<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Thank you for entrusting the Bespoke Bookings team to handle your travel planning needs!&nbsp;"/> <field type="text" required="true" label="Which packaged trip &nbsp;are you interested in?" description="write the title of the trip as it appears online" name="which-social-media-trip-deal-are-you-interested-in" 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" 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="text" label="Departure airport" description="The nearest airport that you would depart from" name="departure-airport" subtype="text" className="form-control"/> <field type="text" label="How many travelers are going on this trip?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are there any minors going on this trip?" name="budget"> <option label="yes there are travelers under the age of 18 " value="yes-there-are-travelers-under-the-age-of-18-">yes there are travelers under the age of 18 </option> <option label="No, all adults " value="no-all-adults-">No, all adults </option> </field> <field type="checkbox-group" required="true" label="All travelers have a VALID passport?" description="If this trip deal involves international travel" name="all-travelers-have-a-valid-passport"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> </field> <field type="header" subtype="h1" label="Customization"/> <field type="paragraph" subtype="p" label="** There is a non-refundable custom trip planning fee associated with having elements of this trip deal customized to your desired travel preference.&nbsp;"/> <field type="checkbox-group" label="Would you like to customize this social media trip deal?" name="dates-flexible"> <option label="Yes, I would like to customize this trip." value="yes-i-would-like-to-customize-this-trip">Yes, I would like to customize this trip.</option> <option label="No, I would like to book the trip as is " value="no-i-would-like-to-book-the-trip-as-is-">No, I would like to book the trip as is </option> </field> <field type="select" required="true" label="Payment&nbsp;" name="payment-" className="form-control"> <option label="I am ready to pay for this trip in full " value="i-am-ready-to-pay-for-this-trip-in-full-">I am ready to pay for this trip in full </option> <option label="I am ready to make a deposit payment towards this trip" value="i-am-ready-to-make-a-deposit-payment-towards-this-trip">I am ready to make a deposit payment towards this trip</option> </field> <field type="paragraph" subtype="p" label="TERMS AND CONDITIONS: I understand that final payments for packaged trips are often due 30-45 days prior to departure. With that, any travel departing &nbsp;within this time frame will require full payment. Deal pricing and availibility are subject to change with market until a deposit or full payment is made to secure your trip. ALL customizations made to a packaged trip, such as, changing departure cities, amount of days, or number of travelers can alter package pricing."/> <field type="checkbox-group" required="true" label="Select one&nbsp;" description="choose one" name="select-one-"> <option label="I would like travel insurance assistance/referral " value="i-would-like-travel-insurance-assistancereferral-">I would like travel insurance assistance/referral </option> <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> </field> <field type="paragraph" subtype="p" label="&nbsp;Travel insurance is completely OPTIONAL. I understand that declining travel insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred."/> </fields> </form-template> </body> </html>
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