TravelJoy

Casey Ledbetter

Travelmation

New Vacation Requests

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    <form-template>&#13;
	<fields>&#13;
		<field type="paragraph" subtype="p" label="Thank you SO much for reaching out about planing your next vacation! I look forward to working with you and getting you to your dream destination! Please fill out the questions below to help me get started with your trip. ***I do ask that if we work together, you book DIRECTLY with me and not on your own or through another travel agent. My services are 100% free and does NOT cost you any extra on your total price. The vendors and suppliers I work with compensate me for my time after you complete your travel. This is why each vacation I work on is completely personalized to your wants and needs. I work to create the perfect vacation! I am SO excited to plan with you and thank you again for choosing to support my small business!&amp;nbsp;"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" 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="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to travel?" description="If multiple  list all" name="destinations-" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="text" label="Are your dates flexible?" name="are-your-dates-flexible" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book">&#13;
			<option label="Today" value="today">Today</option>&#13;
			<option label="Within the next 7 to10 days" value="within-the-next-7-to10-days">Within the next 7 to10 days</option>&#13;
			<option label="In a few months" value="in-a-few-months">In a few months</option>&#13;
			<option label="Just considering options" value="just-considering-options">Just considering options</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city/airport?" name="what-is-your-departure-cityairport" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults (over 18) are in your travel party?&amp;nbsp;" name="how-many-will-your-travel-party-consist-of" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children (under 18) are in your travel party &amp;amp; what will their ages be at time of travel? *If none, please answer N/A" placeholder="example: 2 children  Ages 4 &amp;amp; 8" name="if-children-under-17-are-traveling-please-list-how-many-and-ages-if-none-answer-0" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="IF you have your Passport, please list FIRST, MIDDLE, LAST NAME as on Passport, BIRTHDATE, &amp;amp; GENDER of entire party. *If you do not have a passport, please answer N/A" name="if-you-have-your-passport-please-list-first-middle-last-name-as-on-passport-birthdate-gender-of-entire-party-if-you-do-not-have-a-passport-please-answer-na" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of vacation are you interested in?" name="what-type-of-vacation-are-you-interested-in">&#13;
			<option label="All Inclusive - Adult Only" value="all-inclusive-adult-only">All Inclusive - Adult Only</option>&#13;
			<option label="All Inclusive - Family Friendly" value="all-inclusive-family-friendly">All Inclusive - Family Friendly</option>&#13;
			<option label="Walt Disney World (Orlando, FL)" value="walt-disney-world-orlando-fl">Walt Disney World (Orlando, FL)</option>&#13;
			<option label="Disneyland (Anaheim, CA)" value="disneyland-anaheim-ca">Disneyland (Anaheim, CA)</option>&#13;
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="International Destination" value="international-destination">International Destination</option>&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Honeymoon - Not All Inclusive" value="honeymoon-not-all-inclusive">Honeymoon - Not All Inclusive</option>&#13;
			<option label="Road Trip" value="road-trip">Road Trip</option>&#13;
			<option label="Ski Trip" value="ski-trip">Ski Trip</option>&#13;
			<option label="U.S. Beach Trip" value="us-beach-trip">U.S. Beach Trip</option>&#13;
			<option label="U.S. Mountain Destination" value="us-mountain-destination">U.S. Mountain Destination</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers?" name="what-is-your-total-budget-for-all-travelers">&#13;
			<option label="$2,000 &amp; under" value="2000-under">$2,000 &amp; under</option>&#13;
			<option label="$2,000 - $3,000" value="2000-3000">$2,000 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,000" value="5000-7000">$5,000 - $7,000</option>&#13;
			<option label="$7,000 - $9,000" value="7000-9000">$7,000 - $9,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
			<option label="NO BUDGET" value="no-budget">NO BUDGET</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel Preference" name="hotel-preference">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Vibe Preferences" name="vibe-preferences">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest &amp; Relaxation" value="rest-relaxation">Rest &amp; Relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local Culture" value="local-culture">Local Culture</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Food &amp; Wine" value="food-wine">Food &amp; Wine</option>&#13;
			<option label="Multi-generational" value="multigenerational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LQBTQ+" value="lqbtq">LQBTQ+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in travel insurance/protection?" name="are-you-interested-in-travel-insuranceprotection">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="radio-group" label="If traveling all inclusive or cruise, are you interested in excursions?" name="if-traveling-all-inclusive-or-cruise-are-you-interested-in-excursions">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
			<option label="Already have excursions in mind" value="already-have-excursions-in-mind">Already have excursions in mind</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have you received your Covid-19 vaccine?" name="have-you-received-your-covid19-vaccine">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Will receive" value="will-receive">Will receive</option>&#13;
			<option label="Will NOT receive" value="will-not-receive">Will NOT receive</option>&#13;
		</field>&#13;
		<field type="textarea" label="Are there any food allergies and/or medical conditions I need to be made aware of? **I understand if you wish to not disclose this information with me, but as an employee in the medical field as well, I am a firm believer of HIPPA and will keep any and all private information you share with me protected." name="comments" className="form-control"/>&#13;
		<field type="textarea" label="Did someone refer me to you? If so, who - so I can thank them properly!" name="did-someone-refer-me-to-you-if-so-who-so-i-can-thank-them-properly" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for your submission! Please watch for an email from me shortly with pricing for your trip!&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; -Casey"/>&#13;
	</fields>&#13;
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