<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Talk Travel"/> <field type="header" subtype="h3" label="To get started, please fill out our Trip Design Form so I can get to know you and your trip a bit better. &nbsp;Once we receive your form, we’ll follow up with a link to schedule your complimentary 30-minute Discovery Call where we can chat through next steps.&nbsp;"/> <field type="header" subtype="h2" label="Contact Info&nbsp;"/> <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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field required="true" type="text" 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="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="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Style &amp; Preferences&nbsp;"/> <field type="text" required="true" label="What destination(s) do you have in mind?" description="It's okay to say "I don't know yet!" or "We're open!"" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="What are your preferred travel dates? Are your travel dates flexible?" placeholder="For Example: October '24 or October 3-25 '24 or Anytime after October" name="what-are-your-preferred-travel-dates-are-your-travel-dates-flexible" subtype="text" className="form-control"/> <field type="text" required="true" label="How many total nights would you like to Tavel?&nbsp;" placeholder="For example: 7 nights" name="how-many-total-nights-would-you-like-to-tavel-" subtype="text" className="form-control"/> <field type="textarea" label="Name &amp; relationship of other traveler(s)?" description="Please include ages for children" placeholder="Aaron (Husband) Stella (daughter 3 years old)" name="name-relationship-of-other-travelers" className="form-control"/> <field type="radio-group" label="Where are you in the planning process?&nbsp;" name="where-are-you-in-the-planning-process-"> <option label="Just getting started." value="just-getting-started">Just getting started.</option> <option label="I've done some research." value="ive-done-some-research">I've done some research.</option> <option label="I know what I want, I just need help finalizing the details." value="i-know-what-i-want-i-just-need-help-finalizing-the-details">I know what I want, I just need help finalizing the details.</option> </field> <field type="radio-group" required="true" label="How much do you plan to invest on this travel experience? *not including airfare* &nbsp;Please note: in most destinations we partner with hotels that run anywhere from $500 - $1,500+ per night/per room. This means we typically work with budgets of $1,000+ per day (more for larger families or multiple rooms) for full itinerary planning.&nbsp;" description="Custom planning begins with an investment of $10 000 in travel. This serves as a general starting point and can always be adjusted later." name="budget"> <option label="$0-$7,500 (Hotel Bookings + VIP Perks)" value="07500-hotel-bookings-vip-perks">$0-$7,500 (Hotel Bookings + VIP Perks)</option> <option label="$8,000-$10,000" value="800010000">$8,000-$10,000</option> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000-$20,000" value="1500020000">$15,000-$20,000</option> <option label="$20,000-$30,000" value="2000030000">$20,000-$30,000</option> <option label="$30,000-$50,000" value="3000050000">$30,000-$50,000</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="text" label="If you have an exact budget in mind, please share it!&nbsp;" name="if-you-have-an-exact-budget-in-mind-please-share-it-" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your accommodation preference?" name="hotel-preference"> <option label="Eco-friendly " value="ecofriendly-">Eco-friendly </option> <option label="Boutique" value="boutique">Boutique</option> <option label="4-Star Luxury " value="4star-luxury-">4-Star Luxury </option> <option label="5-Star Suites " value="5star-suites-">5-Star Suites </option> <option label="Ultra-Luxury Retreats" value="ultraluxury-retreats">Ultra-Luxury Retreats</option> <option label="Villa" value="villa">Villa</option> <option label="At Sea" value="at-sea">At Sea</option> <option label="All-inclusive " value="allinclusive-">All-inclusive </option> </field> <field type="text" label="Number of bedrooms? Desired features?&nbsp;" placeholder="For example: Place within walking distance of restaurants balcony ocean view etc." name="number-of-bedrooms-desired-features-" subtype="text" className="form-control"/> <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> <option label="Wellness" value="wellness">Wellness</option> </field> <field type="textarea" label="What is your inspiration for this trip?&nbsp;" placeholder="Are you celebrating a special occasion? What experiences do you hope to have? What are your top priorities?" name="what-is-your-inspiration-for-this-trip-" className="form-control"/> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Mountain and hiking" value="">Mountain and hiking</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Local tours" value="local-tours">Local tours</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts" value="arts">Arts</option> </field> <field type="text" label="Anything you absolutely must do or see?" placeholder="Must visit attractions? Must do activities?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" placeholder="For example: medical issues allergies travel anxieties preferences etc." name="notes" className="form-control"/> <field type="radio-group" label="Are the passports of everyone traveling valid &amp; not expiring for at least 6 months prior to your return?&nbsp;" name="are-the-passports-of-everyone-traveling-valid-not-expiring-for-at-least-6-months-prior-to-your-return-"> <option label="Yes" value="yes">Yes</option> <option label="No, we are taking care of it already" value="no-we-are-taking-care-of-it-already">No, we are taking care of it already</option> <option label="No, I will get on it now" value="no-i-will-get-on-it-now">No, I will get on it now</option> </field> <field type="radio-group" required="true" label="I understand Melted&amp;Moved charges a non-refundable Research &amp; Design Fee for most services and have reviewed the Services Page of this website." name="i-understand-meltedmoved-charges-a-nonrefundable-research-design-fee-for-most-services-and-have-reviewed-the-services-page-of-this-website"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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