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Lisa Jacobs
LAJacobs Travel
LAJacobs Travel Booking Inquiry Form
Jul 1, 2023 to Jan 31, 2030
<html> <body> <form-template> <fields> <field type="text" required="true" label="What's The Name Of Person Or Social Media Platform That Referred You To&nbsp; Us? If No One Referred You, Please Enter NA." name="whats-the-name-of-person-or-social-media-platform-that-referred-you-to-mommy-and-wee-travels-if-no-one-referred-you-please-enter-na" subtype="text" className="form-control"/> <field type="text" required="true" label="First Name of Person Requesting Booking Inquiry&nbsp;" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last Name of Person Requesting Booking Inquiry&nbsp;" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Which State Do You Reside In?&nbsp;" name="which-state-do-you-reside-in-" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" 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="Confirm Email" name="confirm-email" subtype="text" className="form-control"/> <field type="textarea" label="What's The Occasion? Family Trip,Weekend Getaway, Adults Only Trip, Solo Trip, Honeymoon, Annual Group Trip Ect.." name="whats-the-occasion-family-tripweekend-getaway-adults-only-trip-solo-trip-honeymoon-annual-group-trip-ect" className="form-control"/> <field type="select" required="true" label="Number Of Adults&nbsp;" name="number-of-adults-" className="form-control"> <option label="0 ( Trip Is For Unaccompanied Minor)" value="0-trip-is-for-unaccompanied-minor">0 ( Trip Is For Unaccompanied Minor)</option> <option label="1" value="1">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="select" required="true" label="Number Of Children" name="number-of-children" className="form-control"> <option label="0" value="0">0</option> <option label="1" value="1">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="text" required="true" label="Age Of&nbsp; All Children?" name="age-of-all-children" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Hotel"/> <field type="textarea" label="Do You Want to Stay In A Specific&nbsp; Hotel/Resort? If So Please Place The Name Of The Hotel/Resort Below" name="do-you-want-to-stay-in-a-specific-hotelresort-if-so-please-place-the-name-of-the-hotelresort-below" className="form-control"/> <field type="select" label="What Type Of Hotel Stay Would You Like? How Many Stars?" name="what-type-of-hotel-stay-would-you-like-how-many-stars" multiple="multiple" className="form-control"> <option label="3 Stars" value="3-stars">3 Stars</option> <option label="4 Stars" value="4-stars">4 Stars</option> <option label="5 Stars " value="5-stars-">5 Stars </option> <option label="Stars Don't Matter Just As Long As It's Nice & Fits My Price" value="stars-dont-matter-just-as-long-as-its-nice-fits-my-price">Stars Don't Matter Just As Long As It's Nice & Fits My Price</option> </field> <field type="textarea" required="true" label="What City/State/Country Would You Like Your Stay To Be In?&nbsp;" name="what-citystatecountry-would-you-like-your-stay-to-be-in-" className="form-control"/> <field type="select" required="true" label="How Many Rooms Are Needed?" name="how-many-rooms-are-needed" className="form-control"> <option label="1" value="1">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+ (Group Trip)" value="6-group-trip">6+ (Group Trip)</option> </field> <field type="header" subtype="h1" label="Cruise"/> <field type="select" required="true" label="Is this a Cruise Inquiry?&nbsp;" name="is-this-a-cruise-inquiry-" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="text" label="Port Of Departure?" name="port-of-departure" subtype="text" className="form-control"/> <field type="text" label="Where Would You Like To Sail To?" name="where-would-you-like-to-sail-to" subtype="text" className="form-control"/> <field type="text" label="How Many Days Would You Like To Sail For?" name="how-many-days-would-you-like-to-sail-for" subtype="text" className="form-control"/> <field type="text" label="Which Cruise Lines Would You Like To Check Pricing For?" name="which-cruise-lines-would-you-like-to-check-pricing-for" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Groups"/> <field type="select" required="true" label="Is This A Group Trip (&gt;10 Adults)?&nbsp;" name="is-this-a-group-trip-10-adults-" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="text" label="How Many Are In The Group? Adults? Children?" name="how-many-are-in-the-group-adults-children" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Flight"/> <field type="text" label="Where Would You Like to Fly To?" name="where-would-you-like-to-fly-to" subtype="text" className="form-control"/> <field type="text" label="City (Airport) of Departure - Option 1" name="city-airport-of-departure-option-1" subtype="text" className="form-control"/> <field type="text" label="City (Airport) of Departure - Option 2" name="city-airport-of-departure-option-2" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Departure&nbsp;" name="date-of-departure-" className="form-control"/> <field type="text" label="Suggested Departure Flight Time" name="suggested-departure-flight-time" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Return" name="date-of-return" className="form-control"/> <field type="text" label="Suggested Return Flight Time" name="suggested-return-flight-time" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred Airline" name="preferred-airline"> <option label="American Airline" value="american-airline">American Airline</option> <option label="Delta Airline" value="delta-airline">Delta Airline</option> <option label="Southwest Airline" value="southwest-airline">Southwest Airline</option> <option label="Spirit / Frontier / Jet Blue" value="spirit-frontier-jet-blue">Spirit / Frontier / Jet Blue</option> <option label="Does not matter" value="does-not-matter">Does not matter</option> <option label="N/A" value="na">N/A</option> </field> <field type="header" subtype="h1" label="Trip Flexibility"/> <field type="paragraph" subtype="p" label="Are Your Dates Flexible? If Yes Please Enter How Many Days Before &amp; How Many Days After The Date Above That Your Dates Are Flexible"/> <field type="select" label="How Many Days After The Date Above Would You Be Flexible If Better Pricing Is Found?" name="how-many-days-after-the-date-above-would-you-be-flexible-if-better-pricing-is-found" className="form-control"> <option label="1" value="1">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> </field> <field type="text" required="true" label="What is your trip budget PER PERSON? Please only use US Dollar amounts." name="what-is-your-trip-budget-per-person-please-only-use-us-dollar-amounts" subtype="text" className="form-control"/> <field type="select" label="If Available Would You Prefer An All-Inclusive Resort?" name="if-available-would-you-prefer-an-allinclusive-resort" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> <option label="IT DOES'NT MATTER" value="it-doesnt-matter">IT DOES'NT MATTER</option> </field> <field type="header" subtype="h1" label="Payment Options &amp; Add Ons"/> <field type="select" required="true" label="Which type of payment arrangement would you prefer?&nbsp;" name="which-type-of-payment-arrangement-would-you-prefer-" className="form-control"> <option label="Pay In Full/ Less Than 60 Days Away" value="pay-in-full-less-than-60-days-away">Pay In Full/ Less Than 60 Days Away</option> <option label="Deposit + Payment Plan If Available ( Trip Has To Be Greater Than 60 Days Away For Payment Plan Option)" value="deposit-payment-plan-if-available-trip-has-to-be-greater-than-60-days-away-for-payment-plan-option">Deposit + Payment Plan If Available ( Trip Has To Be Greater Than 60 Days Away For Payment Plan Option)</option> </field> <field type="select" required="true" label="Would You Like A Separate Rental Car Quote For This Trip?&nbsp;" name="would-you-like-a-separate-rental-car-quote-for-this-trip-" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" required="true" label="Would You Like A Travel Insurance Quote For This Trip?&nbsp;" name="would-you-like-a-travel-insurance-quote-for-this-trip-" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" required="true" label="Would You Like Tours Included in the Trip Cost?" name="would-you-like-tours-included-in-the-trip-cost" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="text" label="What Type Of Tours Would You Like To Be Added To Your Trip?" name="what-type-of-tours-would-you-like-to-be-added-to-your-trip" subtype="text" className="form-control"/> <field type="text" label="List The Ages Of All That Will Participate In The Tours." name="list-the-ages-of-all-that-will-participate-in-the-tours" subtype="text" className="form-control"/> <field type="text" label="Please List Additional Details or Questions Below" name="please-list-additional-details-or-questions-below" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Thank you for allowing us to do the research&nbsp; for your upcoming trip. &nbsp;We will&nbsp; always work to get you the best prices that are available through our many suppliers. &nbsp;We will contact you within 3 business days with an amazing Detailed Vacation Itinerary.&nbsp;&nbsp;"/> </fields> </form-template> </body> </html>
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