TravelJoy

Kelly Shrout

Travelmation

New Travel Request

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Vacation Request Form!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for reaching out about planning your next vacation with me! I look forward to working out all of the steps necessary to get you to your dream destination. Please fill out the questions below to help me get started with your trip. "/>&#13;
		<field type="paragraph" subtype="p" label="I do ask that if we work together, you book with me and not on your own or through another travel agent. There is absolutely no extra cost for you to book your trip with me! The vendors I work with compensate me after you complete your travel. That is why I work so hard to create the perfect trip for you!"/>&#13;
		<field type="paragraph" subtype="p" label="I am so excited to plan with you &amp;amp; Thank you for choosing to support my small business!!!"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="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 travel?" description="If you&#39;re not sure give me a few destinations you&#39;re considering!" placeholder="ex: Cancun" name="where-would-you-like-to-travel" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="text" label="Are your dates flexible?" name="are-your-dates-flexible" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book">&#13;
			<option label="Today" value="today">Today</option>&#13;
			<option label="Within the next 7-10 days" value="within-the-next-710-days">Within the 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="Just considering options" value="just-considering-options">Just considering options</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city/airport?" name="what-is-your-departure-cityairport" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults (over 18) are in your travel party?" name="how-many-adults-over-18-are-in-your-travel-party" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children (under 18) are in your travel party &amp;amp; what will their ages be at time of travel?" placeholder="ex: 2 children. Ages 4 &amp;amp; 8" name="how-many-children-under-18-are-in-your-travel-party-what-will-their-ages-be-at-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="First, Middle, Last Name as on Passport, Birthdate, and Gender of entire party" name="first-middle-last-name-as-on-passport-birthdate-and-gender-of-entire-party" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of vacation are you looking for?" name="what-type-of-vacation-are-you-looking-for">&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Walt Disney World (Orlando, FL)" value="walt-disney-world-orlando-fl">Walt Disney World (Orlando, FL)</option>&#13;
			<option label="Disneyland (Anaheim, CA)" value="disneyland-anaheim-ca">Disneyland (Anaheim, CA)</option>&#13;
			<option label="Universal Resort Orlando " value="universal-resort-orlando-">Universal Resort Orlando </option>&#13;
			<option label="Universal Resort Hollywood" value="universal-resort-hollywood">Universal Resort Hollywood</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="International Destination" value="">International Destination</option>&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Honeymoon - Not all-inclusive" value="honeymoon-not-allinclusive">Honeymoon - Not all-inclusive</option>&#13;
			<option label="Road Trip" value="road-trip">Road Trip</option>&#13;
			<option label="Ski Trip" value="ski-trip">Ski Trip</option>&#13;
			<option label="U.S. Beach Destination" value="us-beach-destination">U.S. Beach Destination</option>&#13;
			<option label="U.S. Mountain Destination" value="us-mountain-destination">U.S. Mountain Destination</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your total budget for all travelers?" name="what-is-your-total-budget-for-all-travelers">&#13;
			<option label="$2,000 &amp; under" value="2000-under">$2,000 &amp; under</option>&#13;
			<option label="$2,000 - $3,000" value="2000-3000">$2,000 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,000" value="5000-7000">$5,000 - $7,000</option>&#13;
			<option label="$7,000 - $9,000" value="7000-9000">$7,000 - $9,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Vibe preferences" name="vibe-preference">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="LGBT" value="lgbt">LGBT</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in travel insurance?" 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="Are there any food allergies/medical conditions I need to be made aware of?" name="are-there-any-food-allergiesmedical-conditions-i-need-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" required="true" label="What else would like me to know?" name="what-else-would-like-me-to-know" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you so much for your submission! Please watch for an email from me shortly with pricing for your trip. -Kelly"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>