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Bekah Rosenbarger
Travelmation LLC
General Travel Inquiry
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Plan Your Trip!"/> <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="Legal First name ( as it appears on your government ID)&nbsp;" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Legal Last name (as it appears on your government ID)" 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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How soon would you like to book?" name="how-soon-would-you-like-to-book"> <option label="ASAP" value="asap">ASAP</option> <option label="Within the week" value="within-the-week">Within the week</option> <option label="Within a couple months" value="within-a-couple-months">Within a couple months</option> <option label="Just considering my options" value="just-considering-my-options">Just considering my options</option> </field> <field type="text" required="true" label="When would you like to travel?&nbsp; Do you have specific dates in mind?" name="when-would-you-like-to-travel-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="How long of a trip are you looking for?&nbsp;" name="how-long-of-a-trip-are-you-looking-for-" other="true"> <option label="1-3 Nights" value="13-nights">1-3 Nights</option> <option label="4-6 Nights" value="46-nights">4-6 Nights</option> <option label="7-10 Nights" value="710-nights">7-10 Nights</option> <option label="11-14 Nights" value="1114-nights">11-14 Nights</option> <option label="2 Weeks +" value="2-weeks-">2 Weeks +</option> </field> <field type="radio-group" required="true" label="Which describes where you're at in the booking process?" name="which-describes-where-you-are-in-planning" other="true"> <option label="I know I need a vacation but I'm not sure where! " value="i-know-i-need-a-vacation-but-im-not-sure-where-">I know I need a vacation but I'm not sure where! </option> <option label="I've researched the destination and need some options!" value="ive-researched-the-destination-and-need-some-options">I've researched the destination and need some options!</option> <option label="I know what I want but would like to use your professional services!" value="i-know-what-i-want-but-would-like-to-use-your-professional-services">I know what I want but would like to use your professional services!</option> </field> <field type="radio-group" required="true" label="What is your budget? (NOT including flights)&nbsp;" name="what-is-your-budget" other="true"> <option label="$1,500-$2,500" value="15002500">$1,500-$2,500</option> <option label="$2,500-$4,500" value="25004500">$2,500-$4,500</option> <option label="$4,500-$6,500" value="45006500">$4,500-$6,500</option> <option label="$6,500-$8,500" value="65008500">$6,500-$8,500</option> <option label="$8,500-$10,500" value="850010500">$8,500-$10,500</option> <option label="$10,500-$12,500" value="1050012500">$10,500-$12,500</option> <option label="$12,500-$15,500" value="1250015500">$12,500-$15,500</option> <option label="$15,500-$20,500" value="1550020500">$15,500-$20,500</option> <option label="$20,500 +" value="20500-">$20,500 +</option> </field> <field type="header" subtype="h1" label="Who's Traveling?&nbsp;"/> <field type="text" required="true" label="How many adults are traveling? (18+)&nbsp;" name="how-many-adults-18-will-be-traveling" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please give NAMES as they appear on travel documents and BIRTHDAYS.&nbsp; &nbsp;****PLEASE INCLUDE BIRTHDAYS. IT IS REQUIRED WHEN MAKING RESERVATIONS.&nbsp;" name="please-give-names-as-they-appear-on-travel-documents-and-birthdays-" className="form-control"/> <field type="text" required="true" label="How many children are traveling?&nbsp;" description="If no children just put 0 or NA" name="how-many-children-and-what-are-their-ages-at-time-of-travel-" subtype="text" className="form-control"/> <field type="textarea" required="true" label="&nbsp;Please give NAMES as they appear on travel documents, AGES, and BIRTHDAYS.&nbsp; ****PLEASE INCLUDE BIRTHDAYS. IT IS REQUIRED WHEN MAKING RESERVATIONS.&nbsp;" description="If no children just put NA" name="-please-give-names-as-they-appear-on-travel-documents-ages-and-birthdays" className="form-control"/> <field type="select" required="true" label="Do all travelers have a current passport?" name="do-all-travelers-have-a-current-passport" className="form-control"> <option label="YES" value="yes">YES</option> <option label="NO" value="no">NO</option> </field> <field type="select" required="true" label="Will any of the traveler's passports expire in the next 6 months?" name="will-any-of-the-travelers-passports-expire-in-the-next-6-months" className="form-control"> <option label="NO" value="no">NO</option> <option label="YES" value="yes">YES</option> <option label="YES, but renewal in progress" value="yes-but-renewal-in-progress">YES, but renewal in progress</option> </field> <field type="header" subtype="h1" label="Where do you want to go?&nbsp;"/> <field type="checkbox-group" required="true" label="What kind of trip are you interested in booking?" name="which-kind-of-trip-are-you-interested-in-booking" other="true"> <option label="All-Inclusive Resort (Family Friendly)" value="allinclusive-resort-family-friendly">All-Inclusive Resort (Family Friendly)</option> <option label="All-Inclusive Resort (Adults ONLY)" value="allinclusive-resort-adults-only">All-Inclusive Resort (Adults ONLY)</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Walt Disney World/ Disneyland" value="walt-disney-world-disneyland">Walt Disney World/ Disneyland</option> <option label="Universal Studios Orlando/Hollywood" value="universal-studios-orlandohollywood">Universal Studios Orlando/Hollywood</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Europe " value="europe-">Europe </option> <option label="Group Function (School, Incentive, Church etc)" value="group-function-school-incentive-church-etc">Group Function (School, Incentive, Church etc)</option> <option label="Business" value="business">Business</option> </field> <field type="checkbox-group" required="true" label="What are your room priorities?" name="what-are-your-room-priorities" other="true"> <option label="I want the ultimate luxury vacation, a butler service is a must when available!" value="i-want-the-ultimate-luxury-vacation-a-butler-service-is-a-must-when-available">I want the ultimate luxury vacation, a butler service is a must when available!</option> <option label="Concierge/Club level is a must when available!" value="conciergeclub-level-is-a-must-when-available">Concierge/Club level is a must when available!</option> <option label="I'm a beach person, give me a beach view or walk out room!" value="im-a-beach-person-give-me-a-beach-view-or-walk-out-room">I'm a beach person, give me a beach view or walk out room!</option> <option label="I'm a pool person, give me a pool view or pool walk-out/swim-up room!" value="im-a-pool-person-give-me-a-pool-view-or-pool-walkoutswimup-room">I'm a pool person, give me a pool view or pool walk-out/swim-up room!</option> <option label="A kitchen/kitchenette is a must!" value="a-kitchenkitchenette-is-a-must">A kitchen/kitchenette is a must!</option> <option label="More than one bathroom is a must!" value="more-than-one-bathroom-is-a-must">More than one bathroom is a must!</option> <option label="More than one bedroom is a must!" value="more-than-one-bedroom-is-a-must">More than one bedroom is a must!</option> <option label="Early park access (if applicable)" value="early-park-access-if-applicable">Early park access (if applicable)</option> </field> <field type="textarea" label="Please give any other information that may help me plan your trip.&nbsp;" name="please-give-any-other-information-that-may-help-me-plan-your-trip-" className="form-control"/> <field type="radio-group" label="Any special occasions you'll be celebrating while on your trip?" name="any-special-occasions-youll-be-celebrating-while-on-your-trip" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Engagement" value="engagement">Engagement</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Bachelor Party" value="bachelor-party">Bachelor Party</option> <option label="Bachelorette Party" value="bachelorette-party">Bachelorette Party</option> <option label="Babymoom" value="babymoom">Babymoom</option> </field> <field type="radio-group" required="true" label="Are you currently working with another travel agent?" name="are-you-currently-working-with-another-travel-agent"> <option label="Nope!" value="nope">Nope!</option> <option label="Yes." value="yes">Yes.</option> <option label="Yes, but I'd like to work with you instead." value="yes-but-id-like-to-work-with-you-instead">Yes, but I'd like to work with you instead.</option> </field> <field type="checkbox-group" required="true" label="My services are FREE to you! However, prior to researching and/or booking your trip, I require a phone conversation or in-person meeting to better understand your needs." name="my-services-are-free-to-you-however-prior-to-researching-andor-booking-your-trip-i-require-a-phone-conversation-or-inperson-meeting-to-better-understand-your-needs"> <option label="I understand and will provide dates and times for our meeting. " value="i-understand-and-will-provide-dates-and-times-for-our-meeting-">I understand and will provide dates and times for our meeting. </option> </field> <field type="header" subtype="h1" label="Phone or In-Person Meeting Times&nbsp;"/> <field type="text" required="true" label="First Available Day and Time" name="first-available-day-and-time" subtype="text" className="form-control"/> <field type="text" required="true" label="Second Available Day and Time" name="second-available-day-and-time" subtype="text" className="form-control"/> <field type="text" required="true" label="Third Available Day and Time" name="third-available-day-and-time" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="After we've chatted on the phone or in person, my main correspondence will be through email. This ensures all travel details are organized and in one convenient location.&nbsp;" name="my-main-correspondence-with-you-will-be-through-email-this-ensures-all-travel-details-are-organized-in-one-convenient-location-"> <option label="I understand and will keep an eye on my emails!" value="i-understand-and-will-keep-an-eye-on-my-emails">I understand and will keep an eye on my emails!</option> </field> <field type="checkbox-group" required="true" label="As a travel advisor, I am compensated for my time and expertise when my clients book AND travel with me.&nbsp; I receive no payment for quotes but am compensated by the resorts, tour providers, and destinations for serving our mutual clients.&nbsp; &nbsp;" inline="true" name="as-travel-advisors-we-are-compensated-for-our-time-and-expertise-when-our-clients-book-and-travel-with-us-we-receive-no-payment-for-quotes-but-are-compensated-by-the-resorts-tour-providers-and-destinations-for-serving-our-mutual-clients-"> <option label="I understand that Bekah is not compensated for her time until I complete my travels on a booking executed by her." value="i-understand-that-bekah-is-not-compensated-for-her-time-until-i-complete-my-travels-on-a-booking-executed-by-her">I understand that Bekah is not compensated for her time until I complete my travels on a booking executed by her.</option> </field> </fields> </form-template> </body> </html>
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