<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Contact Info"/> <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 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="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="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" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" 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="header" subtype="h1" label="Details About My Upcoming Trip"/> <field type="radio-group" required="true" label="Have you ever worked with a Travel Advisor before?" name="have-you-ever-worked-with-a-travel-advisor-before"> <option label="Yes!" value="yes">Yes!</option> <option label="No, this will be my first time." value="no-this-will-be-my-first-time">No, this will be my first time.</option> </field> <field type="radio-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process"> <option label="I'm just getting started" value="im-just-getting-started">I'm 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 have some things booked, I know what I want, I just need help finalizing the details" value="i-have-some-things-booked-i-know-what-i-want-i-just-need-help-finalizing-the-details">I have some things booked, I know what I want, I just need help finalizing the details</option> </field> <field type="text" required="true" label="What destination(s) do you have in mind?" description="If you're not sure just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What is the inspiration for this trip? What experiences do you hope to have? What are your top priorities?&nbsp;" name="what-is-the-inspiration-for-this-trip-what-experiences-do-you-hope-to-have-what-are-your-top-priorities-" className="form-control"/> <field type="radio-group" required="true" label="Which services are you most interested in?" name="which-of-my-services-are-you-most-interested-in"> <option label="Accommodation only" value="accommodation-only">Accommodation only</option> <option label="Door to Door - Fully customized itinerary & complete booking details" value="door-to-door-fully-customized-itinerary-complete-booking-details">Door to Door - Fully customized itinerary & complete booking details</option> </field> <field type="date" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/> <field type="date" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="yes" value="yes">yes</option> <option label="no" value="no">no</option> </field> <field type="text" required="true" label="How many total nights would you like to travel?&nbsp;" description="This helps me calculate a realistic budget range" placeholder="For example: 10 nights" name="how-many-total-nights-would-you-like-to-travel-" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="Travel companion's name, age &amp; relation to you" placeholder="Example: John Doe 35 husband" name="travel-companions-name-age-relation-to-you" subtype="text" className="form-control"/> <field type="radio-group" label="Would you like our assistance with your flight reservations?" name="would-you-like-our-assistance-with-your-flight-reservations"> <option label="yes" value="yes">yes</option> <option label="no" value="no">no</option> </field> <field type="text" label="What is your departure city and/or preferred airport?" name="what-is-your-departure-city-andor-preferred-airport" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What class of service would you like us to quote for airfare?" description="Please check all the options you would like to consider." name="what-class-of-service-would-you-like-us-to-quote-for-airfare" other="true"> <option label="I've already booked my flights" value="ive-already-booked-my-flights">I've already booked my flights</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business" value="business">Business</option> <option label="First" value="first">First</option> <option label="Private" value="private">Private</option> </field> <field type="checkbox-group" required="true" 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="Adventure" value="adventure">Adventure</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="LGBTQ" value="lgbtq">LGBTQ</option> <option label="Multi-generational" value="multigenerational">Multi-generational</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Pet friendly" value="pet-friendly">Pet friendly</option> </field> <field type="checkbox-group" label="What type of activities do you enjoy?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach & water activities" value="beach-water-activities">Beach & water activities</option> <option label="Cultural experiences" value="cultural-experiences">Cultural experiences</option> <option label="Culinary experiences" value="culinary-experiences">Culinary experiences</option> <option label="History tours" value="history-tours">History tours</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts/theater/music" value="artstheatermusic">Arts/theater/music</option> </field> <field type="text" label="Anything that you absolutely must do or see? Anything that is a hard no?" name="anything-that-you-absolutely-must-do-or-see-anything-that-is-a-hard-no" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Which of the below options best describes your vacation mindset?" name="which-of-the-below-options-best-describes-your-vacation-mindset" other="true"> <option label="I enjoy having an itinerary and some activities planned." value="i-enjoy-having-an-itinerary-and-some-activities-planned">I enjoy having an itinerary and some activities planned.</option> <option label="I need every minute of my day planned out." value="i-need-every-minute-of-my-day-planned-out">I need every minute of my day planned out.</option> <option label="I cannot sit still even if I wanted to." value="i-cannot-sit-still-even-if-i-wanted-to">I cannot sit still even if I wanted to.</option> <option label="I prefer to have a general guideline of options, but enjoy going with the flow." value="i-prefer-to-have-a-general-guideline-of-options-but-enjoy-going-with-the-flow">I prefer to have a general guideline of options, but enjoy going with the flow.</option> <option label="Put me in a lounge chair with cocktail service and I'm set!" value="put-me-in-a-lounge-chair-with-cocktail-service-and-im-set">Put me in a lounge chair with cocktail service and I'm set!</option> </field> <field type="radio-group" required="true" label="What best describes your accommodation preferences?" name="hotel-preference" other="true"> <option label="5* Luxury " value="5-luxury-">5* Luxury </option> <option label="4* Boutique Hotel" value="4-boutique-hotel">4* Boutique Hotel</option> <option label="Private Home/Villa/Cabin Rental" value="private-homevillacabin-rental">Private Home/Villa/Cabin Rental</option> <option label="All-inclusive " value="allinclusive-">All-inclusive </option> </field> <field type="checkbox-group" label="Do you have a preferred room category for this trip?" name="do-you-have-a-preferred-room-category-for-this-trip"> <option label="Suite" value="suite">Suite</option> <option label="Mid Level" value="mid-level">Mid Level</option> <option label="Standard Room, Entry Level" value="standard-room-entry-level">Standard Room, Entry Level</option> </field> <field type="text" label="Where was your favorite hotel stay? What did you love about it?" name="where-was-your-favorite-hotel-stay-what-did-you-love-about-it" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What do you anticipate spending on accommodations per night?" name="what-do-you-anticipate-spending-on-accommodations-per-night" other="true"> <option label="Under $500" value="under-500">Under $500</option> <option label="$500 to $750" value="500-to-750">$500 to $750</option> <option label="$750 to $1,000" value="750-to-1000">$750 to $1,000</option> <option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option> <option label="$1,500+" value="1500">$1,500+</option> </field> <field type="radio-group" required="true" label="How much do you plan to invest on this travel experience? (not including airfare)" description="We will discuss this further during our Discovery Call based on your ideal itinerary; this amount will enable me to get started on research." name="how-much-do-you-plan-to-invest-on-this-travel-experience-not-including-airfare"> <option label="Up to $5,000" value="up-to-5000">Up to $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 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 $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field type="textarea" label="Is there anything else we should know?" placeholder="This is a great place to let us know about any medical or mobility issues allergies travel anxieties or any other details that haven't been included above." name="notes" className="form-control"/> <field type="text" required="true" label="How did you hear about Day in the Life Travel?" name="how-did-you-hear-about-day-in-the-life-travel" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="I understand that Day in the Life Travel charges a non-refundable Research &amp; Design Fee for custom design services and work on my trip will not begin until that fee is paid. *Note: Each Research &amp; Design Fee is based on the number of travelers, the length of the trip, and the complexity of the trip. An invoice will be sent after the Discovery Call to begin your trip-planning process." name="i-understand-that-day-in-the-life-travel-charges-a-nonrefundable-research-design-fee-for-most-services-and-work-on-my-trip-will-not-begin-until-that-fee-is-paid-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
Submit
American Airlines (AAdvantage)
United Airlines (Mileage Plus)
Delta Air Lines (SkyMiles)
Hilton (Honors)
Marriott Bonvoy
Southwest Airlines (Rapid Rewards)
IHG Rewards Club
Hyatt (World of Hyatt)
JetBlue Airways (trueBlue)
British Airways (Executive Club)
Alaska Airlines (Mileage Plan)
Hertz Gold Plus Rewards
Virgin America (eleVAte)
Club Carlson Hotels
Avis (Preferred)
Amtrak (Guest Rewards)
National (Emerald Club)
Wyndham Rewards (Days Inn, etc.)
Hawaiian Airlines (HawaiianMiles)
Choice Hotels (Choice Privileges)
Frontier Airlines (EarlyReturns)
Best Western Rewards
Lufthansa (Miles and More)
Virgin Atlantic (Flying Club)
Air Canada Aeroplan
Enterprise Rent-A-Car
Korean Air (SkyPass)
Air France (Flying Blue)
Singapore Airlines (KrisFlyer)
Emirates (Skywards)
Spirit Airlines (Free Spirit)
Le Club Accorhotels (Accor Hotels, Novotel, etc.)
Hotels.com Rewards
All Nippon Airways (ANA Mileage Club)
Cathay Pacific (Asia Miles)
Fairmont President's Club
Qantas (Frequent Flyer)
Budget (Fastbreak)
La Quinta, etc. (Returns)
Iberia Plus
Kimpton (Karma Rewards)
Asiana Airlines (Asiana Club)
Omni Hotels (Select Guest)
AviancaTaca (LifeMiles)
Alamo
Etihad Airways (Etihad Guest)
Aegean Airlines (Miles & Bonus)
KLM (Flying Blue)
MGM Resorts (M life Players Club)
Japan Airlines (JMB)
AirBerlin (Topbonus)
LATAM (LATAM Pass)
Thrifty (Blue Chip Rewards)
Royal Caribbean (Crown & Anchor Society)
Alitalia (MilleMiglia)
Qatar Airways (Qmiles)
Jet Airways (JetPrivilege)
Turkish Airlines (Miles&Smiles)
Icelandair (Saga Club)
Dollar Rent A Car (Express)
Carnival (VIFP)
Eva Air (Infinity MileageLands)
Sun Country Airlines (Ufly Rewards)
Shangri-La (Golden Circle)
Air India (Flying Returns)
Sixt Rent-a-Car
BMI (Diamond Club)
Booking.com
Loews Hotels (YouFirst Rewards)
Norwegian Air Shuttle ASA (Norwegian Reward)
Stash Hotel Rewards
Scandinavian Airlines System (EuroBonus)
Norwegian Cruise Line (Latitudes)
Aeromexico (Club Premier)
Copa Airlines ConnectMiles (Prefer)
Celebrity Cruises (Captain's Club)
Drury Hotels (Gold Key Club)
Aer Lingus (Gold Circle)
Virgin Australia (Velocity Frequent Flyer)
EL AL Israel Airlines (Matmid)
Princess Cruise Lines (Captain Circle)
China Airlines (Dynasty Flyer)
Delta (SkyBonus Corporate)
Melia (Melia Rewards)
GHA (Discovery)
Air China (PhoenixMiles)
Air Asia (BIG)
Gol Airlines (Smiles)
Malaysia Airlines (Enrich)
Air New Zealand (Airpoints)
WestJet (Frequent Guest)
Porter (VIPorter)
Agoda Rewards
Thai Airways (Royal Orchid Plus)
VOILÀ Hotel Rewards
Preferred Hotels, etc. (iPrefer)
Red Roof Inn (RediCard)
Aeroflot Bonus
China Eastern (Eastern Miles)
Holland America Line (Mariner Society)
Philippine Airlines (Mabuhay Miles)
Bangkok Airways (FlyerBonus)
Hilton Grand Vacations (Club)
South African Airways (Voyager)
China Southern (Sky Pearl)
Finnair Plus
Small Luxury Hotels (The Club)
TAP Portugal (Victoria Miles)
Avianca (Amigo)
Langham Hotels (1865 Club)
Fox Rent A Car (Rewards)
Hainan Airlines (Fortune Wings)
AmericInn (Easy Rewards)
Disney Cruise Line (Castaway Club)
Payless Car Rental (Perks Club)
Azul (TudoAzul)
Starwood Hotels (Preferred Business)
My Europcar (Privilege)
Hyatt (Vacation Club)
Aerolineas Argentinas (Plus)
Taj (InnerCircle)
British Airways (On Business, Corporate)
Leading Hotels of the World (Leaders Club)
Eurostar Frequent Traveler
Red Lion (Hello Rewards)
Air Tahiti Nui (Club Tiare)
United PerksPlus (Corporate Program)
NH Hotels (NH World)
Swissotel Circle
Millennium & Copthorne (My Millennium)
Ethiopian Airlines (ShebaMiles)
Royal Air Maroc (Safar Flyer)
Alaska Airlines (EasyBiz Corporate)
Vueling Airlines (Punto Punto)
Gulf Air (Falconflyer)
Star Alliance Company (PlusAwards)
Coast Hotels (Coast Rewards)
Royal Jordanian Airlines (Royal Plus)
HotelClub (Member Rewards)
Czech Airlines (OK Plus)
VIA Rail Canada (VIA Preference)
Trump Card (Privileges Program)
Borgata (Rewards)
Saudi Arabian Airlines (Alfursan)
Vietnam Airlines (Golden Lotus Plus)
Egypt Air Plus
Scandic Hotels (Scandic Friends)
JetBlue Airways (CompanyBlue)
Hostelworld (My World)
Jumeirah (Sirius)
E-Z Rent-A-Car (E-Z Money)
Deutsche Bahn (BahnCard)
Garuda (Frequent Flyer)
TripAdvisor
Kuwait Airways (Oasis Club)
Cosmopolitan Hotels (Identity)
Advantage Rent a Car (Instant Rewards)
Cayman Airways (Sir Turtle Rewards)
Caribbean Airlines (Caribbean Miles)
RIU Hotels & Resorts (RIU Class)
Easyjet
SriLankan (FlySmiLes)
TabletHotels (Reward Dollars)
Ace Rent a Car
Thalys (The Card)
S7 Priority
Air Baltic (Pins)
Choice Hotels (Nordic Choice Club)
Trident Hotels (Trident Privilege)
Middle East Airlines (Cedar Miles)
Emirates for Kids (Skysurfer)
Rydges (PriorityGUEST)
Oman Air (Sindbad)
Island Air (Cloud 9)
Ukraine International Airlines (Panorama Club)
Flybe (Rewards4all)
SNCF (Voyageur)
Marriott Gift Cards
Qantas (Aquire)
Pegasus Airlines (Pegasus Plus)
Air Transat
Silver Cloud (Rewards)
Brussels Airlines (LOOPs)
JAL Hotels (One Harmony)
Eurowings (Boomerang)
Azamara (Le Club Voyage)
Otel.com (FivePlus)
Meridiana Fly (Hi-Fly)
Prince Resorts Hawaii (Prince Preferred)
PIA (Awards Plus)
Air Astana (Nomad Club)
Regal Hotels (Regal Rewards)
IndiGo
Era Alaska (FlyAway Rewards)
Red Spotted Hanky (Loyalty points)
Thon Hotels (Thon Member)
Air Jamaica (Seventh Heaven)
Trenitalia (FrecciaClub)
Air Malta (Flypass)
Splendia (Club Rewards)
Dorint (Card)
UTair (Status)
Tsogo Sun (Frequent Guest)
Sino Hotel Group (IPrestige)
KLM BlueBiz (Corporate)
RZD (Bonus)
Elite Hotels of Sweden
New Otani (Club International)
Air Algérie (Air Algérie Plus)
Ryanair
The Montcalm & Shaftsbury (Premier Club)
Dan Hotels (e-dan club)
Pestana Priority Guest
Macdonald Hotels (The Club)
Air Mauritius (Kestrelflyer)
Frasers Hospitality (Fraser World)
AirBerlin (business points)
Park-N-Go (Frequent Parker Rewards)
Localiza Rent a Car
Jurys Inn (Jurys Rewards)
Air Caraibes (Preference)
Bulgaria Air (Fly More)
Air Niugini (Destinations)
TUIfly.com
Cebu Pacific (Getgo)
Premier Hotels (Premier Club)
Jet2.com (My Jet2)
Air Austral (My Capricorne)
CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
Stena Line (Extra)
La Compagnie (My Compagnie)
First Hotels (First Member)
Belavia (Leader)
Azerbaijan Airlines (Azal Miles)
Wizz Air (Discount Club)
Tunisair (Fidelys)
Paradores (Amigos de Paradores)
Vistara (Vistara Club)
Montenegro Airlines (Vision Team)
Asky Airlines (ASKY Club)
Jinling Hotels (Elite)
Moby Lines (Moby Club)
Jin Jiang Group (J-Club)
AtlasGlobal (AtlasMiles)
Qubus Hotel (Q-Club)
Braathens Regional Airlines (BRA Friends )
Hotelbooker.org
Flynas (NaSmiles)
Czech Airlines (OK Plus Corporate)
Uzbekistan Airways (UzAirPlus)
TAAG Angola Airlines (Umbi Umbi Club)
Yelloh! Village (Yelloh! Plus)
Future Inns (Rewards Club)
Nordavia (Golden Mile)
Air Arabia (Airewards)
Royal Brunei Airlines (Royal Skies)
Leonardo Hotels (AdvantageCLUB)
Air Moldova Club
Air Cote D'Ivoire (sMiles)
Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
Known Traveler Number (KTN)
Global Entry ID
TSA PreCheck
NEXUS ID
SENTRI ID
American Automative Association (AAA)
Sandals Select Guest (SSG)
Mandarin Oriental Fan
Relais and Chateaux 5C
Four Seasons Preferred
Dorchester Diamond
Peninsula Pen
Belmond Bellini
Silversea Venetian
Oceania Cruise Lines
Regent Cruise Line
Seabourn Cruise Line
Lindblad Expeditions
SeaDream Yacht Club
Cunard
Virgin Voyages Sailing Club
AmaWaterways
Type
Draw
×
By signing, I understand that this is a legally binding contract.