Bespoke Bookings Co.

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	<fields>&#13;
		<field type="select" label="How did you find out about Bespoke Bookings Co." name="how-did-you-find-out-about-bespoke-bookings-co" className="form-control">&#13;
			<option label="Returning client " value="">Returning client </option>&#13;
			<option label="Word of mouth referral " value="word-of-mouth-referral-">Word of mouth referral </option>&#13;
			<option label="Google search " value="google-search-">Google search </option>&#13;
			<option label="Youtube " value="youtube-">Youtube </option>&#13;
			<option label="TikTok " value="tiktok-">TikTok </option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Twitter" value="twitter">Twitter</option>&#13;
		</field>&#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="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" 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="Destination" description="Where would you like to go?" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Custom Travel Planning Service&amp;nbsp;" description="Select the service that best suits your needs" name="custom-travel-planning-service-" className="form-control">&#13;
			<option label="The Signature Escape ($500)" value="the-signature-escape-500">The Signature Escape ($500)</option>&#13;
			<option label="The Prestige Voyage ($1500)" value="the-prestige-voyage-1500">The Prestige Voyage ($1500)</option>&#13;
		</field>&#13;
		<field type="select" label="Romantic occasion&amp;nbsp;" name="romantic-occasion-" className="form-control">&#13;
			<option label="Romantic getaway" value="romantic-getaway" selected="selected">Romantic getaway</option>&#13;
			<option label="I want to propose on vacation" value="i-want-to-propose-on-vacation">I want to propose on vacation</option>&#13;
			<option label="Honeymoon trip " value="honeymoon-trip-">Honeymoon trip </option>&#13;
			<option label="Anniversary trip " value="anniversary-trip-">Anniversary trip </option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="radio-group" label="Which best describes your accommodation preference?" name="hotel-preference">&#13;
			<option label="Luxury hotel " value="luxury-hotel-">Luxury hotel </option>&#13;
			<option label="Private Villa / House " value="private-villa-house-">Private Villa / House </option>&#13;
			<option label="All inclusive resort " value="all-inclusive-resort-">All inclusive resort </option>&#13;
		</field>&#13;
		<field type="date" 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" 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="header" subtype="h1" label="Trip Protection&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;Disclaimer: Travel insurance is optional. Declining travel insurance could result in the loss of your travel cost and/or require more money to correct the situation. Without insurance, there may be no way to recoup any losses, costs, or expenses incurred."/>&#13;
		<field type="select" label="Select" name="select-1741542288425" className="form-control">&#13;
			<option label="I ACCEPT and would like travel insurance quotation" value="i-accept-and-would-like-travel-insurance-quotation">I ACCEPT and would like travel insurance quotation</option>&#13;
			<option label="I DECLINE travel insurance for my trip " value="i-decline-travel-insurance-for-my-trip-">I DECLINE travel insurance for my trip </option>&#13;
			<option label="" value=""/>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="By completing this form, you understand that if connected with a Bespoke Bookings Co. Travel Advisor, you will receive a travel service agreement to sign, allowing our advisors to legally provide trip planning guidance via phone/email and/or book travel on your behalf. You will also receive a non-refundable invoice for the applicable travel support fees before any action is taken on your trip by an advisor.&amp;nbsp;"/>&#13;
	</fields>&#13;
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