<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <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="text" required="true" label="Where would you like to go?" 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="text" required="true" label="How many total travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What type of travel planning do you need?" name="what-type-of-travel-planning-do-you-need"> <option label="Long-term bucket list travel planning" value="longterm-bucket-list-travel-planning">Long-term bucket list travel planning</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="A la Carte (family vacation, girls trip, romantic getaway, etc)" value="a-la-carte-family-vacation-girls-trip-romantic-getaway-etc">A la Carte (family vacation, girls trip, romantic getaway, etc)</option> <option label="Hotel-only, just for the Virtuoso perks!" value="hotelonly-just-for-the-virtuoso-perks">Hotel-only, just for the Virtuoso perks!</option> </field> <field type="text" required="true" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="date" required="true" 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" required="true" 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> </field> <field type="text" required="true" label="What is this experience worth to you, not including airfare?" name="what-is-your-overall-budget-for-all-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="How do you want to experience this destination?" name="how-do-you-want-to-experience-this-destination"> <option label="Totally custom and private itinerary with just you/your family" value="totally-custom-and-private-itinerary-with-just-youyour-family">Totally custom and private itinerary with just you/your family</option> <option label="Small escorted group tour" value="small-escorted-group-tour">Small escorted group tour</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> </field> <field type="text" required="true" label="What airport will you be departing from ?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference"> <option label="US chain like Marriott, Hilton" value="us-chain-like-marriott-hilton">US chain like Marriott, Hilton</option> <option label="Luxury (Ritz Carlton, Four Seasons, St. Regis)" value="luxury-ritz-carlton-four-seasons-st-regis">Luxury (Ritz Carlton, Four Seasons, St. Regis)</option> <option label="Boutique (smaller, intimate, individual but still luxury)" value="boutique-smaller-intimate-individual-but-still-luxury">Boutique (smaller, intimate, individual but still luxury)</option> <option label="Private Villa" value="private-villa">Private Villa</option> </field> <field type="checkbox-group" required="true" label="What is important to you while traveling?" name="what-is-important-to-you-while-traveling"> <option label="Many hotel amenities like room service, gym and a spa" value="many-hotel-amenities-like-room-service-gym-and-a-spa">Many hotel amenities like room service, gym and a spa</option> <option label="Food" value="food">Food</option> <option label="Wine" value="wine">Wine</option> <option label="Location" value="location">Location</option> <option label="Convenience" value="convenience">Convenience</option> <option label="Culture" value="culture">Culture</option> <option label="Lots to do" value="lots-to-do">Lots to do</option> <option label="Kids Club" value="kids-club">Kids Club</option> </field> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences"> <option label="Beach and water activities" value="beach-and-water-activities">Beach and water activities</option> <option label="Outdoor/nature (hiking, biking, kayaking)" value="outdoornature-hiking-biking-kayaking">Outdoor/nature (hiking, biking, kayaking)</option> <option label="Adventure (diving, rock climbing, rappelling, etc)" value="adventure-diving-rock-climbing-rappelling-etc">Adventure (diving, rock climbing, rappelling, etc)</option> <option label="Mix with locals" value="mix-with-locals">Mix with locals</option> <option label="Private museum tours" value="private-museum-tours">Private museum tours</option> <option label="Food & Wine: tours, tastings, lessons" value="food-wine-tours-tastings-lessons">Food & Wine: tours, tastings, lessons</option> <option label="City walking tours" value="city-walking-tours">City walking tours</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Hands-on children's activities" value="handson-childrens-activities">Hands-on children's activities</option> <option label="Golf / Tennis" value="golf-tennis">Golf / Tennis</option> <option label="Safari" value="safari">Safari</option> </field> <field type="checkbox-group" required="true" label="Do you and all travelers have a valid US Passport?" name="do-you-and-all-travelers-have-a-valid-us-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What are you most excited about for this trip?" name="what-are-you-most-excited-about-for-your-travels" subtype="text" className="form-control"/> <field type="text" label="What is your favorite travel memory from a past trip?" name="what-is-your-favorite-travel-memory" subtype="text" className="form-control"/> <field type="textarea" label="Describe a favorite hotel and why you like it:" name="describe-a-favorite-hotel-and-why-you-like-it" className="form-control"/> <field type="text" label="Anything you absolutely must see or do?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What else would you like me to know?" description="Things like medical/mobility issues allergies etc" name="notes" className="form-control"/> <field type="text" required="true" label="How did you hear about Luxury Travel Adventures?" name="how-did-you-hear-about-luxury-travel-adventures" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to receive our monthly newsletter?" name="would-you-like-to-receive-our-monthly-newsletter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="PLEASE NOTE:&nbsp;&nbsp;Luxury Travel Adventures charges a non-refundable travel consulting fee that starts at $500, depending upon trip complexity.&nbsp; This fee covers the time to research, negotiate and execute a highly personalized experience that meets your travel needs and desires.&nbsp; We are currently accepting clients with travel budgets starting at $10,000, not including air.&nbsp;"/> <field type="checkbox-group" required="true" label="CONSENT-I consent that Luxury Travel Adventures may collect my information via this form." name="consenti-consent-that-luxury-travel-adventures-may-collect-my-information-via-this-form"> <option label="YES" value="yes">YES</option> </field> </fields> </form-template> </body> </html>
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