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Nikeya Agwoeme

Noire Navigations

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Travel Inquiry Form"/>&#13;
		<field type="paragraph" subtype="p" label="Welcome to Noire Navigations. This form is the first step toward a thoughtfully planned, stress-free trip. By sharing a few details about your travel goals, I’m able to design an experience that aligns with your pace, preferences, and the kind of memories you want to create—without the overwhelm."/>&#13;
		<field type="header" subtype="h1" label="Client Information"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768359247514" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Trip Details"/>&#13;
		<field type="radio-group" required="true" label="What service are you requesting?" name="what-service-are-you-requesting">&#13;
			<option label="Flight+Hotel" value="flighthotel">Flight+Hotel</option>&#13;
			<option label="Flight+Resort" value="flightresort">Flight+Resort</option>&#13;
			<option label="Flight+Cruise" value="flightcruise">Flight+Cruise</option>&#13;
			<option label="Cruise Only" value="cruise-only">Cruise Only</option>&#13;
			<option label="Domestic/Disney Trip" value="domesticdisney-trip">Domestic/Disney Trip</option>&#13;
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>&#13;
			<option label="Itinerary Only" value="itinerary-only">Itinerary Only</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to travel?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This gives me a general idea of when you would  like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This gives me a general idea of when you would like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure airport?" description="If there are multiple airports  please list all of them." name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" description="Including children" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you have any children (18 and below) in your party?" name="do-you-have-any-children-18-and-below-in-your-party">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If yes, how many children are in your party?" name="text-1768362013896" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms will you need?" description="Standard is 2 people to a room (excluding kids)" name="text-1768362133225" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768359360827" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Budget"/>&#13;
		<field type="radio-group" required="true" label="What is your budget per traveler?" name="radio-group-1765495992554">&#13;
			<option label="$500-$1,000" value="5001000">$500-$1,000</option>&#13;
			<option label="$1,000-$2,000" value="10002000">$1,000-$2,000</option>&#13;
			<option label="$2,000-$3,000" value="20003000">$2,000-$3,000</option>&#13;
			<option label="$3,000-$4,000" value="30004000">$3,000-$4,000</option>&#13;
			<option label="$4,000-$5,000" value="40005000">$4,000-$5,000</option>&#13;
			<option label="Over $5,000" value="over-5000">Over $5,000</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Is your budget flexible?" name="radio-group-1765495139014">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1768359777277" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Planning Fees"/>&#13;
		<field type="paragraph" subtype="p" label="To begin planning, a planning fee of $50 is required. This fee covers personalized trip research, itinerary design, and a curated shortlist of accommodations/experiences aligned with your travel style."/>&#13;
		<field type="paragraph" subtype="p" label="If you’d like a more culture-forward itinerary, you may add the Cultural Curation Fee (+$50). This includes deeper recommendations rooted in local context—such as neighborhood-based suggestions, locally owned experiences, and culturally significant stops—tailored to your interests and comfort level."/>&#13;
		<field type="paragraph" subtype="p" label="Planning fees are non-refundable and separate from supplier costs."/>&#13;
		<field type="paragraph" subtype="p" label="Once your inquiry is reviewed, you’ll receive next steps and the planning-fee invoice to get started."/>&#13;
		<field type="radio-group" required="true" label="Would you like a curated itinerary featuring locally owned and minority-owned businesses?" name="would-you-like-a-curated-itinerary-featuring-locally-owned-and-minorityowned-businesses">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Agreement" name="planning-fees">&#13;
			<option label="I understand that the applicable nonrefundable planning fees will be invoiced after I submit this form." value="i-understand-that-the-applicable-nonrefundable-planning-fees-will-be-invoiced-after-i-submit-this-form">I understand that the applicable nonrefundable planning fees will be invoiced after I submit this form.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Communication"/>&#13;
		<field type="paragraph" subtype="p" label="Once this form is submitted, you can expect an invoice follow-up within 24-48 hours."/>&#13;
		<field type="paragraph" subtype="p" label="Please allow 3-5 business days after payment for proposal processing. If your request is time-sensitive or your travel date is approaching, please note that in your submission."/>&#13;
		<field type="paragraph" subtype="p" label="To keep your trip planning organized and efficient, communication will primarily take place via email. This allows all trip details, updates, and confirmations to remain in one place."/>&#13;
		<field type="checkbox-group" required="true" label="Agreement" name="communication">&#13;
			<option label="I understand and agree to the communication expectations outlined above." value="i-understand-and-agree-to-the-communication-expectations-outlined-above">I understand and agree to the communication expectations outlined above.</option>&#13;
		</field>&#13;
		<field type="pageBreak" name="pageBreak-1768359375987" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Travel Interests"/>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Cultural Experiences" value="cultural-experiences">Cultural Experiences</option>&#13;
			<option label="Beaches &amp; Relaxation" value="beaches-relaxation">Beaches &amp; Relaxation</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Nature/Adventure" value="natureadventure">Nature/Adventure</option>&#13;
			<option label="Wellness/Spa" value="wellnessspa">Wellness/Spa</option>&#13;
			<option label="Historic Tours" value="historic-tours">Historic Tours</option>&#13;
			<option label="Shopping" value="shopping">Shopping</option>&#13;
		</field>&#13;
		<field type="text" label="Are there any experiences or sights at the top of your list?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768669964141" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="Travel Requirements"/>&#13;
		<field type="radio-group" label="Passport Status (for all travelers)" description="All travelers must have a passport valid for at least six months past the departure date." name="radio-group-1765495218177">&#13;
			<option label="All passports valid" value="all-passports-valid">All passports valid</option>&#13;
			<option label="Some expired" value="some-expired">Some expired</option>&#13;
			<option label="None valid" value="none-valid">None valid</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="text" label="Accessibility/Dietary Needs" name="text-1765495324628" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Airline or Hotel Preferences" name="text-1765495447939" subtype="text" className="form-control"/>&#13;
		<field type="pageBreak" name="pageBreak-1768361134709" next="Next" previous="Previous"/>&#13;
		<field type="header" subtype="h1" label="About You"/>&#13;
		<field type="radio-group" label="Have you worked with a travel advisor before?" name="radio-group-1765495593149">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="How did you hear about Noire Navigations?" inline="true" name="checkbox-group-1765494976798" other="true">&#13;
			<option label="Social Media" value="social-media">Social Media</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Referral" value="referral">Referral</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Additional Notes"/>&#13;
		<field type="textarea" label="Is there anything else you want me to know before I begin your trip research?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>