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Laci Jo Brimer
Light My Path Travel
<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="✨ Let’s Start Planning Your Trip!"/> <field type="paragraph" subtype="p" label="I’m excited to hear what you have in mind! This form gives me the details I need to learn about your travel plans, what matters most to you, and how I can best help."/> <field type="paragraph" subtype="p" label="Once you submit your request, I’ll personally review it and follow up with the next steps. There is no payment required to submit this form."/> <field type="paragraph" subtype="p" label="For new clients, I collect a $50 Planning Commitment before I begin planning and preparing travel options for your trip. When you book your trip with Light My Path Travel, the full $50 is applied toward your trip. You’re not paying an extra $50 on top of your vacation. You’re putting $50 toward the trip we’re planning together."/> <field type="paragraph" subtype="p" label="❤️ Already part of the Light My Path Travel family? If you booked travel with Light My Path Travel before August 27, 2026, you’re grandfathered in, and the standard $50 Planning Commitment does not apply to you."/> <field type="paragraph" subtype="p" label="Whether you already know exactly where you want to go or you need some guidance figuring it out, tell me what you’re dreaming about below."/> <field type="paragraph" subtype="p" label="Let’s see where your path takes you. ✨"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <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?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="checkbox-group" required="true" label="What type of trip are you planning?" name="what-kind-of-trip-are-you-wanting" other="true"> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Hotel/Resort Stay" value="hotelresort-stay">Hotel/Resort Stay</option> <option label="Vacation Package" value="vacation-package">Vacation Package</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Honeymoon/Romantic Getaway" value="honeymoonromantic-getaway">Honeymoon/Romantic Getaway</option> <option label="Group Travel" value="group-travel">Group Travel</option> <option label="Destination Wedding Travel" value="destination-wedding-travel">Destination Wedding Travel</option> <option label="Theme Park Vacation" value="theme-park-vacation">Theme Park Vacation</option> <option label="Tour/Guided Vacation" value="tourguided-vacation">Tour/Guided Vacation</option> <option label="Other" value="other">Other</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&nbsp; adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many&nbsp; children?&nbsp;" description="Please list their ages at time of travel if possible." name="text-1740165356384" subtype="text" className="form-control"/> <field type="text" label="Ages of children at the time of travel?&nbsp;" description="Please list their ages at time of travel if possible." name="text-1741211464677" subtype="text" className="form-control"/> <field type="text" required="true" label="How many&nbsp; rooms needed?" name="text-1740165448346" subtype="text" className="form-control"/> <field type="text" required="true" label="How many people staying in each room?" description="(i.e. 2 adults in room 1 2 adults/2 kids in room 2)" name="text-1740165540837" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your approximate total budget for this trip?" description="Please include the amount you’re comfortable spending for all travelers. Consider accommodations/cruise fare and any transportation you’d like me to include. This helps me recommend options that realistically fit your trip." name="budget" other="true"> <option label="Under $2,500" value="under-2500">Under $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 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $25,000" value="15000-to-25000">$15,000 to $25,000</option> <option label="$25,000 +" value="25000-">$25,000 +</option> <option label="I'm not sure yet." value="im-not-sure-yet">I'm not sure yet.</option> </field> <field type="text" label="When are you looking to book this trip or make a deposit?" name="text-1744659921772" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What level of accommodations do you prefer?" name="hotel-preference" other="true"> <option label="Budget-Friendly" value="budgetfriendly">Budget-Friendly</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Upscale" value="upscale">Upscale</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique/Unique" value="boutiqueunique">Boutique/Unique</option> <option label="I'm not sure — I'd like recommendations" value="im-not-sure-id-like-recommendations">I'm not sure — I'd like recommendations</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" 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="Party" value="party">Party</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> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="select" required="true" label="Are you interested in including travel protection options with your trip?" name="would-you-like-travel-protection" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'd like more information before deciding" value="id-like-more-information-before-deciding">I'd like more information before deciding</option> </field> <field type="textarea" label="What else would you like me to know?" 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" label="Do any travelers qualify for any of the following?" name="anyone"> <option label="55+" value="55">55+</option> <option label="Law Enforcement" value="law-enforcement">Law Enforcement</option> <option label="Fire Department/EMT" value="fire-departmentemt">Fire Department/EMT</option> <option label="Military" value="military">Military</option> <option label="None of these" value="none-of-these">None of these</option> </field> <field type="checkbox-group" label="Would you like to stay updated on travel deals and destinations by email?" name="would-you-like-to-stay-updated-on-travel-deals-and-destinations-by-email"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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