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Jenessa Holder
Memories En Route
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Welcome to Your Next Adventure!"/> <field type="paragraph" subtype="p" label="Welcome to your first step towards an unforgettable adventure! Whether you’re dreaming of exploring hidden gems in Europe, basking in the Caribbean sun, or embarking on a journey filled with unique experiences, I’m here to help you craft a trip that goes beyond the ordinary. Please take a few moments to fill out this form so I can better understand your travel preferences and vision. This will allow me to tailor your itinerary to your desires and ensure every detail of your journey is perfectly aligned with your dream getaway."/> <field type="paragraph" subtype="address" label="&nbsp;"/> <field type="paragraph" subtype="p" label="If you have any questions, reach out to Jenessa@MERTravels.com"/> <field type="header" subtype="h1" label="CLIENT INFORMATION"/> <field type="paragraph" subtype="p" label="Please enter the information exactly as it appears on your Passport or Drivers License!"/> <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" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="PASSPORT INFORMATION"/> <field type="select" required="true" label="Do you have a passport?" description="Please choose one" name="do-you-have-a-passport" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> <option label="I plan to get one" value="i-plan-to-get-one">I plan to get one</option> </field> <field type="header" subtype="h1" label="ABOUT YOUR TRIP"/> <field type="text" required="true" label="How many travelers?" description="Please specify the number of adults and children. If any children will be traveling please provide their age for accurate pricing" name="how-many-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred destination? (Ex: Paris, Cancun, Jamaica, London, etc.)" description="If you're not sure give a few destinations you're considering." name="what-is-your-destination-ex-paris-cancun-jamaica-london-etc" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to depart?" description="This gives me a general idea of your travel dates. This can be changed later." name="when-would-you-like-to-depart" className="form-control"/> <field type="date" required="true" label="When would you like to return?&nbsp;" description="This gives me a general idea of your travel dates. This can be changed later." name="when-would-you-like-to-return-" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city? (Ex: JFK, EWR, PHL, etc.)" description="Please list the 3 letter airport code" name="what-is-your-departure-city-ex-jfk-ewr-phl-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please list the ages for all travelers on this trip (including yourself) at time of travel." name="who-will-be-traveling-please-list-all-full-names-including-middle-names" className="form-control"/> <field type="checkbox-group" required="true" label="At what phase of planning are you currently in?" name="at-what-phase-of-planning-are-you-currently-in"> <option label="I’m just beginning the planning process" value="im-just-beginning-the-planning-process">I’m just beginning the planning process</option> <option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option> <option label="We have hotels already booked" value="we-have-hotels-already-booked">We have hotels already booked</option> <option label="We have hotels flights booked" value="we-have-hotels-flights-booked">We have hotels flights booked</option> </field> <field type="select" required="true" label="What are you planning to invest to make this trip come to life (not including airfare)?" name="what-are-you-planning-to-invest-to-make-this-trip-come-to-life-not-including-airfare" className="form-control"> <option label="$4000 - $5000" value="4000-5000">$4000 - $5000</option> <option label="$5000 - $7500" value="5000-7500">$5000 - $7500</option> <option label="$7500 - $10,000" value="7500-10000">$7500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> <option label="I need some guidance" value="i-need-some-guidance">I need some guidance</option> </field> <field type="select" required="true" label="Will you be booking any portion of this itinerary with points? We do not book any itinerary components with points, but you are free to use points to book your airfare." name="will-you-be-booking-any-portion-of-this-itinerary-with-points-we-do-not-book-any-itinerary-components-with-points-but-you-are-free-to-use-points-to-book-your-airfare" className="form-control"> <option label="I understand and will not be using points" value="i-understand-and-will-not-be-using-points">I understand and will not be using points</option> <option label="I understand and will use points for airfare" value="i-understand-and-will-use-points-for-airfare">I understand and will use points for airfare</option> </field> <field type="checkbox-group" required="true" label="What travel components would you like us to assist you with? Check all that apply." description="Check all that apply" name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (Car Rental, Trains, Etc.)" value="transportation-car-rental-trains-etc">Transportation (Car Rental, Trains, Etc.)</option> <option label="Excursions & Tours" value="excursions-tours">Excursions & Tours</option> <option label="Travel Insurance " value="travel-insurance-">Travel Insurance </option> </field> <field type="checkbox-group" required="true" label="What describes your desired accommodation style?" name="what-kind-of-lodging-would-you-prefer" other="true"> <option label="Luxury & Exclusive" value="luxury-exclusive">Luxury & Exclusive</option> <option label="Boutique & Charming" value="boutique-charming">Boutique & Charming</option> <option label="Moderate (4-Star)" value="moderate-4star">Moderate (4-Star)</option> <option label="Large Brand/Chain Hotel" value="large-brandchain-hotel">Large Brand/Chain Hotel</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="text" label="What are your amenity “must haves”?&nbsp;" description="Is there anything you would want your hotels to have such as a pool on-site restaurant bar etc.?" name="what-are-your-amenity-must-haves-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What options best describe your travel style?" description="Check all that apply" name="what-options-best-describe-your-travel-priorities-check-all-that-apply"> <option label="Adventure & Exploration – I’m all about outdoor activities, exploring off the beaten path, and new experiences." value="adventure-exploration-im-all-about-outdoor-activities-exploring-off-the-beaten-path-and-new-experiences">Adventure & Exploration – I’m all about outdoor activities, exploring off the beaten path, and new experiences.</option> <option label="Cultural Immersion – I want to connect with local traditions, art, and history." value="cultural-immersion-i-want-to-connect-with-local-traditions-art-and-history">Cultural Immersion – I want to connect with local traditions, art, and history.</option> <option label="Relaxation & Luxury – I prefer high-end accommodations, wellness experiences, and relaxation-focused itineraries." value="relaxation-luxury-i-prefer-highend-accommodations-wellness-experiences-and-relaxationfocused-itineraries">Relaxation & Luxury – I prefer high-end accommodations, wellness experiences, and relaxation-focused itineraries.</option> <option label="Food & Wine Explorer – I’m drawn to destinations known for their culinary delights, from local street food to fine dining." value="food-wine-explorer-im-drawn-to-destinations-known-for-their-culinary-delights-from-local-street-food-to-fine-dining">Food & Wine Explorer – I’m drawn to destinations known for their culinary delights, from local street food to fine dining.</option> </field> <field type="radio-group" required="true" label="Which of our travel planning services are you most interested in?" description="Please select the option that best aligns with your trip plans. No commitment is required at this time. Check out the "Services" page for more details." name="which-of-our-travel-planning-services-are-you-most-interested-in"> <option label="Full-Service Trip Planning & Management" value="fullservice-trip-planning-management">Full-Service Trip Planning & Management</option> <option label="Immersive Experience & Expert-Led Tours" value="immersive-experience-expertled-tours">Immersive Experience & Expert-Led Tours</option> <option label="Expert Travel Insights" value="expert-travel-insights">Expert Travel Insights</option> </field> <field type="textarea" label="What else would you like me to know?" name="what-else-would-you-like-me-to-know-about-your-vacation" className="form-control"/> <field type="text" label="Do any travelers have food allergies/restrictions or physical limitations we should be aware of?" name="do-any-travelers-have-food-allergiesrestrictions-or-physical-limitations-we-should-be-aware-of" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to receive our monthly newsletter?" name="would-you-like-to-receive-our-twicemonthly-newsletter" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="How did you learn about Memories En Route?*" name="how-did-you-learn-about-memories-en-route" className="form-control"> <option label="Existing Client" value="existing-client">Existing Client</option> <option label="Referral from a friend or colleague" value="referral-from-a-friend-or-colleague">Referral from a friend or colleague</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Google Search" value="google-search">Google Search</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Who can I thank for referring you to us?" name="who-can-i-thank-for-referring-you-to-us" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Next Steps &amp; Our Process"/> <field type="paragraph" subtype="p" label="Once you’ve submitted this form, you’ll receive an email to schedule your complimentary consultation. During our call, we’ll dive into the details of your ideal adventure, walk through my process, discuss the planning fees, and answer any questions you may have. I specialize in crafting bespoke, adventurous journeys that combine unforgettable experiences with seamless planning. My goal is to curate unique, off-the-beaten-path explorations across Europe and the Caribbean, all while providing you with peace of mind. I look forward to working with you to create a one-of-a-kind journey tailored just for you!"/> <field type="paragraph" subtype="address" label="&nbsp;"/> <field type="checkbox-group" required="true" label="I understand and agree to Memories En Route's Terms and Conditions, found here: https://www.mertravels.com/terms-and-conditions" inline="true" name="i-understand-and-agree-to-memories-en-routes-terms-and-conditions-found-here-httpsbitlymemoriesenroutetandc-"> <option label="I Agree" value="i-agree">I Agree</option> </field> </fields> </form-template> </body> </html>
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