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Jessica Harp
Jessica Harp - Travelmation
New Inquiries
Jun 12, 2026 to Jun 18, 2026
Oregon
<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Let's Plan &nbsp;Your Next Adventure!"/> <field type="paragraph" subtype="p" label="Hi! I'm soooooo excited you stopped by so that we can start planning your next adventure. Please take some time to answer the questions below... this will get us started on creating the perfect trip! While I may have some great ideas, I love partnering together to make sure we cover everything that's important to you. Once I receive this form, I will be in touch to continue the process. If you have any questions along the way, please feel free to shoot me a message! Can't wait to chat more soon. Hugs and High Fives - Jessica"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/> <field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many kid travelers?" name="how-many-kid-travelers" subtype="text" className="form-control"/> <field type="text" label="If kids are traveling, what are their ages?" name="if-kids-are-traveling-what-are-their-ages" subtype="text" className="form-control"/> <field type="radio-group" 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" other="true"> <option label="Budget Friendly: max $3k" value="budget-friendly-max-3k">Budget Friendly: max $3k</option> <option label="Moderate: max $3-5k" value="moderate-max-35k">Moderate: max $3-5k</option> <option label="Little Splurge: max $5-7k" value="little-splurge-max-57k">Little Splurge: max $5-7k</option> <option label="Luxury: max $7-10k" value="luxury-max-710k">Luxury: max $7-10k</option> <option label="Let's Go Big: $10k+" value="lets-go-big-10k">Let's Go Big: $10k+</option> </field> <field type="checkbox-group" label="What phase of planning are you in?" name="checkbox-group-1670087142975" other="true"> <option label="No idea where to start..." value="no-idea-where-to-start">No idea where to start...</option> <option label="Dates and location (ish)" value="dates-and-location-ish">Dates and location (ish)</option> <option label="Flights booked... need a place to stay!" value="flights-booked-need-a-place-to-stay">Flights booked... need a place to stay!</option> <option label="All planned... but want you to book it!" value="all-planned-but-want-you-to-book-it">All planned... but want you to book it!</option> </field> <field type="checkbox-group" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book" other="true"> <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 dreaming about options" value="just-dreaming-about-options">Just dreaming about options</option> </field> <field type="checkbox-group" label="What kind of vacation are you looking for?" name="what-kind-of-vacation-are-you-looking-for" other="true"> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Walt Disney World (FL)... OR... Land (CA)" value="walt-disney-world-fl-or-land-ca">Walt Disney World (FL)... OR... Land (CA)</option> <option label="Universal Studios (FL or CA)" value="universal-studios-fl-or-ca">Universal Studios (FL or CA)</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Honeymoon!" value="honeymoon">Honeymoon!</option> <option label="Caregiver Respite/Retreat" value="caregiver-respiteretreat">Caregiver Respite/Retreat</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Europe" value="europe">Europe</option> <option label="Open to all the things... just get me outta here!" value="open-to-all-the-things-just-get-me-outta-here">Open to all the things... just get me outta here!</option> </field> <field type="select" label="Do you have a preferred Airline?" name="do-you-have-a-preferred-airline" multiple="multiple" className="form-control"> <option label="Southwest" value="southwest">Southwest</option> <option label="United" value="united">United</option> <option label="Delta" value="delta">Delta</option> <option label="American" value="american">American</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <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 type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="textarea" label="Any Medical Conditions or Other Accommodation Requests to include in travel plans?" name="any-medical-conditions-or-other-accommodation-requests-to-include-in-travel-plans" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else should I know to create your perfect vacation?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="textarea" label="Do you have a current passport? Y/N?&nbsp;" name="do-you-have-a-current-passport-yn-" className="form-control"/> <field type="radio-group" label="My current turnaround for inquiries can be 2-3 business days. Is that okay with you?" name="my-current-turnaround-for-inquiries-can-be-23-business-days-is-that-okay-with-you" other="true"> <option label="Yes of course!" value="yes-of-course">Yes of course!</option> <option label="I need to book ASAP!" value="i-need-to-book-asap">I need to book ASAP!</option> </field> </fields> </form-template> </body> </html>
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