="Suffix" name="suffix" 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="h2" label="Questions for your trip"/> <field type="radio-group" required="true" label="Are you looking for a Package, Cruise or Hotel Only ( Other - Please Describe)?" description="Are you looking for a Package ( Air & Hotel) Cruise ( Ocean Cruise or River Cruise) or Hotel Only ( Hotel Room Only)" name="are-you-looking-for-a-package-cruise-or-hotel-only-other-please-describe" other="true"> <option label="Package - (ex. Air & Hotel)" value="package-ex-air-hotel">Package - (ex. Air & Hotel)</option> <option label="Cruise - Ocean" value="cruise-ocean">Cruise - Ocean</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Custom Itinerary " value="custom-itinerary">Custom Itinerary </option> </field> <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"/> <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"/> <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"/> <field type="checkbox-group" label="Are your dates flexible (Other - Please Explain)?" name="dates-flexible" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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"/> <field type="text" required="true" label="How many travelers ( Total Number of Travelers)?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How Many Children are Traveling and Ages of any children traveling? (Please put N/A if no children are traveling)." name="ages-of-any-children-traveling-please-put-na-if-no-children-are-traveling" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget Per Person for each traveler (Per Person)?" description="This just gives us a general starting point and this can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" required="true" label="Do all Travelers have a Valid Passport Book with 6+ months BEFORE it expires from the date you plan to return home and 2 blank pages ( Other - Please Explain)?" description="Any travel outside the United States requires a Valid Passport Book Not Passport Card and it needs to be valid for 6 months from the date you return home from your Vacation. The passport also must have 2 full blank pages left." name="do-all-travelers-have-a-valid-passport-book-other-please-explain" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="radio-group" label="What best describes your hotel preference (Other - Please Describe)?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury - 5 Star" value="luxury-5-star">Luxury - 5 Star</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Eco-Friendly" value="ecofriendly">Eco-Friendly</option> </field> <field type="radio-group" label="Bed preference ( Other - Please Describe)?" name="bed-preference" other="true"> <option label="King" value="king">King</option> <option label="2 Beds - (ex. Double/Queen )" value="2-beds-ex-doublequeen-">2 Beds - (ex. Double/Queen )</option> <option label="Suite" value="suite">Suite</option> <option label="Adjoining/Connecting Rooms" value="adjoiningconnecting-rooms">Adjoining/Connecting Rooms</option> </field> <field type="text" label="Number of Hotel Rooms Needed?" name="number-of-hotel-rooms-needed" subtype="text" className="form-control"/> <field type="text" label="Hotel to Quote - If known ( Please enter the full name of the hotel and not just the brand name, example: Four Seasons Resort Maui at Wailea)." name="hotel-to-quote-if-known-please-enter-the-full-name-of-the-hotel-and-not-just-the-brand-name-example-four-seasons-maui" subtype="text" className="form-control"/> <field type="text" label="Exact Room or Suite Name to Quote (if known)" name="exact-room-or-suite-name-to-quote-if-known" subtype="text" className="form-control"/> <field type="radio-group" label="Hotel Only Request ( What Are You Comfortable Spending Per Room/Suite, Other - Please Explain?&nbsp; Hotel rates have increased since COVID. Please check your dates on the hotel's website to get an idea of price before submitting your request.)" name="hotel-only-request-what-are-you-comfortable-spending-per-roomsuite-other-please-explain-hotel-rates-have-increased-since-covid-please-check-your-dates-on-the-hotels-website-to-get-an-idea-of-price-before-submitting-your-request" other="true"> <option label="Up to $500/night" value="up-to-500night">Up to $500/night</option> <option label="Up to $1000/night" value="up-to-1000night">Up to $1000/night</option> <option label="Up to $1500/night" value="up-to-1500night">Up to $1500/night</option> <option label="Up to $2000/night" value="up-to-2000night">Up to $2000/night</option> <option label="Up to $2500/night" value="up-to-2500night">Up to $2500/night</option> <option label="Up to $3000/night" value="up-to-3000night">Up to $3000/night</option> <option label="$3000/night +" value="3000night-">$3000/night +</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for (Other - Please Describe)?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Celebration" value="celebration">Celebration</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-and-wine">Food and Wine</option> </field> <field type="checkbox-group" label="What activities are you interested in ( Other - Please Describe)?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Culinary" value="culinary">Culinary</option> <option label="Wine Tasting" value="wine-tasting">Wine Tasting</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Cultural & Immersive" value="cultural-immersive">Cultural & Immersive</option> <option label="Arts, Theater, & Historical" value="arts-theater-historical">Arts, Theater, & Historical</option> <option label="Wellness & Spa" value="wellness-spa">Wellness & Spa</option> <option label="Sustainable & Eco-Conscious " value="sustainable-ecoconscious-">Sustainable & Eco-Conscious </option> <option label="Relaxation " value="relaxation-">Relaxation </option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know about your 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="checkbox-group" required="true" label="I have Read and Agree to the Terms and Conditions&nbsp; ( https://bellevietravel.com/terms-and-conditions/ )" name="i-have-read-and-agree-to-the-terms-and-conditions"> <option label="I have Read & Agree to the Terms and Conditions." value="i-have-read-agree-to-the-terms-and-conditions">I have Read & Agree to the Terms and Conditions.</option> </field> <field type="paragraph" subtype="p" label="Expect to hear from our dedicated team within 72 business hours"/> </fields> </form-template> </body> </html>
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