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Kaitlynn Leninsky
Travelmation
Let's Plan Your Trip!
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Contact Information"/> <field type="text" required="true" label="Legal first name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="date" required="true" label="Date of Birth" name="date-of-birth" 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="checkbox-group" required="true" label="How do you prefer to communicate?&nbsp;" name="how-do-you-prefer-to-communicate-"> <option label="Phone call" value="phone-call">Phone call</option> <option label="Email" value="email">Email</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h1" label="Questions for your trip"/> <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: Caribbean Greece etc." name="destination" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred Cruise Line" name="preferred-cruise-line" other="true"> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Celebrity Cruises" value="celebrity-cruises">Celebrity Cruises</option> <option label="Silversea Cruises" value="silversea-cruises">Silversea Cruises</option> <option label="Norwegian Cruise Line " value="norwegian-cruise-line-">Norwegian Cruise Line </option> <option label="Carnival" value="carnival">Carnival</option> <option label="Princess" value="princess">Princess</option> <option label="Virgin Voyages (passport required, adults only)" value="virgin-voyages-passport-required-adults-only">Virgin Voyages (passport required, adults only)</option> <option label="River Cruises" value="river-cruises">River Cruises</option> <option label="I'm not sure yet!" value="im-not-sure-yet">I'm not sure yet!</option> </field> <field type="text" label="If you answered other to the question above, please list the cruise line here.&nbsp;" name="if-you-answered-other-to-the-question-above-please-list-the-cruise-line-here-" 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" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Do you need flights?" name="do-you-need-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option> </field> <field type="text" label="If you do need flights, what is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you need a hotel before/after your cruise?" name="do-you-need-a-hotel-beforeafter-your-cruise"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm not sure" value="im-not-sure">I'm not sure</option> </field> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Legal names and dates of birth for all travelers" name="is-this-a-large-group-trip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers? (including flights)" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$2,500 or less" value="2500-or-less">$2,500 or less</option> <option label="$2,500 to $4,999" value="2500-to-4999">$2,500 to $4,999</option> <option label="$5,000 to $7,999" value="5000-to-7999">$5,000 to $7,999</option> <option label="$8,000 to $9,999" value="8000-to-9999">$8,000 to $9,999</option> <option label="$10,000 to $20,000" value="10000-to-20000">$10,000 to $20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field type="radio-group" required="true" label="What best describes your stateroom preference?" name="hotel-preference" other="true"> <option label="Interior room" value="interior-room">Interior room</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" required="true" label="Dining preference" name="dining-preference" className="form-control"> <option label="Main Dining (5-6 pm typically)" value="main-dining-56-pm-typically">Main Dining (5-6 pm typically)</option> <option label="Late Dining (typically 8 pm)" value="late-dining-typically-8-pm">Late Dining (typically 8 pm)</option> <option label="My Time/Anytime Dining" value="my-timeanytime-dining">My Time/Anytime Dining</option> </field> <field type="textarea" required="true" label="Does anyone in your party have special accessibility needs or dietary restrictions?&nbsp;" name="does-anyone-in-your-party-have-special-needs-or-dietary-restrictions-" className="form-control"/> <field type="textarea" required="true" label="Are you celebrating anything on this trip? If so, what?&nbsp;" name="are-you-celebrating-anything-on-this-trip-if-so-what-" className="form-control"/> <field type="textarea" required="true" label="Is there anything else I should know?&nbsp; Any must do activities, itinerary requests, etc? Please be as specific as possible with your vacation request!" name="is-there-anything-else-i-should-know-" className="form-control"/> <field type="textarea" required="true" label="How did you hear about my services?&nbsp;" name="how-did-you-hear-about-my-services-" className="form-control"/> <field type="radio-group" required="true" label="I try to get quotes out to you as soon as possible, but it can take as long as 2-3 business days. Please let me know if you need a quote sooner.&nbsp;" name="i-try-to-get-quotes-out-to-you-as-soon-as-possible-but-it-can-take-as-long-as-23-business-days-please-let-me-know-if-you-need-a-quote-sooner-"> <option label="I can wait 2-3 business days. " value="i-can-wait-23-business-days-">I can wait 2-3 business days. </option> <option label="I need to book ASAP!" value="i-need-to-book-asap">I need to book ASAP!</option> </field> <field type="checkbox-group" required="true" label="Pricing and availability is subject to change at any time. Pricing can be locked in with a deposit. Please always consider purchasing travel insurance to protect your vacation investment. If you decline travel insurance, a waiver will need to be signed.&nbsp;" name="pricing-and-availability-is-subject-to-change-at-any-time-pricing-can-be-locked-in-with-a-deposit-please-always-consider-purchasing-travel-insurance-to-protect-your-vacation-investment-"> <option label="I understand" value="i-understand">I understand</option> </field> <field type="checkbox-group" required="true" label="I understand that a passport is not always required for a cruise but is highly recommended. If I am traveling internationally, I understand that if I do not have a valid passport at the time of booking, I am booking at my own risk and know that it could result in loss of trip expenses. Passports should be valid for 6 months POST travel." name="i-understand-that-a-passport-is-not-always-required-for-a-cruise-but-is-highly-recommended-if-i-am-traveling-internationally-i-understand-that-if-i-do-not-have-a-valid-passport-at-the-time-of-booking-i-am-booking-at-my-own-risk-and-know-that-it-could-result-in-loss-of-trip-expenses-passports-should-be-valid-for-6-months-post-travel"> <option label="I agree" value="i-agree">I agree</option> </field> <field type="radio-group" required="true" label="Would you like to be added to my email list for occasional (no more than 3 per month) emails about travel updates and promotions?&nbsp;" name="would-you-like-to-be-added-to-my-email-list-for-occasional-no-more-than-3-per-month-emails-about-travel-updates-and-promotions-"> <option label="Yes, please!" value="yes-please">Yes, please!</option> <option label="No, thank you" value="no-thank-you">No, thank you</option> </field> <field type="radio-group" required="true" label="Are you already working with another travel agent on this trip?" name="are-you-already-working-with-another-travel-agent-on-this-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="Please know that I do not compete with other travel agents for business. I love all of my clients and take great care of them before and during travel! However, I do not get paid to create quotes. I only receive payment on booked trips from vendors after my clients have traveled. Please only submit an inquiry if you are serious about booking a trip with me. I'd be honored to help plan your vacations!"/> </fields> </form-template> </body> </html>
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