<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="paragraph" subtype="p" label="Please note that we have a Concierge Fee of $150 per couple and $250 per family of five. For groups of over 6 people, we charge $50 per person.&nbsp;"/> <field type="paragraph" subtype="p" label="Sunset Chasers believes in Travel Insurance and will include a quote automatically with your proposal. You will need to decline the Travel Insurance while reviewing your quote."/> <field type="header" subtype="h2" label="Full name"/> <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="Preferred name" name="preferred-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="Let's talk about this trip!"/> <field type="paragraph" subtype="p" label="After this inital trip request, we will send you another form to gather more information before our call!"/> <field type="checkbox-group" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" other="true"> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Trip in the United States" value="trip-in-the-united-states">Trip in the United States</option> <option label="A Hawaiian Adventure " value="a-hawaiian-adventure-">A Hawaiian Adventure </option> <option label="European Adventure" value="european-adventure">European Adventure</option> <option label="Walt Disney World/Universal Studios" value="walt-disney-worlduniversal-studios">Walt Disney World/Universal Studios</option> <option label="Caribbean Cruise" value="caribbean-cruise">Caribbean Cruise</option> <option label="Alaskan Cruise" value="alaskan-cruise">Alaskan Cruise</option> <option label="European Cruise" value="european-cruise">European Cruise</option> <option label="Antarctica Cruise" value="antarctica-cruise">Antarctica Cruise</option> <option label="Eclipse Cruises 2026, 2027, 2028" value="eclipse-cruises-2026-2027-2028">Eclipse Cruises 2026, 2027, 2028</option> </field> <field type="paragraph" subtype="p" label="Please note that if you are planning to use points for your air or hotel, that booking will need to be made directly with your points provider and I cannot assist. The good news is that I can handle all of the rest of the details for you!&nbsp;"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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="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 $6000" value="3000-to-6000">$3000 to $6000</option> <option label="$6000 to $8000" value="6000-to-8000">$6000 to $8000</option> <option label="$8000 to $11000" value="8000-to-11000">$8000 to $11000</option> <option label="$11000 to $15,000" value="11000-to-15000">$11000 to $15,000</option> <option label="$15,000 to 20,000" value="15000-to-20000">$15,000 to 20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field type="header" subtype="h2" label="Passport Info"/> <field type="paragraph" subtype="p" label="Please make sure your passport is valid for at least 6 months and in excellent condition (free of damage). We highly recommend having a passport for all adults and children if you plan on cruising."/> <field type="paragraph" subtype="p" label="If you are only traveling in trips in the United States of America a Passport is not needed and you can skip this section."/> <field type="radio-group" required="true" label="Do you have a passport?" name="do-you-have-a-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Just a little more info"/> <field type="radio-group" label="How did you hear about Sunset Chasers?" name="how-did-you-hear-about-sunset-chasers" other="true"> <option label="Friend" value="friend">Friend</option> <option label="Facebook/Instagram" value="facebookinstagram">Facebook/Instagram</option> <option label="Google" value="google">Google</option> <option label="Event" value="event">Event</option> </field> <field type="text" label="Do you have a promo code?" name="do-you-have-a-promo-code" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Would you like to be added to our newsletter?" name="would-you-like-to-be-added-to-our-newsletter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="I understand there will be a non-refundable fee. Please type "I Agree"" name="i-understand-there-will-be-a-nonrefundable-fee-please-type-i-agree" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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