<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Travel Request Form"/> <field type="paragraph" subtype="p" label="Thank you for choosing&nbsp; Book with LCV Travels&nbsp; for your upcoming vacation.. I'm committed to making this the best experience possible. If you're looking for someone who can get you the best bang for your buck, let's get started . Before we begin, I want to disclose with you the terms of the fees I have in place. I charge a $35 Refundable research fee. I provide 3 personalized quotes based on the information given to me.&nbsp; Fees are refundable if you secure your booking within 3 days of the inquiry. Refunds will be applied to the final payment of your trip. This allows me to know who is serious about their booking and fairly utilize time for those who are deposit ready. If you chose not to book, your fee will be retained as services rendered.&nbsp;"/> <field type="radio-group" required="true" label="Research Fee Acknowledgment" name="research-fee-acknowledgment"> <option label="Yes, Send me the invoice for credit card payment " value="yes-send-me-the-invoice-for-credit-card-payment-">Yes, Send me the invoice for credit card payment </option> <option label="Yes, I'll cash app $limitlessempire" value="yes-ill-cash-app-limitlessempire">Yes, I'll cash app $limitlessempire</option> <option label="No, Thank you " value="no-thank-you-">No, Thank you </option> <option label="I am a current client/No fee (has booked at least once per year)" value="i-am-a-current-clientno-fee-has-booked-at-least-once-per-year">I am a current client/No fee (has booked at least once per year)</option> </field> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <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" label="Middle name" name="middle-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="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What type of vacation are you considering?" name="what-type-of-vacation-are-you-considering" other="true"> <option label="All Inclusive Vacation Package (hotel, air, transfers) *Caribbean Only" value="all-inclusive-vacation-package-hotel-air-transfers-caribbean-only">All Inclusive Vacation Package (hotel, air, transfers) *Caribbean Only</option> <option label="All Inclusive Resort Only - Caribbean" value="all-inclusive-resort-only-caribbean">All Inclusive Resort Only - Caribbean</option> <option label="Domestic Hotel and Air" value="domestic-hotel-and-air">Domestic Hotel and Air</option> <option label="Hotel Only " value="hotel-only-">Hotel Only </option> <option label="Cruise" value="cruise">Cruise</option> <option label="Disney Vacation " value="disney-vacation-">Disney Vacation </option> <option label="Disney Cruise" value="disney-cruise">Disney Cruise</option> </field> <field type="text" label="Destination&nbsp;" name="destination-" subtype="text" className="form-control"/> <field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/> <field type="date" required="true" label="Return Date" name="return-date" className="form-control"/> <field type="select" required="true" label="Are these dates flexible?" name="are-these-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Departure City or Airport" name="departure-city-or-airport" subtype="text" className="form-control"/> <field type="text" required="true" label="How many Travelers?&nbsp;" name="how-many-travelers-" subtype="text" className="form-control"/> <field type="radio-group" label="Will there be any single travelers requiring their own room? Supplemental fees apply" name="will-there-be-any-single-travelers-requiring-their-own-room-supplemental-fees-apply"> <option label="Yes" value="yes">Yes</option> <option label="No - all have roommates" value="no-all-have-roommates">No - all have roommates</option> </field> <field type="text" required="true" label="Any Children?&nbsp; If yes, provide ages." name="any-children-if-yes-provide-ages" subtype="text" className="form-control"/> <field type="radio-group" label="Hotel preference" name="hotel-preference"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preference"> <option label="Adult Only" value="adult-only">Adult 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" 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> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> </field> <field type="radio-group" required="true" label="What is your per person budget?" description="All prices quoted will be per person based on double occupancy unless otherwise indicated" name="what-is-your-per-person-budget"> <option label="$1000-$1499" value="10001499">$1000-$1499</option> <option label="$1500-$1999" value="15001999">$1500-$1999</option> <option label="$2000-$2499" value="20002499">$2000-$2499</option> <option label="$2500 - Ball out " value="2500-ball-out-">$2500 - Ball out </option> </field> <field type="radio-group" required="true" label="Please be aware that prices frequently fluctuate. To lock in any prices, deposits must be made secured.&nbsp; Are you deposit ready?&nbsp;" name="please-be-aware-that-prices-frequently-fluctuate-to-lock-in-any-prices-deposits-must-be-made-secured-are-you-deposit-ready-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="When are you looking to book?" name="when-are-you-looking-to-book"> <option label="ASAP - deposit ready" value="asap-deposit-ready">ASAP - deposit ready</option> <option label="Within 2 weeks" value="within-2-weeks">Within 2 weeks</option> <option label="Within 4 weeks" value="within-4-weeks">Within 4 weeks</option> <option label="Within 8 weeks" value="within-8-weeks">Within 8 weeks</option> <option label="Just seeking information" value="just-seeking-information">Just seeking information</option> </field> <field type="text" label="Anything else you need me to know?" name="anything-else-you-need-me-to-know" subtype="text" className="form-control"/> <field type="text" label="Were you referred? Enter their name here" name="were-you-referred-enter-their-name-here" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Thank you for choosing Trippin On Purpose ~ Live, Love, Travel!&nbsp;"/> </fields> </form-template> </body> </html>
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