<html> <body> <form-template> <fields> <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="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="text" required="true" label="Address 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="select" required="true" label="Preferred Communication style" name="preferred-communication-stlye" className="form-control"> <option label="E-mail" value="email">E-mail</option> <option label="Text Message" value="text-message">Text Message</option> <option label="Phone call" value="phone-call">Phone call</option> </field> <field type="text" required="true" label="Are you already working with an HC Travel Firm advisor or affiliate? Or were you referred to one specifically?" name="are-you-already-working-with-an-hc-travel-firm-advisor-or-affiliate" subtype="text" className="form-control"/> <field type="text" required="true" label="Is this trip for a special occasion (birthday, anniversary, etc.)?" name="is-this-trip-for-a-special-occasion-birthday-anniversary-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="date" label="Departure Date" name="departure-date" className="form-control"/> <field type="date" label="Return Date" name="return-date" className="form-control"/> <field type="text" required="true" label="Names and relation of other people traveling with you:" description="Number of travelers and their relation to each other (e.g.: spouse/significant other friends family)." name="names-and-relation-of-other-people-traveling-with-you" subtype="text" className="form-control"/> <field type="text" required="true" label="What is the most stressful part of a vacation for you?" name="what-type-of-vacation-experience-are-you-hoping-to-have" subtype="text" className="form-control"/> <field type="select" required="true" label="Budget for this trip? (Accommodations + Activities - airfare/meals not included) We're happy to chat about this!" name="ideal-budget-for-this-trip" className="form-control"> <option label="$7500 - $9999" value="7500-9999">$7500 - $9999</option> <option label="$10,000 +" value="10000-">$10,000 +</option> <option label="$20K + " value="20k-">$20K + </option> </field> <field type="checkbox-group" required="true" label="Are you comfortable booking your own airfare? We do not handle purchasing flights,&nbsp; but happy to advise!" name="are-you-comfortable-booking-your-own-airfare-hctc-does-not-handle-purchasing-flights-but-is-happy-to-advise-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="From what airport will you be departing?" name="from-what-airport-will-you-be-departing" subtype="text" className="form-control"/> <field type="text" label="Do you have any allergies?" name="do-you-have-any-allergies" subtype="text" className="form-control"/> <field type="text" required="true" label="Why do you want to work with a travel advisor for this trip?" description="No time to do the research and booking? Want to trust an expert and not Google?" name="what-is-your-least-favorite-place-youve-traveled-to" subtype="text" className="form-control"/> <field type="text" label="What is your Instagram handle?" name="whats-your-instagram-handle" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you hear about HC Travel Firm?" description="Personal referral ad internet search etc." name="how-did-you-hear-about-heather-christopher-travel" subtype="text" className="form-control"/> <field type="text" label="Is there anything else we should know?" name="is-there-anything-else-we-should-know" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to be added to our 2x/month newsletter?" inline="true" name="would-you-like-to-be-added-to-my-monthly-newsletter"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="We charge a non-refundable travel planning fee, starting at $600. Loyal client fee starts at&nbsp;$300. National Park or road trip planning fee is $600.&nbsp; This fee covers the time involved in researching, preparing and executing a completely customized travel experience for you. This form collects your name, email address, physical address, and phone number information so that we may communicate with you and provide assistance. Please check our Privacy Policy to see how we protect your submitted data." name="we-charge-a-nonrefundable-travel-planning-fee-starting-at-500-repeat-client-fee-is-250-this-fee-covers-the-time-involved-in-researching-preparing-and-executing-a-completely-customized-travel-experience-for-you-this-form-collects-your-name-email-address-physical-address-and-phone-number-information-so-that-we-may-communicate-with-you-and-provide-assistance-please-check-our-privacy-policy-to-see-how-we-protect-your-submitted-data"> <option label="Yes, I've read the above." value="yes-ive-read-the-above">Yes, I've read the above.</option> </field> <field type="checkbox-group" required="true" label="HC Travel Firm and affiliates acts solely as a booking agent for disclosed principal Suppliers and is not the source or provider of any travel service. Each Supplier is an independent entity with its own management and is not subject to the control of HC Travel Firm For this reason, you will typically see all pricing as bundled rates and not broken out by component. Our partners do not provide component pricing to protect their contracts, therefore HC Travel Firm is not able to provide /disclose component pricing. Do you agree and understand that you will receive all pricing as a "package rate."" name="hc-travel-firm-and-affiliates-acts-solely-as-a-booking-agent-for-disclosed-principal-suppliers-and-is-not-the-source-or-provider-of-any-travel-service-each-supplier-is-an-independent-entity-with-its-own-management-and-is-not-subject-to-the-control-of-hc-travel-firm-for-this-reason-you-will-typically-see-all-pricing-as-bundled-rates-and-not-broken-out-by-component-our-partners-do-not-provide-component-pricing-to-protect-their-contracts-therefore-hc-travel-firm-is-not-able-to-provide-disclose-component-pricing-do-you-agree-and-understand-that-you-will-receive-all-pricing-as-a-package-rate"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="checkbox-group" required="true" label="Consent" name="consent"> <option label="I consent to having HC Travel Firm collect my details via this form." value="i-consent-to-having-hc-travel-firm-collect-my-details-via-this-form">I consent to having HC Travel Firm collect my details via this form.</option> </field> </fields> </form-template> </body> </html>
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