TravelJoy

Jessica Meincke

Travelmation, LLC

New Client Inquiry

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		<field type="checkbox-group" required="true" label="Did you know? Travel advisors like me don’t get paid unless you book through us. That’s why your support means so much—it allows me to keep doing what I love, designing unforgettable trips for you!*" name="did-you-know-travel-advisors-like-me-dont-get-paid-unless-you-book-through-us-thats-why-your-support-means-so-muchit-allows-me-to-keep-doing-what-i-love-designing-unforgettable-trips-for-you">&#13;
			<option label="Yes, I understand! Let's start planning!" value="yes-i-understand-lets-start-planning">Yes, I understand! Let's start planning!</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Ireland, Disney World, Mexico" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When would you like to travel?" description="The more specific the better." placeholder="ex: Aug 15-20 or Sat-Sat in January" name="text-1740543046557" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?&amp;nbsp;" name="how-soon-are-you-looking-to-book-">&#13;
			<option label="Today" value="today">Today</option>&#13;
			<option label="Within next 7 - 10 days" value="within-next-7-10-days">Within next 7 - 10 days</option>&#13;
			<option label="In a few months" value="in-a-few-months">In a few months</option>&#13;
			<option label="Looking at cost options" value="looking-at-cost-options">Looking at cost options</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you looking to bundle flights?" name="checkbox-group-1740542560645">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Possibly" value="possibly">Possibly</option>&#13;
		</field>&#13;
		<field type="text" label="If bundling flights, what is your departure city/airport?" name="text-1740542545251" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have a preferred airline?" placeholder="ex. Southwest, Delta" name="text-1740542697730" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" description="Please note whether adults or children." placeholder="ex. 2 adults, 2 children (ages)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="First/Last Name as on Passport, Birthdate, Gender of entire party" placeholder="Ex. Jessica Meincke, 03/01/1990, Female" name="firstlast-name-birthdate-gender" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $3,500" value="1500-to-3500">$1,500 to $3,500</option>&#13;
			<option label="$3,500 to $6,000" value="3500-to-6000">$3,500 to $6,000</option>&#13;
			<option label="$6,000 to $9,000" value="6000-to-9000">$6,000 to $9,000</option>&#13;
			<option label="$9,000 to $15,000" value="9000-to-15000">$9,000 to $15,000</option>&#13;
			<option label="$15,000 to $25,000" value="15000-to-25000">$15,000 to $25,000</option>&#13;
			<option label="$25,000+" value="25000">$25,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in travel insurance?&amp;nbsp;" name="are-you-interested-in-travel-insurance-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any Food Allergies/Medical Conditions/Special Needs to be made aware of?&amp;nbsp;" description="(Diabetic  Autism Spectrum  Wheelchair  Gluten-free  Etc.)" name="any-food-allergiesmedical-conditions-to-be-made-aware-of-" className="form-control"/>&#13;
		<field type="text" label="Who can I thank for referring you to me?" name="who-can-i-thank-for-referring-you-to-me" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="header" subtype="h1" label="Privacy Disclaimer: I respect your privacy and will never sell or share your personal information, including your name, phone number, or email address. Any details provided in this inquiry form will only be used for travel planning purposes and to communicate with you regarding your trip."/>&#13;
	</fields>&#13;
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