TravelJoy

Sara Bonzheim

Travelmation

New Client Inquiry

<html>
  <body>
    <form-template>
	<fields>
		<field label="Full name" subtype="h2" type="header"/>
		<field description="Mr Mrs Ms Mx" label="Prefix" name="prefix" subtype="text" type="text" className="form-control"/>
		<field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Middle name" name="middle-name" subtype="text" type="text" className="form-control"/>
		<field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/>
		<field description="Jr Sr II III  etc." label="Suffix" name="suffix" subtype="text" type="text" className="form-control"/>
		<field label="Preferred name" name="preferred-name" subtype="text" type="text" className="form-control"/>
		<field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Phone number" name="phone-number" subtype="text" type="text" className="form-control"/>
		<field label="Questions for your trip" subtype="h2" type="header"/>
		<field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" type="date" className="form-control"/>
		<field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" type="date" className="form-control"/>
		<field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group">
			<option label="Yes" value="yes">Yes</option>
		</field>
		<field label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book" required="true" type="radio-group">
			<option label="ASAP!" value="asap">ASAP!</option>
			<option label="Within 7-10 days" value="within-710-days">Within 7-10 days</option>
			<option label="In a few months" value="in-a-few-months">In a few months</option>
			<option label="Just considering options" value="just-considering-options">Just considering options</option>
		</field>
		<field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/>
		<field label="How many travelers?" name="number-of-travelers" type="text" className="form-control"/>
		<field label="First &amp;amp; Last Name, Birthdate, Gender of all travelers" name="first-last-name-birthdate-gender-of-all-travelers" required="true" type="textarea" className="form-control"/>
		<field label="What phase of planning are you in?" name="what-phase-of-planning-are-you-in" type="radio-group">
			<option label="I have no clue what I am doing!" value="i-have-no-clue-what-i-am-doing">I have no clue what I am doing!</option>
			<option label="I only know dates and/or location!" value="i-only-know-dates-andor-location">I only know dates and/or location!</option>
			<option label="We booked flights but I need a hotel!" value="we-booked-flights-but-i-need-a-hotel">We booked flights but I need a hotel!</option>
			<option label="I know what I want, but want to book with you!" value="i-know-what-i-want-but-want-to-book-with-you">I know what I want, but want to book with you!</option>
		</field>
		<field label="Which Type of Vacation are you looking for?" name="which-type-of-vacation-are-you-looking-for" other="true" type="radio-group">
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>
			<option label="Walt Disney World (Orlando, FL)" value="walt-disney-world-orlando-fl">Walt Disney World (Orlando, FL)</option>
			<option label="Disneyland (Anaheim, CA)" value="disneyland-anaheim-ca">Disneyland (Anaheim, CA)</option>
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>
			<option label="Cruise" value="cruise">Cruise</option>
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>
			<option label="Honeymoon (not all-inclusive)" value="honeymoon-not-allinclusive">Honeymoon (not all-inclusive)</option>
			<option label="U.S Beach Destination" value="us-beach-destination">U.S Beach Destination</option>
			<option label="Local Hotel Getaway" value="local-hotel-getaway">Local Hotel Getaway</option>
		</field>
		<field description="This just gives me a general starting point and can always be changed later." label="What is your budget for all travelers?" name="budget" type="radio-group">
			<option label="Budget friendly: max $2k" value="budget-friendly-max-2k">Budget friendly: max $2k</option>
			<option label="Moderate: max $3-4k" value="moderate-max-34k">Moderate: max $3-4k</option>
			<option label="Little Splurge: max $4-6k" value="little-splurge-max-46k">Little Splurge: max $4-6k</option>
			<option label="Luxury: max $6-8k" value="luxury-max-68k">Luxury: max $6-8k</option>
			<option label="Let's go big: max $8k+" value="lets-go-big-max-8k">Let's go big: max $8k+</option>
			<option label="Let's chat about this!" selected="selected" value="lets-chat-about-this">Let's chat about this!</option>
		</field>
		<field label="What best describes your hotel preference?" name="hotel-preference" other="true" type="radio-group">
			<option label="Economy" value="value">Economy</option>
			<option label="Moderate" value="moderate">Moderate</option>
			<option label="Luxury" value="luxury">Luxury</option>
			<option label="Boutique" value="boutique">Boutique</option>
		</field>
		<field label="Are you interested in Travel Insurance?" name="are-you-interested-in-travel-insurance" type="radio-group">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
			<option label="Maybe" value="maybe">Maybe</option>
		</field>
		<field description="Diabetic  Autism Spectrum  Wheelchair  Gluten Free  Etc" label="Any Food Allergies/Medical Conditions to be made aware of?&amp;nbsp;" name="must-dos" subtype="text" type="text" className="form-control"/>
		<field description="What else would you like me to know about your travelers  budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/>
		<field description="If no one referred you  please put N/A" label="Who referred you?" name="who-referred-you" required="true" subtype="text" type="text" className="form-control"/>
		<field label="Are you working with another Travel Agent?" name="are-you-working-with-another-travel-agent" placeholder="Please be honest!!" required="true" type="select" className="form-control">
			<option label="I am not. You are the first I have contacted" selected="selected" value="i-am-not-you-are-the-first-i-have-contacted">I am not. You are the first I have contacted</option>
			<option label="I am talking with another travel agent" value="i-am-talking-with-another-travel-agent">I am talking with another travel agent</option>
			<option label="I was working with another travel agent, but I was not satisfied!" value="i-was-working-with-another-travel-agent-but-i-was-not-satisfied">I was working with another travel agent, but I was not satisfied!</option>
		</field>
	</fields>
</form-template>
  </body>
</html>