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Kimberly Madrigal
Travel Gem Vacations
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Travel Planning Intake Form"/> <field type="textarea" label="Text Area" name="textarea-1751144686915" value="Let’s plan your next vacation! ✈️This quick form helps me gather the details I need to create a personalized travel proposal just for you. Once submitted you’ll receive a quote with curated options within 72 hours. From there, we can make any adjustments or additions needed before moving forward with booking.Thanks so much for choosing Travel Gem Vacations—I’m excited to help you plan something unforgettable! 💛" className="form-control"/> <field type="header" subtype="h2" label="SECTION 1: Client Information"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="Suffix" name="suffix" 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" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Contact Method" name="preferred-contact-method"> <option label="Text " value="">Text </option> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you hear about me?" name="how-did-you-hear-about-me" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 2: Trip Overview"/> <field type="checkbox-group" required="true" label="What type of trip are you planning?&nbsp;" name="what-type-of-trip-are-you-planning-"> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="General Vacation (Hotel + Flights, Tours, etc.)" value="general-vacation-hotel-flights-tours-etc">General Vacation (Hotel + Flights, Tours, etc.)</option> <option label="Other" value="other">Other</option> </field> <field type="date" 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" 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" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Departure Airport(s)" name="departure-airports" subtype="text" className="form-control"/> <field type="text" required="true" label="How many adults and children? (Include children’s ages)" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What’s your total trip budget range?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" required="true" label="Do you have a valid passport?&nbsp;" name="do-you-have-a-valid-passport-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Does everyone in your party have a valid passport?&nbsp;" name="checkbox-group-1752420281946"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 3:&nbsp; All-Inclusive Resorts"/> <field type="text" label="Preferred destination(s)" 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="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> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <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="Room preference?" name="room-preference" other="true"> <option label="King Bed" value="king-bed">King Bed</option> <option label="Queen or Double Beds" value="queen-or-double-beds">Queen or Double Beds</option> <option label="Sofa Bed" value="sofa-bed">Sofa Bed</option> <option label="Garden or Tropical View" value="garden-or-tropical-view">Garden or Tropical View</option> <option label="Swim Up Room (please note: this will increase cost significantly)" value="swim-up-room-please-note-this-will-increase-cost-significantly">Swim Up Room (please note: this will increase cost significantly)</option> <option label="Private Pool (please note: this will increase cost significantly)" value="private-pool-please-note-this-will-increase-cost-significantly">Private Pool (please note: this will increase cost significantly)</option> <option label="Ocean View (please note: this will increase cost )" value="ocean-view-please-note-this-will-increase-cost-">Ocean View (please note: this will increase cost )</option> <option label="Separate rooms are acceptable (connected or nearby not guaranteed)" value="separate-rooms-are-acceptable-connected-or-nearby-not-guaranteed">Separate rooms are acceptable (connected or nearby not guaranteed)</option> <option label="Suite Options: larger rooms with separate sleeping areas (please note: this will increase cost)" value="suite-options-larger-rooms-with-separate-sleeping-areas-please-note-this-will-increase-cost">Suite Options: larger rooms with separate sleeping areas (please note: this will increase cost)</option> </field> <field type="checkbox-group" label="Are airport transfers important to you?&nbsp;" name="are-airport-transfers-important-to-you-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 4: Cruises"/> <field type="checkbox-group" label="Cruise Duration" name="cruise-duration"> <option label="3-5 Nights" value="35-nights">3-5 Nights</option> <option label="6-9 Nights" value="69-nights">6-9 Nights</option> <option label="9+ Nights" value="9-nights">9+ Nights</option> </field> <field type="text" label="Preferred cruise line (if any)" name="preferred-cruise-line-if-any" subtype="text" className="form-control"/> <field type="checkbox-group" label="Type of cruise&nbsp;" name="type-of-cruise-" other="true"> <option label="Family" value="family">Family</option> <option label="Adults-Only" value="adultsonly">Adults-Only</option> <option label="Themed" value="themed">Themed</option> <option label="Group" value="group">Group</option> </field> <field type="text" label="Departure port" name="departure-port" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you need flights to the cruise port?&nbsp;" name="do-you-need-flights-to-the-cruise-port-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Interested in drink packages or excursions?&nbsp;" name="interested-in-drink-packages-or-excursions-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 5: General Vacation"/> <field type="text" label="Destination(s)" name="destinations" subtype="text" className="form-control"/> <field type="text" label="Hotel + Flight or Hotel Only?" name="hotel-flight-or-hotel-only" subtype="text" className="form-control"/> <field type="text" label="Hotel preferences" description="stars brand style" name="hotel-preferences" subtype="text" className="form-control"/> <field type="text" label="Prefer guided tours or to explore solo?" name="prefer-guided-tours-or-to-explore-solo" subtype="text" className="form-control"/> <field type="textarea" label="Must-have experiences or activities?" name="musthave-experiences-or-activities" className="form-control"/> <field type="header" subtype="h1" label="Special Notes"/> <field type="text" label="Are you celebrating something or is this trip for a special ocassion?" description="honeymoon family romantic, birthday, etc." name="are-you-celebrating-something-or-is-this-trip-for-a-special-ocassion" subtype="text" className="form-control"/> <field type="text" label="Accessibility, mobility, or dietary needs?" name="accessibility-mobility-or-dietary-needs" subtype="text" className="form-control"/> <field type="checkbox-group" label="Would you like to add travel insurance?" name="would-you-like-to-add-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="What activities are you most interested in?" description="Check all that apply" name="activity-preferences" other="true"> <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 theater" value="art-theater">Arts and theater</option> <option label="Spa" value="spa">Spa</option> <option label="Resort activities" value="resort-activities">Resort activities</option> <option label="Entertainment options" value="entertainment-options">Entertainment options</option> <option label="Teem/kid entertainment options" value="teemkid-entertainment-options">Teem/kid entertainment options</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="checkbox-group" label="Checkbox Group" name="checkbox-group-1752420376655"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> </field> <field type="select" label="Select" name="select-1752420471021" className="form-control"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> <option label="Option 2" value="option-2">Option 2</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="select" label="Select" name="select-1752420471225" className="form-control"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> <option label="Option 2" value="option-2">Option 2</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="select" label="Select" name="select-1752420471390" className="form-control"> <option label="Option 1" value="option-1" selected="selected">Option 1</option> <option label="Option 2" value="option-2">Option 2</option> <option label="Option 3" value="option-3">Option 3</option> </field> </fields> </form-template> </body> </html>
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Leading Hotels of the World (Leaders Club)
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