Share your information with
Katisha Freeman
The Essence of Travel LLC
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Traveler Information"/> <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="header" subtype="h1" label="About Your Trip"/> <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="radio-group" required="true" label="If outside of the United States, does everyone have a passport that is expiring 6 months or greater from your return date?" name="passport-expiring"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="What's The Trip Occassion? (Ex. Birthday, Wedding, Family Reunion, General Vacation, etc.)" description="Select the reason for your trip" name="reason-for-trip" className="form-control"> <option label="General Vacation" value="general-vacation">General Vacation</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Girl/Man Only Trip" value="girlman-only-trip">Girl/Man Only Trip</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Romantic Getaway" value="romantic-getaway">Romantic Getaway</option> <option label="Birthday/Anniversay/Graduation" value="celebration-getaway">Birthday/Anniversay/Graduation</option> <option label="Other" value="other-getaway">Other</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="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" required="true" label="How many adults (18 or older) are traveling?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are children traveling?" name="are-children-traveling"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769906240150" rule="eyJ3aGVuRmllbGQiOiJhcmUtY2hpbGRyZW4tdHJhdmVsaW5nIiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJ0ZXh0LTE3Njk5MDYxMjc3MjciXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJ0ZXh0LTE3Njk5MDYxMjc3MjciLCJsYWJlbCI6IlBsZWFzZSBsaXN0IHRoZSBhZ2Ugb2YgZWFjaCBjaGlsZC4ifV19"/> <field type="text" label="Please list the age of each child." name="text-1769906127727" subtype="text" className="form-control"/> <field type="pageBreak" name="pageBreak-1769915127870" next="Next" previous="Previous"/> <field type="checkbox-group" required="true" label="What experience(s) would you like us to book for you?" description="Please note All Inclusive options typically apply outside of the USA and Puerto Rico." name="what-travel-experiences-are-you-interested-in" other="true"> <option label="Accommodations & Flight Package" value="accommodations-flight-package">Accommodations & Flight Package</option> <option label="Accommodations Only" value="accommodations-only">Accommodations Only</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Tours & Activities" value="tours-activities">Tours & Activities</option> <option label="Escorted Group Trip" value="escorted-group-trip">Escorted Group Trip</option> <option label="Transfers" value="transfers">Transfers</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Flights ONLY ($25 booking charge)" value="flights-only-25-booking-charge">Flights ONLY ($25 booking charge)</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769907102462" rule="eyJ3aGVuRmllbGQiOiJ3aGF0LXRyYXZlbC1leHBlcmllbmNlcy1hcmUteW91LWludGVyZXN0ZWQtaW4iLCJ3aGVuQ29uZGl0aW9uIjoiY29udGFpbnMiLCJ3aGVuVmFsdWUiOiJBY2NvbW1vZGF0aW9ucyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJudW1iZXItb2Ytcm9vbXMtbmVlZGVkIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoibnVtYmVyLW9mLXJvb21zLW5lZWRlZCIsImxhYmVsIjoiTnVtYmVyIG9mIHJvb21zIG5lZWRlZD8ifV19"/> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769914750494" rule="eyJ3aGVuRmllbGQiOiJ3aGF0LXRyYXZlbC1leHBlcmllbmNlcy1hcmUteW91LWludGVyZXN0ZWQtaW4iLCJ3aGVuQ29uZGl0aW9uIjoiY29udGFpbnMiLCJ3aGVuVmFsdWUiOiJmbGlnaHQiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsid2hpY2gtYWlyZmFyZS1jbGFzcy13b3VsZC15b3UtbGlrZSJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6IndoaWNoLWFpcmZhcmUtY2xhc3Mtd291bGQteW91LWxpa2UiLCJsYWJlbCI6IldoaWNoIGFpcmZhcmUgY2xhc3Mgd291bGQgeW91IGxpa2U/In1dfQ=="/> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769916702154" rule="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"/> <field type="checkbox-group" label="Which airfare class would you like?" name="which-airfare-class-would-you-like"> <option label="Basic (Non-Refundable and No Seat Selection)" value="basic-nonrefundable-and-no-seat-selection">Basic (Non-Refundable and No Seat Selection)</option> <option label="Main Cabin" value="main-cabin">Main Cabin</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="checkbox-group" label="Number of rooms needed?" inline="true" name="number-of-rooms-needed"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5+" value="5">5+</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1769907159342" rule="eyJ3aGVuRmllbGQiOiJudW1iZXItb2Ytcm9vbXMtbmVlZGVkIiwid2hlbkNvbmRpdGlvbiI6ImlzLW5vdC1lbXB0eSIsIndoZW5WYWx1ZSI6IiIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyItbnVtYmVyLW9mLWJlZHMtbmVlZGVkLXBlci1yb29tIl0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoiLW51bWJlci1vZi1iZWRzLW5lZWRlZC1wZXItcm9vbSIsImxhYmVsIjoiJm5ic3A7TnVtYmVyIG9mIGJlZHMgbmVlZGVkIHBlciByb29tPyJ9XX0="/> <field type="checkbox-group" label="&nbsp;Number of beds needed per room?" inline="true" name="-number-of-beds-needed-per-room" other="true"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> </field> <field type="checkbox-group" required="true" label="What kind of travel experience are you looking for?" description="Check all that apply." name="vibe-preference"> <option label="Adults Only" value="adults-only">Adults Only</option> <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/Adventurous" value="off-the-beaten-pathadventurous">Off the Beaten Path/Adventurous</option> <option label="Party" value="party">Party</option> <option label="Local Culture & History" value="local-culture-history">Local Culture & History</option> <option label="Kid/Family Friendly" value="kidfamily-friendly">Kid/Family Friendly</option> <option label="Food and/or Wine" value="food-andor-wine">Food and/or Wine</option> <option label="Not Applicable" value="not-applicable">Not Applicable</option> </field> <field type="checkbox-group" required="true" label="What best describes your accommodation preferences?" name="what-best-describes-your-accommodation-preferences"> <option label="Boutique & Unique (Hidden Gems)" value="boutique-unique-hidden-gems">Boutique & Unique (Hidden Gems)</option> <option label="Hotel" value="hotel">Hotel</option> <option label="All Inclusive Resorts (mainly available in Mexico & Caribbean)" value="all-inclusive-resorts-mainly-available-in-mexico-caribbean">All Inclusive Resorts (mainly available in Mexico & Caribbean)</option> <option label="Private Villa" value="private-villa">Private Villa</option> <option label="Not Booking an Accommodation" value="not-booking-an-accommodation">Not Booking an Accommodation</option> </field> <field type="select" label="Flight: What is your preferred time to travel for departure flights?" name="preferred-travel-time" className="form-control field-hidden"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Red-Eye" value="redeye">Red-Eye</option> <option label="I don't need flights" value="i-dont-need-flights">I don't need flights</option> </field> <field type="select" label="Flight: What is your preferred time to travel for return flights?" name="what-is-your-preferred-time-to-travel-for-return-flights" className="form-control field-hidden"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> <option label="Red-Eye" value="redeye">Red-Eye</option> <option label="I don't need flights" value="i-dont-need-flights">I don't need flights</option> </field> <field type="text" label="What is your desired flight departure city or cruise port?" description="Where would you like to fly/cruise from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Beach / Water" value="beach-water">Beach / Water</option> <option label="Culinary Experiences" value="culinary-experiences">Culinary Experiences</option> <option label="Famous Attractions" value="famous-attractions">Famous Attractions</option> <option label="Golf" value="golf">Golf</option> <option label="Historical" value="historical">Historical</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Something Unique" value="something-unique">Something Unique</option> <option label="None" value="none">None</option> </field> <field type="radio-group" required="true" label="During our planning process, we consider price vs. benefit. How much would you like to ALLOCATE PER PERSON towards this experience? Please include flights in your allocation IF you are requesting flights as well." description="Please include flights in your allocation IF you are requesting flights as well." name="during-our-planning-process-we-consider-price-vs-benefit-how-much-would-you-like-to-allocate-per-person-towards-this-experience-please-include-flights-in-your-allocation-if-you-are-requesting-flights-as-well"> <option label="$1,000-$3,000 Per Person" value="10003000-per-person">$1,000-$3,000 Per Person</option> <option label="$3,000-$5,000 Per Person" value="30005000-per-person">$3,000-$5,000 Per Person</option> <option label="$5,000-$7,000 Per Person" value="50007000-per-person">$5,000-$7,000 Per Person</option> <option label="$7,000 + Per Person" value="7000-per-person">$7,000 + Per Person</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="radio-group" required="true" label="The Essence of Travel LLC recommends that you purchase travel insurance to protect your travel investment. By signing below, you acknowledge that The Essence of Travel LLC has offered me travel insurance. 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. I will not hold The Essence of Travel LLC, or any representative of The Essence of Travel LLC, accountable for any losses incurred due to declining travel insurance. The cost of trip insurance is non-refundable." name="i-understand-travel-insurance-is-included-in-my-rate-if-i-do-not-want-travel-insurance-i-must-request-an-insurance-waiver"> <option label="I ACCEPT Travel Insurance. Please include it in my quote." value="i-accept-travel-insurance-please-include-it-in-my-quote">I ACCEPT Travel Insurance. Please include it in my quote.</option> <option label="I HAVE my own Travel Insurance (this may include trip insurance coverage from credit card being used to pay)." value="i-have-my-own-travel-insurance-this-may-include-trip-insurance-coverage-from-credit-card-being-used-to-pay">I HAVE my own Travel Insurance (this may include trip insurance coverage from credit card being used to pay).</option> <option label="I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs." value="i-decline-travel-insurance-i-understand-that-this-could-result-in-the-loss-of-all-of-my-travel-costs">I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.</option> </field> <field type="text" required="true" label="Does anyone traveling have Allergies? If Yes, please list allergy's name(s)." name="allergies" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Special Events &amp; Instructions"/> <field type="radio-group" required="true" label="Would you like us to plan a&nbsp; special event for your guest before, during or after the trip?" description="Please let us know if we need to make special event accommodations for events such as cocktail parties welcome dinners etc." name="custom-event-planning"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like to order customized items for this trip such as t-shirts, hats, etc?" name="radio-group-1668769824729"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Anything else you would like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" rows="1" className="form-control"/> </fields> </form-template> </body> </html>
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Type
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