<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="INQUIRY - NYC"/> <field type="header" subtype="h2" label="Client Information"/> <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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" 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="textarea" label="Would you like to add anyone to our communications? Please list their name(s) and email(s) below.&nbsp;" name="would-you-like-to-add-anyone-to-our-communications-please-list-their-names-and-emails-below-" className="form-control"/> <field type="header" subtype="h1" label="About Your Trip"/> <field type="textarea" label="Please list the full names of travelers AND their birthdays. If there will be multiple rooms, please provide a breakdown of who goes in each room:&nbsp;" name="please-list-the-full-names-of-travelers-and-their-birthdays-if-there-will-be-multiple-rooms-please-provide-a-breakdown-of-who-goes-in-each-room-" className="form-control"/> <field type="textarea" required="true" label="What is the purpose for this vacation? Can you explain a little bit about what you're looking for?&nbsp;" name="what-is-the-purpose-for-this-vacation-can-you-explain-a-little-bit-about-what-youre-look-for-" className="form-control"/> <field type="date" required="true" label="When would you like to depart?&nbsp;" name="when-would-you-like-to-depart-" className="form-control"/> <field type="date" required="true" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If flexible, please share a date range. *If sharing a range of dates, please list exact date ranges vs. general availability.&nbsp;" name="if-flexible-please-share-a-date-range-if-sharing-a-range-of-dates-please-list-exact-date-ranges-vs-general-availability-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is your estimated investment for all travelers (excluding flights, excursions, and optional travel insurance)?&nbsp;" name="what-is-your-estimated-investment-for-all-travelers-excluding-flights-excursions-and-optional-travel-insurance-" other="true"> <option label="$2,000-$5,000" value="20005000">$2,000-$5,000</option> <option label="$5,000-$8,000" value="50008000">$5,000-$8,000</option> <option label="$8,000+" value="8000">$8,000+</option> </field> <field type="checkbox-group" required="true" label="Which of the following is important to you (check all that apply) ?:&nbsp;" name="which-of-the-following-is-important-to-you-check-all-that-apply-" other="true"> <option label="Boutique Hotel " value="boutique-hotel-">Boutique Hotel </option> <option label="Luxury Resort (4-5 Star)" value="luxury-resort-45-star">Luxury Resort (4-5 Star)</option> <option label="Spa On-Site" value="spa-onsite">Spa On-Site</option> <option label="Gym On-Site " value="gym-onsite-">Gym On-Site </option> <option label="Handicap Accessible " value="handicap-accessible-">Handicap Accessible </option> </field> <field type="checkbox-group" required="true" label="Room Preference:&nbsp;" name="room-preference-" other="true"> <option label="King Preferred (with Sleeper Sofa for kids, if applicable) " value="king-preferred-with-sleeper-sofa-for-kids-if-applicable-">King Preferred (with Sleeper Sofa for kids, if applicable) </option> <option label="2 Queens (or 2 beds)" value="2-queens-or-2-beds">2 Queens (or 2 beds)</option> <option label="Suite (Bed and Den Space separated by a door)" value="suite-bed-and-den-space-separated-by-a-door">Suite (Bed and Den Space separated by a door)</option> <option label="Connecting Rooms" value="connecting-rooms">Connecting Rooms</option> </field> <field type="radio-group" label="If applicable, is it a deal breaker if rooms do not connect?&nbsp;" name="if-applicable-is-it-a-deal-breaker-if-rooms-do-not-connect-"> <option label="Yes " value="yes-">Yes </option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Activities of Interest: (this helps us place you in the correct locations)&nbsp;" name="activities-of-interest-this-helps-us-place-you-in-the-correct-locations-" other="true"> <option label="Broadway Show" value="broadway-show">Broadway Show</option> <option label="Times-Square" value="timessquare">Times-Square</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Rockefeller Center" value="rockefeller-center">Rockefeller Center</option> <option label="Central Park" value="central-park">Central Park</option> <option label="Statue Of Liberty" value="statue-of-liberty">Statue Of Liberty</option> <option label="911 Museum" value="911-museum">911 Museum</option> <option label="Skyline Viewing (Top of the Rock, Empire State Building)" value="skyline-viewing-top-of-the-rock-empire-state-building">Skyline Viewing (Top of the Rock, Empire State Building)</option> <option label="Food Tours" value="food-tours">Food Tours</option> </field> <field type="header" subtype="h1" label="Further Trip Customizations"/> <field type="checkbox-group" required="true" label="From the Airport, I would like the following:&nbsp;" name="from-the-airport-i-would-like-the-following-" other="true"> <option label="Private Car Service (Pre-Arranged & Waiting On Me)" value="private-car-service-prearranged-waiting-on-me">Private Car Service (Pre-Arranged & Waiting On Me)</option> <option label="I'll Make My Own Way Into The City (Via Uber Or Taxi)" value="ill-make-my-own-way-into-the-city-via-uber-or-taxi">I'll Make My Own Way Into The City (Via Uber Or Taxi)</option> </field> <field type="checkbox-group" required="true" label="Do you want concierge services (an additional charge) for things such as:&nbsp;" name="do-you-want-concierge-services-an-additional-charge-for-things-such-as-" other="true"> <option label="Dining Reservations" value="dining-reservations">Dining Reservations</option> <option label="Detailed Itinerary Planning" value="detailed-itinerary-planning">Detailed Itinerary Planning</option> </field> <field type="checkbox-group" label="While in the city- I’d like to prebook the following activities: (Check all that apply)&nbsp;" name="while-in-the-city-id-like-to-prebook-the-following-activities-check-all-that-apply-" other="true"> <option label="Carriage Ride in Central Park" value="carriage-ride-in-central-park">Carriage Ride in Central Park</option> <option label="Top of the Rock Tickets" value="top-of-the-rock-tickets">Top of the Rock Tickets</option> <option label="Visit the Statue of Liberty and Ellis Island " value="visit-the-statue-of-liberty-and-ellis-island-">Visit the Statue of Liberty and Ellis Island </option> <option label="Tickets to One World Trade" value="tickets-to-one-world-trade">Tickets to One World Trade</option> <option label="Culinary Walking Tour " value="culinary-walking-tour-">Culinary Walking Tour </option> <option label="Hop-On and Off Bus Tour " value="hopon-and-off-bus-tour-">Hop-On and Off Bus Tour </option> <option label="Museum Tours" value="museum-tours">Museum Tours</option> <option label="Walking/History Tour " value="walkinghistory-tour-">Walking/History Tour </option> <option label="Bike Tours " value="bike-tours-">Bike Tours </option> </field> <field type="checkbox-group" label="Theater/Broadway Tickets:&nbsp;" name="theaterbroadway-tickets-" other="true"> <option label="I would like to purchase these in advance" value="i-would-like-to-purchase-these-in-advance">I would like to purchase these in advance</option> <option label="I will wait until I arrive and purchase on my own" value="i-will-wait-until-i-arrive-and-purchase-on-my-own">I will wait until I arrive and purchase on my own</option> </field> <field type="textarea" label="If you’d like to purchase in advance- please list any shows of interest below:&nbsp;" name="if-youd-like-to-purchase-in-advance-please-list-any-shows-of-interest-below-" rows="2" className="form-control"/> <field type="checkbox-group" label="Seating for Shows:&nbsp;" name="seating-for-shows-" other="true"> <option label="Give me the best seats in the house" value="give-me-the-best-seats-in-the-house">Give me the best seats in the house</option> <option label="I’m ok sitting further away from the stage" value="im-ok-sitting-further-away-from-the-stage">I’m ok sitting further away from the stage</option> <option label="I would like the most economical tickets available " value="i-would-like-the-most-economical-tickets-available-">I would like the most economical tickets available </option> </field> <field type="textarea" label="Please list any further information that would be helpful for tickets:" placeholder="(example: I need handicap accessible seats I need an aisle seat etc.)" name="please-list-any-further-information-that-would-be-helpful-for-tickets" className="form-control"/> <field type="header" subtype="h1" label="Final Notes To Further Customize Your Travel"/> <field type="textarea" label="Any other notes on your preferences or dreams for this trip to help me tailor it for you?" name="any-other-notes-on-your-preferences-or-dreams-for-this-trip-to-help-me-tailor-it-for-you" className="form-control"/> </fields> </form-template> </body> </html>
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