<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" required="true" label="Where would you like to go?" placeholder="ex: Paris France" name="destination" subtype="text" className="form-control"/> <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="textarea" label="Please provide names and birthdays for all travelers. (Birthdays only needed for international)" name="please-provide-names-and-birthdays-for-all-travelers" className="form-control"/> <field type="paragraph" subtype="p" label="Virginia Moore Travel is not able to assist with bookings that involve using hotel points, Air Bnb, or VRBO. However, the use of airline points is welcome and encouraged."/> <field type="radio-group" required="true" label="What services are you interested in?&nbsp;" name="budget"> <option label="Option 1: I already know where I want to stay, I just want your perks (complimentary)" value="option-1-i-already-know-where-i-want-to-stay-i-just-want-your-perks-complimentary" selected="selected">Option 1: I already know where I want to stay, I just want your perks (complimentary)</option> <option label="Option 2: Hotel booking + transfers + introduction with the hotel concierge ($250)" value="option-2-hotel-booking-transfers-introduction-with-the-hotel-concierge-250">Option 2: Hotel booking + transfers + introduction with the hotel concierge ($250)</option> <option label="Option 3: Hotel booking + activities + transfers + introduction with the hotel concierge ($370)" value="option-3-hotel-booking-activities-transfers-introduction-with-the-hotel-concierge-370">Option 3: Hotel booking + activities + transfers + introduction with the hotel concierge ($370)</option> <option label="Option 4: Full-service planning with dining, spa, and on-trip support ($500)" value="option-4-fullservice-planning-with-dining-spa-and-ontrip-support-500">Option 4: Full-service planning with dining, spa, and on-trip support ($500)</option> </field> <field type="paragraph" subtype="p" label="Whenever possible, I include a pricing breakdown in proposals. That said, many of the top travel partners I work with use confidential, contracted rates—especially when building custom itineraries—which means individual costs often can’t be itemized. I only collaborate with trusted suppliers who prioritize fair pricing and exceptional experiences, so you can feel confident you're getting great value every step of the way."/> <field type="radio-group" label="What is your ideal investment for all travelers (excluding airfare and meals)?" name="radio-group-1735657699082"> <option label="I need help with my budget" value="i-need-help-with-my-budget">I need help with my budget</option> <option label="Under $5,000 (hotel bookings only)" value="under-5000-hotel-bookings-only">Under $5,000 (hotel bookings only)</option> <option label="$5,000 to $7,000 " value="5000-to-7000-">$5,000 to $7,000 </option> <option label="$7,000 to $9,000" value="7000-to-9000">$7,000 to $9,000</option> <option label="$9,000 to $11,000" value="9000-to-11000">$9,000 to $11,000</option> <option label="$11,000 to $13,000" value="11000-to-13000">$11,000 to $13,000</option> <option label="$13,000 and above" value="13000-and-above">$13,000 and above</option> </field> <field type="radio-group" label="Would you like assistance booking your flights (for an additional fee)* ?&nbsp;" name="would-you-like-assistance-booking-your-flights-for-an-additional-fee-"> <option label="I will book on my own" value="i-will-book-on-my-own">I will book on my own</option> <option label="I want you to book" value="i-want-you-to-book">I want you to book</option> <option label="No flights needs" value="no-flights-needs">No flights needs</option> </field> <field type="text" label="Were you referred by someone? If so, who can I thank?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know? Any must dos? Any more info on your ideal travel investment if helpful here.&nbsp;" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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