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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="paragraph" subtype="p" label="WELCOME!! &nbsp; &nbsp; &nbsp; &nbsp; Thank you for considering LAJacobs Travel where we take the stress away from you when planning your vacation!We are dedicated to be your go to for all your travel needs. We have a special interest in Family Solo Group &amp; Business Travel specializing in Cruise Travel. Quote Request: We will contact you within 3 business days with an amazing detailed Vacation Itinerary. &nbsp;Please be advised that proposal quote pricing is subject to change at any time until your deposit has been paid to secure your trip. &nbsp; &nbsp;We will always work to get you the best prices that are available through our many suppliers. Your proposal will be based upon the information submitted using the booking Inquiry Form. Only 2 revisions can be made to the proposal within 5 business days of delivery. &nbsp;Feedback is required within 7 business days of the initial proposal or risk abandoning proposal request and deleted from our records. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="checkbox-group" label="This inquiry is for&nbsp;" inline="true" name="this-inquiry-is-for-"> <option label="Yourself" value="yourself">Yourself</option> <option label="Yourself and Family" value="yourself-and-family">Yourself and Family</option> <option label="Group" value="group">Group</option> </field> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your Per Person Budget?&nbsp;" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="Are you Deposit Ready and Ready To Book?" name="are-you-ready-to-book"> <option label="ASAP and Deposit Ready" value="asap-and-deposit-ready">ASAP and Deposit Ready</option> <option label="Within the next 2 weeks" value="within-the-next-2-weeks">Within the next 2 weeks</option> <option label="Within the Next Month" value="within-the-next-month">Within the Next Month</option> <option label="Just Looking at my Options" value="just-looking-at-my-options">Just Looking at my Options</option> </field> <field type="checkbox-group" required="true" label="Do You Need A Payment Plan?" inline="true" name="do-you-need-a-payment-plan"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Package Type" inline="true" name="package-type"> <option label="Flight & Hotel" value="flight-hotel">Flight & Hotel</option> <option label="Flight, Hotel & Transportation" value="flight-hotel-transportation">Flight, Hotel & Transportation</option> <option label="Hotel & Transportation" value="hotel-transportation">Hotel & Transportation</option> <option label="Cruise " value="cruise-">Cruise </option> </field> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Flights"/> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" label="Flight Preference" name="flight-preference" className="form-control"> <option label="Nonstop if possible" value="nonstop-if-possible">Nonstop if possible</option> <option label="1 stop" value="1-stop">1 stop</option> <option label="Layovers are OK" value="layovers-are-ok">Layovers are OK</option> <option label="No preference" value="no-preference">No preference</option> </field> <field type="radio-group" label="Departure Time" name="departure-time"> <option label="5:30am - 12:00pm" value="530am-1200pm">5:30am - 12:00pm</option> <option label="12:00pm - 6:00pm" value="1200pm-600pm">12:00pm - 6:00pm</option> <option label="6:00pm - 12:am" value="600pm-12am">6:00pm - 12:am</option> </field> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="checkbox-group" label="Airline Preference" name="airline-preference"> <option label="Budget Airline For Best price" value="budget-airline-for-best-price">Budget Airline For Best price</option> <option label="No Budget Airline: I will pay the extra" value="no-budget-airline-i-will-pay-the-extra">No Budget Airline: I will pay the extra</option> <option label="Either" value="either">Either</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="header" subtype="h1" label="Cruise"/> <field type="checkbox-group" required="true" label="Is this a Cruise Inquiry?" inline="true" name="is-this-a-cruise-inquiry"> <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="checkbox-group" label="Which Cruise Line Would You Like To Check Pricing For?" name="which-cruise-line-would-you-like-to-check-pricing-for" other="true"> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Carnival Cruise Line" value="carnival-cruise-line">Carnival Cruise Line</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="MSC" value="msc">MSC</option> <option label="Virgin Voyage" value="virgin-voyage">Virgin Voyage</option> <option label="Princess Cruises" value="princess-cruises">Princess Cruises</option> </field> <field type="checkbox-group" label="Cabin Preference?" name="cabin-preference" other="true"> <option label="Inside Stateroom" value="inside-stateroom">Inside Stateroom</option> <option label="Oceanview Stateroom" value="oceanview-stateroom">Oceanview Stateroom</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="checkbox-group" label="What Section Of The Ship Would You Like Your Cabin?" name="what-section-of-the-ship-would-you-like-your-cabin"> <option label="Bow (front of the ship)" value="bow-front-of-the-ship">Bow (front of the ship)</option> <option label="Middle " value="middle-">Middle </option> <option label="Stern (back of the ship)" value="stern-back-of-the-ship">Stern (back of the ship)</option> <option label="Does Not Matter" value="does-not-matter">Does Not Matter</option> </field> <field type="checkbox-group" label="Where Would You Like Your Cabin?" name="where-would-you-like-your-cabin" other="true"> <option label="Lower Deck" value="lower-deck">Lower Deck</option> <option label="Higher Deck" value="higher-deck">Higher Deck</option> <option label="Does Not Matter" value="does-not-matter">Does Not Matter</option> </field> <field type="header" subtype="h1" label="HOTEL"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference"> <option label="1-2 Star Rating" value="12-star-rating">1-2 Star Rating</option> <option label="2-3 Star Rating" value="23-star-rating">2-3 Star Rating</option> <option label="3-4 Start Rating" value="34-start-rating">3-4 Start Rating</option> <option label="4+ Star Rating" value="4-star-rating">4+ Star Rating</option> </field> <field type="text" label="How Many Rooms?" name="how-many-rooms" subtype="text" className="form-control"/> <field type="text" label="How Many Travelers per room?" name="how-many-travelers-per-room" subtype="text" className="form-control"/> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="textarea" label="Please list the ages of all travelers to take advantage of any deals and promotions (mandatory for cruises or trips with children)" name="please-list-the-ages-of-all-travelers-to-take-advantage-of-any-deals-and-promotions-mandatory-for-cruises-or-trips-with-children" className="form-control"/> <field type="text" label="How Did You Hear About Us?" name="how-did-you-hear-about-us" subtype="text" className="form-control"/> <field type="select" required="true" label="Travel Insurance" name="travel-insurance" className="form-control"> <option label="Yes, Add Insurance to the Package" value="yes-add-insurance-to-the-package">Yes, Add Insurance to the Package</option> <option label="I Decline Insurance and will sign Waiver" value="i-decline-insurance-and-will-sign-waiver">I Decline Insurance and will sign Waiver</option> <option label="Option 3" value="option-3">Option 3</option> </field> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" 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="date" required="true" label="Date Field" name="date-1682984995225" className="form-control"/> </fields> </form-template> </body> </html>
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