Share your information with Lauren Adams

Lauren Adams

Ocean + Sol Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="Client Information Form"/>&#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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Address (Needed for trip insurance)"/>&#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="h3" label="About Your Trip"/>&#13;
		<field type="checkbox-group" required="true" label="What type of travel experience are you interested in?" name="checkbox-group-1785867880755" other="true">&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Disney Destinations (Aulani, Disneyland, Disney World, Disney Cruise)" value="disney-destinations-aulani-disneyland-disney-world-disney-cruise">Disney Destinations (Aulani, Disneyland, Disney World, Disney Cruise)</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
		</field>&#13;
		<field type="text" 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="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"/>&#13;
		<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"/>&#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="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is this vacation to celebrate anything special?" name="text-1785866203270" 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="textarea" label="Who will be traveling?&amp;nbsp;" placeholder="Please list all full names (including middle) and birthdays" name="textarea-1785866289133" className="form-control"/>&#13;
		<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" className="radio-group">&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $8,000" value="5000-8000">$5,000 - $8,000</option>&#13;
			<option label="$8,000 - $10,000" value="8000-10000">$8,000 - $10,000</option>&#13;
			<option label="$10,000 - $12,000" value="10000-12000">$10,000 - $12,000</option>&#13;
			<option label="$12,000 - $15,000" value="12000-15000">$12,000 - $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What travel components would you like us to assist you with?" description="Check all that apply." name="vibe-preference">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Transportation (car rental, shuttle, etc)" value="transportation-car-rental-shuttle-etc">Transportation (car rental, shuttle, etc)</option>&#13;
			<option label="Excursions and Tours" value="excursions-and-tours">Excursions and Tours</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
			<option label="Park Tickets (Disney Destination)" value="park-tickets-disney-destination">Park Tickets (Disney Destination)</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1785866936899" rule="eyJ3aGVuRmllbGQiOiJ2aWJlLXByZWZlcmVuY2UiLCJ3aGVuQ29uZGl0aW9uIjoiY29udGFpbnMiLCJ3aGVuVmFsdWUiOiJmbGlnaHRzIiwidGhlbkFjdGlvbiI6InNob3ciLCJ0aGVuRmllbGRzIjpbInNlYXQtcHJlZmVyZW5jZSJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6InNlYXQtcHJlZmVyZW5jZSIsImxhYmVsIjoiU2VhdCBwcmVmZXJlbmNlIn1dfQ=="/>&#13;
		<field type="radio-group" label="Seat preference" name="seat-preference" other="true" className="field-hidden">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Bed preference" name="bed-preference" className="field-hidden">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1785867058415" rule="eyJ3aGVuRmllbGQiOiJ2aWJlLXByZWZlcmVuY2UiLCJ3aGVuQ29uZGl0aW9uIjoiY29udGFpbnMiLCJ3aGVuVmFsdWUiOiJob3RlbCIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJiZWQtcHJlZmVyZW5jZSIsImhvdGVsLXByZWZlcmVuY2UiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJiZWQtcHJlZmVyZW5jZSIsImxhYmVsIjoiQmVkIHByZWZlcmVuY2UifSx7Im5hbWUiOiJob3RlbC1wcmVmZXJlbmNlIiwibGFiZWwiOiJIb3RlbCBwcmVmZXJlbmNlIn1dfQ=="/>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1785867139732" rule="eyJ3aGVuRmllbGQiOiJ2aWJlLXByZWZlcmVuY2UiLCJ3aGVuQ29uZGl0aW9uIjoiY29udGFpbnMiLCJ3aGVuVmFsdWUiOiJleGN1cnNpb25zLWFuZC10b3VycyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJhY3Rpdml0eS1wcmVmZXJlbmNlcyJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6ImFjdGl2aXR5LXByZWZlcmVuY2VzIiwibGFiZWwiOiJBY3Rpdml0eSBwcmVmZXJlbmNlcyJ9XX0="/>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference" className="field-hidden">&#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="Activity preferences" 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 theatre" value="art-theatre">Arts and theatre</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What types of rooms would you require?" description="This will help me quote cruise cabins  resort rooms and hotels" name="checkbox-group-1785867966640" other="true">&#13;
			<option label="Standard Room" value="standard-room">Standard Room</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Multiple Rooms" value="multiple-rooms">Multiple Rooms</option>&#13;
			<option label="Connecting Rooms" value="connecting-rooms">Connecting Rooms</option>&#13;
		</field>&#13;
		<field type="textarea" label="Tell me about your dream vacation!" description="What else would you like me to know about your travelers  budget and/or travel preferences?" placeholder="What&#39;s most important to you? Any must-haves  bucket-list experiences, preferred resorts or cruise lines, or anything else you&#39;d like me to know?" name="notes" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="Please include any loyalty programs you are a part of especially if you will be using points" 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"/>&#13;
		<field type="select" label="How did you hear about Ocean + Sol Travel?" name="select-1785867197672" className="form-control">&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Friend/Family" value="friendfamily">Friend/Family</option>&#13;
			<option label="Curt Adams Music" value="curt-adams-music">Curt Adams Music</option>&#13;
			<option label="Returning Client" value="returning-client">Returning Client</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>