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Allie Trudel
Travelmation - Allie Trudel
Client Information
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Vacation Builder &amp; Quote Request"/> <field type="paragraph" subtype="p" label="Thank you so much for reaching out. Please fill out this form, to the best of your ability, and I will be in touch soon! I appreciate your time. Thank you for trusting me with your family's precious memories!"/> <field type="header" subtype="h2" label="Full name"/> <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="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Home Address" name="address-line-1" subtype="text" className="form-control"/> <field type="checkbox-group" label="Is this vacation a Celebration?" name="is-this-vacation-a-celebration" other="true"> <option label="Disney first-timers" value="disney-firsttimers">Disney first-timers</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Graduation" value="graduation">Graduation</option> <option label="In desperate need of a vacation" value="in-desperate-need-of-a-vacation">In desperate need of a vacation</option> </field> <field type="checkbox-group" label="Disney Destination" name="disney-destination" other="true"> <option label="Walt Disney World resort - Florida" value="walt-disney-world-resort-florida">Walt Disney World resort - Florida</option> <option label="Disneyland - California" value="disneyland-california">Disneyland - California</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Aulani - Hawaii" value="aulani-hawaii">Aulani - Hawaii</option> <option label="Adventures by Disney (Land Excursions, River Cruises, Guided Tours, etc)" value="adventures-by-disney-land-excursions-river-cruises-guided-tours-etc">Adventures by Disney (Land Excursions, River Cruises, Guided Tours, etc)</option> </field> <field type="checkbox-group" label="Vacation Destination:" name="vacation-destination" other="true"> <option label="Cruise" value="cruise">Cruise</option> <option label="Sandals or Beaches" value="sandals-or-beaches">Sandals or Beaches</option> <option label="All-Inclusive Reort" value="allinclusive-reort">All-Inclusive Reort</option> <option label="Universal Parks & Resorts" value="universal-parks-resorts">Universal Parks & Resorts</option> <option label="Autism Travel Friendly" value="autism-travel-friendly">Autism Travel Friendly</option> <option label="Domestic" value="domestic">Domestic</option> <option label="International" value="international">International</option> </field> <field type="text" label="Please specify, as needed:" name="please-specify-as-needed" subtype="text" className="form-control"/> <field type="select" required="true" label="Please select the number of adults(18+) traveling in your party:" name="please-select-the-number-of-adults18-traveling-in-your-party" className="form-control"> <option label="1" value="1" selected="selected">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> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10" value="10">10</option> </field> <field type="textarea" label="Please list the number of children traveling in your party, with their date of birth:&nbsp;" description="This is needed for pricing purposes for almost all destinations." name="please-list-the-number-of-children-traveling-in-your-party-with-their-date-of-birth-" rows="6" className="form-control"/> <field type="checkbox-group" label="Is anyone in your traveling party:" description="This is used for discounts at certain destinations." name="is-anyone-in-your-traveling-party" other="true"> <option label="U.S. Military" value="us-military">U.S. Military</option> <option label="U.S. Canadian or Law Enforcement" value="us-canadian-or-law-enforcement">U.S. Canadian or Law Enforcement</option> <option label="Fire Department or EMT" value="fire-department-or-emt">Fire Department or EMT</option> <option label="Educators" value="educators">Educators</option> </field> <field type="checkbox-group" label="Does anyone in your traveling party require specific accomodations?" description="Please list anything you believe should be noted that can make your travel easier!" name="does-anyone-in-your-traveling-party-require-specific-accomodations" other="true"> <option label="Autistic Individual" value="autistic-individual">Autistic Individual</option> <option label="Pet Friendly" value="pet-friendly">Pet Friendly</option> <option label="Accessible Room Preferred" value="accessible-room-preferred">Accessible Room Preferred</option> <option label="Dining Allergies" value="dining-allergies">Dining Allergies</option> <option label="Other Health Concerns" value="other-health-concerns">Other Health Concerns</option> </field> <field type="date" required="true" label="Date wishing to depart:" description="This gives me a general idea to help with prices and can be changed later." name="date-wishing-to-depart" className="form-control"/> <field type="date" required="true" label="Date wishing to return" description="This gives me a general idea to help with prices and can be changed later." name="date-wishing-to-return" className="form-control"/> <field type="text" label="What is your budget for all travelers on your vacation?" description="This is just an estimate. I will try to get as close to(hopefully under) as possible!" name="what-is-your-budget-for-all-travelers-on-your-vacation" subtype="text" className="form-control"/> <field type="text" label="If you will need flights, what is your preferred airport?" name="if-you-will-need-flights-what-is-your-preferred-airport" subtype="text" className="form-control"/> <field type="checkbox-group" label="Cruisers, what type of cabin is preferred?" name="cruisers-what-type-of-cabin-is-preferred"> <option label="Inside/Interior" value="insideinterior">Inside/Interior</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="select" label="How many cruise nights?" name="how-many-cruise-nights" className="form-control"> <option label="3-4" value="34" selected="selected">3-4</option> <option label="7" value="7">7</option> <option label="10+" value="10">10+</option> </field> <field type="textarea" label="Please let me know if you have any other questions or concerns. Is there something about your family or friends that would be helpful for me to while we plan your vacation?" description="Anything at all! Likes or Dislikes needs? Funny joke? :)" name="please-let-me-know-if-you-have-any-other-questions-or-concerns-is-there-something-about-your-family-or-friends-that-would-be-helpful-for-me-to-while-we-plan-your-vacation" rows="6" className="form-control"/> </fields> </form-template> </body> </html>
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