<html> <body> <form-template> <fields> <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" 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="h2" label="Address"/> <field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State / Province" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip / Postal Code" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is the best way for us to communicate?&nbsp;" name="what-is-the-best-way-for-us-to-communicate-"> <option label="Email with bullet points and action items. Let me know exactly what is needed at each step." value="email-with-bullet-points-and-action-items-let-me-know-exactly-what-is-needed-at-each-step">Email with bullet points and action items. Let me know exactly what is needed at each step.</option> <option label="Scheduled phone call is preferred to talk through details" value="scheduled-phone-call-is-preferred-to-talk-through-details">Scheduled phone call is preferred to talk through details</option> </field> <field type="text" required="true" label="Where would you like to go on your next trip?&nbsp;" description="If you are looking for ideas or suggestions thats ok too!" placeholder="If you are looking for ideas or suggestions that's ok too!" name="what-destinations-are-you-interested-in-its-ok-to-say-not-sure-yet-or-need-some-ideas" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your travel dates (or length of trip if not sure yet) and are those dates flexible?" name="what-are-your-travel-dates" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city? (if you need to have multi-city or alternative return location, please note here)" name="what-is-your-departure-airport-if-you-need-to-have-multicity-or-alternative-return-location-please-note-here" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="If you need support with air, what class of service would you like quoted? (ok to check more than one)&nbsp;" name="if-you-need-support-with-air-what-class-of-service-would-you-like-quoted-ok-to-check-more-than-one-"> <option label="I have already booked flights" value="i-have-already-booked-flights">I have already booked flights</option> <option label="Economy Class" value="economy-class">Economy Class</option> <option label="Premium Economy Class" value="premium-economy-class">Premium Economy Class</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="textarea" required="true" label="What is the inspiration for this trip? What are the experiences you are excited about or what are your top priorities&nbsp;" placeholder="ie: We are on an anniversary trip with family and this is our first safari. We are excited to see the giraffes elephants and tigers but also looking for some relaxing time. We really want to make sure our kids and grandkids find things to do that they enjoy" name="what-is-the-inspiration-for-this-trip-what-are-the-experiences-you-are-excited-about-or-what-are-your-top-priorities-" className="form-control"/> <field type="radio-group" required="true" label="What is your ground budget for all travelers? (NOT including air)" name="how-much-do-you-plan-to-invest-on-this-travel-experience-please-note-this-does-not-include-airfare"> <option label="Hotel only, less than 7 days" value="hotel-only-less-than-7-days">Hotel only, less than 7 days</option> <option label="$10,000 to $20,000" value="10000-to-20000">$10,000 to $20,000</option> <option label="$20,000 to $30,000" value="20000-to-30000">$20,000 to $30,000</option> <option label="$30,000 to $50,000" value="30000-to-50000">$30,000 to $50,000</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="radio-group" label="What best describes your hotel preference?&nbsp;" name="what-best-describes-your-hotel-preference-"> <option label="Brand Name " value="brand-name-">Brand Name </option> <option label="Moderate" value="moderate">Moderate</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for on this trip?&nbsp;" name="what-best-describes-your-travel-style-preferred-vibe-"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Food and Wine" value="food-and-wine">Food and Wine</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="Other" value="other">Other</option> </field> <field type="checkbox-group" label="What are your travel priorities for this trip in particular? (check all that apply)" name="what-are-your-travel-priorities-for-this-trip-in-particular-check-all-that-apply"> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Scuba and snorkel " value="scuba-and-snorkel-">Scuba and snorkel </option> <option label="Adventure & activities" value="adventure-activities">Adventure & activities</option> <option label="Local Culture & Education " value="local-culture-education-">Local Culture & Education </option> <option label="Family friendly " value="family-friendly-">Family friendly </option> <option label="Dramatic views and landscapes" value="dramatic-views-and-landscapes">Dramatic views and landscapes</option> <option label="Spa and Wellness" value="spa-and-wellness">Spa and Wellness</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Sustainability " value="sustainability-">Sustainability </option> <option label="Golf " value="golf-">Golf </option> <option label="Ski / snow " value="ski-snow-">Ski / snow </option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="What else would you like me to know?&nbsp; What brings a smile to your face? Favorite or least favorite travel experience?&nbsp;" placeholder="This is also a good place to share any medical issues allergies mobility issues travel anxieties or other details that have not been captured above" name="notes" className="form-control"/> <field type="textarea" required="true" label="Names and relationships of each traveler (for children, please include ages)" name="names-and-relationships-of-each-traveler-for-children-please-include-ages" className="form-control"/> <field type="checkbox-group" required="true" label="Have you worked with a travel advisor before?&nbsp;" name="have-you-worked-with-a-travel-advisor-before-"> <option label="No, this will be the first time" value="no-this-will-be-the-first-time">No, this will be the first time</option> <option label="Yes! " value="yes-">Yes! </option> </field> <field type="checkbox-group" label="How often do you travel for pleasure?&nbsp;" name="how-often-do-you-travel-for-pleasure-"> <option label="Once every few years to celebrate big occasions" value="once-every-few-years-to-celebrate-big-occasions">Once every few years to celebrate big occasions</option> <option label="One International trip / year + some domestic getaways" value="one-international-trip-year-some-domestic-getaways">One International trip / year + some domestic getaways</option> <option label="2-3 International trips + some domestic getaways per year" value="23-international-trips-some-domestic-getaways-per-year">2-3 International trips + some domestic getaways per year</option> <option label="Big and small trips as often as possible! " value="big-and-small-trips-as-often-as-possible-">Big and small trips as often as possible! </option> <option label="Primarily Domestic travel when holiday schedule permits" value="primarily-domestic-travel-when-holiday-schedule-permits">Primarily Domestic travel when holiday schedule permits</option> </field> <field type="textarea" label="In addition to this trip, what other destinations are on your vacation priority list for the next 3-5 years?&nbsp;" placeholder="For example: My son / daughters graduation next year and looking to book a family safari; My 25th wedding anniversary in 2 years and want to travel to Italy to celebrate; Want to book a riverboat cruise to see the holiday markets next season" name="in-addition-to-this-trip-what-other-destinations-are-on-your-vacation-priority-list-for-the-next-35-years-" className="form-control"/> <field type="text" label="How did you hear about Hi2 Global Travel?&nbsp; If a referral we would love to thank the source." name="how-did-you-hear-about-hi2-global-travel-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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