<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <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="Phone number" placeholder="123-456-7890" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" 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" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" placeholder="example@example.com" name="email" subtype="text" className="form-control"/> <field type="select" required="true" label="Preferred method of contact?" name="preferred-method-of-contact" className="form-control"> <option label="Email" value="email" selected="selected">Email</option> <option label="Call/text" value="calltext">Call/text</option> </field> <field type="header" subtype="h2" label="Questions for your trip"/> <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="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="no">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city/state?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" required="true" label="How many travelers?" name="how-many-travelers" className="form-control"> <option label="1" value="1" selected="selected">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6 or more" value="6-or-more">6 or more</option> </field> <field type="textarea" required="true" label="Please list the Names and Date of Births of ALL TRAVELERS who will be in attendance." name="please-list-the-names-and-date-of-births-of-all-travelers-who-will-be-in-attendance" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <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="select" required="true" label="Would you like Travel Insurance? This is HIGHLY Recommended." name="would-you-like-travel-insurance-this-is-highly-recommended" className="form-control"> <option label="YES" value="yes" selected="selected">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" required="true" label="Payment Plan?" description="All payment plans will be discussed prior to booking. Please advise: Bookings that are within 30-45 days of travel will require full payment." name="payment-plan" className="form-control"> <option label="YES" value="yes" selected="selected">YES</option> <option label="NO" value="no">NO</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="checkbox-group" required="true" label="What kind of vacation are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Hotel and Flight Package" value="hotel-and-flight-package">Hotel and Flight Package</option> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Cabin Rental" value="cabin-rental">Cabin Rental</option> <option label="Home Rental" value="home-rental">Home Rental</option> </field> <field type="select" required="true" label="If you are interested in a Home and Cabin Rental ONLY How many Bedrooms?" name="if-you-are-interested-in-a-home-and-cabin-rental-only-how-many-bedrooms" className="form-control"> <option label="1-2 Bedroom" value="1-2-bedroom" selected="selected">1-2 Bedroom</option> <option label="2-3 Bedroom" value="2-3-bedroom">2-3 Bedroom</option> <option label="3-4 Bedroom" value="3-4-bedroom">3-4 Bedroom</option> <option label="4-5 bedroom" value="4-5-bedroom">4-5 bedroom</option> <option label="6+ Bedroom" value="6-bedroom">6+ Bedroom</option> <option label="This does not apply to me" value="this-does-not-apply-to-me">This does not apply to me</option> </field> <field type="select" required="true" label="PLEASE BE ADVISED That if you have more travelers than what the property has allowed for max, you will be held responsible for all penalties, evicted and no money back by the property manager. Do you understand these rules?" name="please-be-advised-that-if-you-have-more-travelers-than-what-the-property-has-allowed-for-max-you-will-be-held-responsible-for-all-penalties-evicted-and-no-money-back-by-the-property-manager-do-you-understand-these-rules" className="form-control"> <option label="YES" value="yes" selected="selected">YES</option> <option label="NO" value="no">NO</option> <option label="This does not apply to me" value="this-does-not-apply-to-me">This does not apply to me</option> </field> <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="select" required="true" label="Beyond Luxury Travel, LLC Research/Retainer Fee" description="How to submit retainer fee will be provided after this form has been completed." name="travel-with-nictoria-research-fee" className="form-control"> <option label="Up to 4 Traveler's, 30.00 " value="up-to-4-travelers-3000-" selected="selected">Up to 4 Traveler's, 30.00 </option> <option label="Up to 6 Traveler's, 50.00" value="up-to-6-travelers-5000">Up to 6 Traveler's, 50.00</option> <option label="7+ Traveler's, 80.00" value="7-travelers-8000">7+ Traveler's, 80.00</option> </field> <field type="select" required="true" label="Once the fee is paid and the questions are answered, I will start working on your quotes and please allow 2-5 business days for your custom itinerary. Keep in mind that you are given 3 DIFFERENT PROPOSALS FOR ONE DESTINATION. Do you acknowledge that this fee and processing fee is required to be paid BEFORE any services are provided?" name="once-the-fee-is-paid-and-the-questions-are-answered-i-will-start-working-on-your-quotes-and-please-allow-25-business-days-for-your-custom-itinerary-keep-in-mind-that-you-are-given-3-different-proposals-for-one-destination-do-you-acknowledge-that-this-fee-and-processing-fee-is-required-to-be-paid-before-any-services-are-provided" className="form-control"> <option label="YES" value="yes" selected="selected">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" required="true" label="PLEASE BE ADVISED, If you have not made a decision within the 3 quotes given, within a 48 hour time frame, due to the proposal can only be held for that long, AN ADDITIONAL RETAINER FEE WILL BE REQUIRED. Please select your choice below if you understand these terms.*" name="please-be-advised-if-you-have-not-made-a-decision-within-the-3-quotes-given-within-a-48-hour-time-frame-due-to-the-proposal-can-only-be-held-for-that-long-an-additional-retainer-fee-will-be-required-please-select-your-choice-below-if-you-understand-these-terms" className="form-control"> <option label="YES" value="yes" selected="selected">YES</option> <option label="NO" value="no">NO</option> </field> </fields> </form-template> </body> </html>
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