Share your information with Yessy Yip-Martinez

Yessy Yip-Martinez

GenEscapes

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Booking inquiry form"/>&#13;
		<field type="paragraph" subtype="p" label="Please complete our inquiry form with as much detail as possible to help us create the best travel experience for you. Be sure to specify your preferred travel dates, destination, budget, and any particular requests you may have. Thank you for trusting us with your travel planning!"/>&#13;
		<field type="paragraph" subtype="p" label="Options with a red * must be answered in order to be able to submit your response."/>&#13;
		<field type="text" subtype="email" required="true" label="Email" description="Please enter a valid email address" placeholder="Your answer" name="email" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" placeholder="Your answer" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Best time to reach you" name="best-time-to-reach-you" other="true" className="radio-group">&#13;
			<option label="Morning 10am - 12pm" value="Morning 10am - 12pm">Morning 10am - 12pm</option>&#13;
			<option label="Afternoon 12pm - 5pm" value="Afternoon 12pm - 5pm">Afternoon 12pm - 5pm</option>&#13;
			<option label="Evening 5pm - 8pm" value="Evening 5pm - 8pm">Evening 5pm - 8pm</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Have you done any research? If so what have you found?" placeholder="Your answer" name="have-you-done-any-research-if-so-what-have-you-found" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your destination?" placeholder="Your answer" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many people will be traveling? Please provide children&#39;s ages at the time of travel" placeholder="Your answer" name="how-many-people-will-be-traveling-please-provide-childrens-ages-at-the-time-of-travel" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Will you require flights and car rental?" name="will-you-require-flights-and-car-rental" other="true" className="checkbox-group">&#13;
			<option label="Flights" value="Flights">Flights</option>&#13;
			<option label="Car rental" value="Car rental">Car rental</option>&#13;
			<option label="Transfers" value="transfers">Transfers</option>&#13;
			<option label="Neither" value="Neither">Neither</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Where are you from, what airport would you prefer to fly out of?" placeholder="Your answer" name="where-are-you-from-what-airport-would-you-prefer-to-fly-out-of" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What are your travel dates? Are they flexible?" placeholder="Your answer" name="what-are-your-travel-dates-are-they-flexible" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many rooms? How many beds? What types of beds are preferred?" placeholder="Your answer" name="how-many-rooms-how-many-beds-what-types-of-beds-are-preferred" className="form-control"/>&#13;
		<field type="radio-group" label="What is your hotel category preference?" name="hotel-preference" className="radio-group">&#13;
			<option label="3 star" value="3 star">3 star</option>&#13;
			<option label="4 star" value="4 star">4 star</option>&#13;
			<option label="5 star" value="5 star">5 star</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="If your trip is to Disney or Universal, how many park days do you wish to book? (Please note that for travel planning services, we require at least 3 park days to Disney World and/or 2 park days to&amp;nbsp;Disneyland or Universal)" name="disney-or-universal-park-days" className="checkbox-group">&#13;
			<option label="3 days" value="3 days">3 days</option>&#13;
			<option label="4 days" value="4 days">4 days</option>&#13;
			<option label="5 or more" value="5-or-more">5 or more</option>&#13;
			<option label="Not going to Disney or Universal" value="Not going to Disney or Universal">Not going to Disney or Universal</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your estimated budget per person?" name="budget" other="true" className="checkbox-group">&#13;
			<option label="$1,000 - $3,000" value="$1,000 - $3,000">$1,000 - $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="$3,000 - $5,000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,000" value="$5,000 - $7,000">$5,000 - $7,000</option>&#13;
			<option label="$7,000 - $10,000" value="$7,000 - $10,000">$7,000 - $10,000</option>&#13;
			<option label="$10,000 - $15,000 +" value="$10,000 - $15,000 +">$10,000 - $15,000 +</option>&#13;
		</field>&#13;
		<field type="radio-group" label="If traveling internationally, is everyone&#39;s passport valid?" name="passport-validity" other="true" className="radio-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="Not traveling internationally" value="Not traveling internationally">Not traveling internationally</option>&#13;
			<option label="Need to renew passport" value="Need to renew passport">Need to renew passport</option>&#13;
			<option label="Need to get passport" value="Need to get passport">Need to get passport</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Travel insurance is strongly recommended in case of emergencies, however it is not mandatory. If you decide not to include it, it is required to sign a waiver to decline the coverage before we proceed with booking" name="travel-insurance-understanding" className="radio-group">&#13;
			<option label="I understand" value="I understand">I understand</option>&#13;
		</field>&#13;
		<field type="text" label="Were you referred by someone? If not, how did you hear about me?" placeholder="Your answer" name="were-you-referred-or-hear-about-me" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Any additional comments, details or questions?" placeholder="Your answer" name="additional-comments-details-questions" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Please allow anywhere from 2 to 5 business days for a response.&amp;nbsp; Please note that all trip planning is based on capacity and not guaranteed by submitting this form.  Thank you for reaching out to us!&amp;nbsp;"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>