TravelJoy

Let's plan your trip!

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s plan that vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Please complete this form so that I can get started on planning the perfect vacation for you! The quote is always free to you. Please allow 2-3 business days for a response once the form has been submitted."/>&#13;
		<field type="header" subtype="h2" label="Contact Info"/>&#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="Suffix" name="suffix" 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="Email" name="email" 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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When would you like to travel?" description="share specific dates or a desired time frame that you would like to travel in." placeholder="specific dates  season  or approximate travel dates." name="text-1734384417518" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" 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?" 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?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Full name, birthdate, and gender of each traveler in the party" description="please write the name as it appears on their birth certificate  passport  or driver&#39;s license" placeholder="Ex: Candice Ortiz - 04/09/1986 - Female" name="full-names-of-each-traveler" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do all travelers have a valid passport?&amp;nbsp;" name="do-all-travelers-have-a-valid-passport-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Application is in process" value="application-is-in-process">Application is in process</option>&#13;
			<option label="Not needed for this trip" value="not-needed-for-this-trip">Not needed for this trip</option>&#13;
		</field>&#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 - $6,000" value="3500-6000">$3,500 - $6,000</option>&#13;
			<option label="$6,000 - $9,000" value="6000-9000">$6,000 - $9,000</option>&#13;
			<option label="$9,000 - $15,000" value="9000-15000">$9,000 - $15,000</option>&#13;
			<option label="$15,000 - $25,000" value="15000-25000">$15,000 - $25,000</option>&#13;
			<option label="$25,000+" value="25000">$25,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#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="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#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;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you celebrating anything?" name="are-you-celebrating-anything">&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Wedding" value="wedding">Wedding</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Retirement" value="retirement">Retirement</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Some vendors provide discounts or special offers for certain groups. Are you any of the following?&amp;nbsp;" description="Select all that apply" name="some-vendors-provide-discounts-or-special-offers-for-certain-groups-are-you-any-of-the-following-">&#13;
			<option label="US or Canadian Active, retired, or 100% disabled military (military ID required)" value="us-or-canadian-active-retired-or-100-disabled-military-military-id-required">US or Canadian Active, retired, or 100% disabled military (military ID required)</option>&#13;
			<option label="US or Canadian Law Enforcement" value="us-or-canadian-law-enforcement">US or Canadian Law Enforcement</option>&#13;
			<option label="Fire Department / EMT" value="fire-department-emt">Fire Department / EMT</option>&#13;
			<option label="Teacher" value="teacher">Teacher</option>&#13;
			<option label="Healthcare Worker / Nurse" value="healthcare-worker-nurse">Healthcare Worker / Nurse</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="radio-group" 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="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="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any food allergies / medical conditions / special needs to be made aware of?&amp;nbsp;" description="Diabetic  autism spectrum  wheel chair  gluten-free  etc." name="are-there-any-handicaps-or-special-needs-that-we-should-make-accommodations-for" 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="checkbox-group" required="true" label="By submitting this request, you are giving me permission to text the phone number above with relevant information concerning your request, and to add your email to my email list" name="by-submitting-this-request-you-are-giving-me-permission-to-text-the-phone-number-above-with-relevant-information-concerning-your-request-and-to-add-your-email-to-my-email-list">&#13;
			<option label="Yes, I understand! Please text!" value="yes-i-understand-please-text">Yes, I understand! Please text!</option>&#13;
			<option label="I understand, but please don't text me. " value="i-understand-but-please-dont-text-me-">I understand, but please don't text me. </option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
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