<form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <field type="select" label="Prefix Select" name="prefix-select" className="form-control"> <option label="Mr." value="mr" selected="true">Mr.</option> <option label="Mrs." value="mrs">Mrs.</option> <option label="Ms." value="ms">Ms.</option> </field> <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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="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" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" 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="header" subtype="h1" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="Travel Dates"/> <field type="date" required="true" label="Departure Date&nbsp;" name="departure-date-" value="2020-05-08" className="form-control"/> <field type="date" required="true" label="Return Date&nbsp;" name="return-date-" className="form-control"/> <field type="header" subtype="h1" label="Budget"/> <field type="checkbox-group" required="true" label="What is your total budget for all travelers?&nbsp;" toggle="true" name="checkbox-group-1588892383473" other="true"> <option label="Below - $1,500" value="below-1500">Below - $1,500</option> <option label="$1,500 - $2,500" value="1500-2500">$1,500 - $2,500</option> <option label="$2,500 - $4,500" value="2500-4500">$2,500 - $4,500</option> <option label="$4,500 - $6,500" value="4500-6500">$4,500 - $6,500</option> <option label="$6,500 - $8,500" value="6500-8500">$6,500 - $8,500</option> <option label="$8.500 - $10,000" value="8500-10000">$8.500 - $10,000</option> </field> <field type="header" subtype="h1" label="Destination"/> <field type="text" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="select" required="true" label="Number of Travelers" name="number-of-travelers" className="form-control"> <option label="1" value="1" selected="true">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+" value="6">6+</option> </field> <field type="checkbox-group" required="true" label="Traveling with Kids?&nbsp;" toggle="true" inline="true" name="traveling-with-kids-"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> </field> <field type="checkbox-group" label="Special Occasion?" toggle="true" name="special-occasion" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Girl's Trip" value="girls-trip">Girl's Trip</option> <option label="Guy's Trip" value="guys-trip">Guy's Trip</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="text" required="true" label="Departure City&nbsp;" name="text-1588994472863" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Include Airfare" toggle="true" inline="true" name="include-airfare"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Include Airport Transfers*" toggle="true" inline="true" name="include-airport-transfers"> <option label="Private" value="private">Private</option> <option label="Shared/Hotel Shuttle" value="sharedhotel-shuttle">Shared/Hotel Shuttle</option> <option label="Car Rental " value="car-rental-">Car Rental </option> </field> <field type="radio-group" required="true" label="Seat preference" inline="true" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle" value="middle">Middle</option> <option label="First Class" value="first-class">First Class</option> <option label="Business Class " value="business-class-">Business Class </option> <option label="Handicap" value="handicap">Handicap</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="radio-group" required="true" label="Bed preference" inline="true" name="bed-preference"> <option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option> <option label="King " value="king-">King </option> <option label="Suite " value="suite-">Suite </option> </field> <field type="text" label="Number of Rooms" name="number-of-rooms" subtype="text" className="form-control"/> <field type="text" label="Name of Hotel" name="name-of-hotel" subtype="text" className="form-control"/> <field type="checkbox-group" label="What best describes your hotel preference?" toggle="true" inline="true" name="what-best-describes-your-hotel-preference"> <option label="Economy" value="economy">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Rental Home" value="rental-home">Rental Home</option> </field> <field type="checkbox-group" label="Vibe Preferences" toggle="true" name="vibe-preferences"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Party " value="party-">Party </option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Off the beaten path " value="off-the-beaten-path-">Off the beaten path </option> <option label="Food and Wine " value="food-and-wine-">Food and Wine </option> <option label="Multi-generational" value="multigenerational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> <option label="LGBT" value="lgbt">LGBT</option> </field> <field type="checkbox-group" label="Adventure Activities" toggle="true" name="adventure-activities" other="true"> <option label="Beach and Water" value="beach-and-water">Beach and Water</option> <option label="Scuba" value="scuba">Scuba</option> <option label="National Parks and Wildlife" value="national-parks-and-wildlife">National Parks and Wildlife</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Spa" value="spa">Spa</option> <option label="Arts and Theatre" value="arts-and-theatre">Arts and Theatre</option> <option label="Sporting Events/Concerts" value="sporting-eventsconcerts">Sporting Events/Concerts</option> </field> <field type="checkbox-group" label="Include Travel Insurance" toggle="true" inline="true" name="include-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Special Rates (AAA, Military, Government, Marriott Rewards, SkyMiles, etc.)" name="special-rates-aaa-military-government-marriott-rewards-skymiles-etc" subtype="text" className="form-control"/> <field type="text" label="Is there anything you would like for me to know?" name="is-there-anything-you-would-like-for-me-to-know" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Terms and Conditions"/> <field type="paragraph" subtype="p" label="Simply2Travel warrants and declares that every effort will be made to provide the best process and value for the reports agreed upon by client.&nbsp; In the unlikely event that a catastrophic situation should occur to redirect or reschedule your travel pans and the supplier is unable to provide the client with the agreed travel services and/or products Simply2Travel nor it's independent agents are responsible for any other damages emotional or otherwise.&nbsp; I the client agree to have completed this form to the best of my ability in order to receive a complete quote.&nbsp; As the client I also understand that adequate travel insurance protection will be considered for my travel arrangements (or wedding where applicable) to include but not be limited to: cancellation and trip interruption medical and loss of baggage.&nbsp; If this protection is declined Simply2Travel will not be held responsible for any damages.&nbsp; By clicking submit, I agree I have read the above disclaimer and all information is accurate to the best of my knowledge.&nbsp; *Please be sure to fully read the above disclaimer as it can change without prior notice.*"/> <field type="checkbox-group" required="true" label="I have read and agree to the Terms and Conditions" toggle="true" name="i-have-read-and-agree-to-the-terms-and-conditions"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template>
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American Airlines (AAdvantage)
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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)
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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)
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Spirit Airlines (Free Spirit)
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Localiza Rent a Car
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TUIfly.com
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Premier Hotels (Premier Club)
Jet2.com (My Jet2)
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CAT (C-Club)
Opinion Miles Club
Ural Airlines (Wings)
Air Europa (SUMA)
Monarch (Vantage Club)
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Belavia (Leader)
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Paradores (Amigos de Paradores)
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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)
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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
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Air Macau (Privileges)
Etihad (BusinessConnect)
Gloria Hotels & Resorts (Gloria Partner)
Santos Hotels (Club Santos)
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Sandals Select Guest (SSG)
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Relais and Chateaux 5C
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Belmond Bellini
Silversea Venetian
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