Share your information with Athena Ieromonahos

Athena Ieromonahos

Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let&#39;s Plan Your Trip!"/>&#13;
		<field type="header" subtype="h1" label="Fill out the form below and I&#39;ll be in touch within 24 hours with personalized vacation options. Can&#39;t wait to start planning with you!"/>&#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 type="text" label="Suffix" name="suffix" 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="checkbox-group" label="Preferred contact method(s) (Check all that apply)" name="checkbox-group-1756292807794">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Call" value="call">Call</option>&#13;
		</field>&#13;
		<field type="date" label="Check-in Date (If flexible, just give your best guess!)" 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="Check-out Date (If flexible, just give your best guess!)" 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="Departure city/airport (if flying)" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Travelers (please include ages of children at time of travel)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Is this a group trip? (10 or more people)&amp;nbsp;" name="checkbox-group-1779995869822">&#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="Preferred Destination" name="radio-group-1756351833988" other="true">&#13;
			<option label="Walt Disney World (Orlando)" value="walt-disney-world-orlando">Walt Disney World (Orlando)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Carribean &amp; Mexico" value="carribean-mexico">Carribean &amp; Mexico</option>&#13;
			<option label="Alaska" value="alaska">Alaska</option>&#13;
			<option label="Hawaii" value="hawaii">Hawaii</option>&#13;
			<option label="Asia " value="asia-">Asia </option>&#13;
			<option label="Africa" value="africa">Africa</option>&#13;
			<option label="South America" value="south-america">South America</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Type of Trip" name="radio-group-1779995959510" other="true">&#13;
			<option label="Theme Park Vacation" value="theme-park-vacation">Theme Park Vacation</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="City / Cultural Trip" value="city-cultural-trip">City / Cultural Trip</option>&#13;
			<option label="Adventure / Outdoor" value="adventure-outdoor">Adventure / Outdoor</option>&#13;
			<option label="Luxury Escape" value="luxury-escape">Luxury Escape</option>&#13;
			<option label="Group / Reunion Trip" value="group-reunion-trip">Group / Reunion Trip</option>&#13;
			<option label="Student / Youth Travel" value="student-youth-travel">Student / Youth Travel</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Accommodation Style" name="radio-group-1758503464991" other="true">&#13;
			<option label="Luxury hotel (5-star)" value="luxury-hotel-5star">Luxury hotel (5-star)</option>&#13;
			<option label="Upscale hotels(4-star)" value="upscale-hotels4star">Upscale hotels(4-star)</option>&#13;
			<option label="Standard hotel (3-star)" value="standard-hotel-3star">Standard hotel (3-star)</option>&#13;
			<option label="Boutique hotel" value="boutique-hotel">Boutique hotel</option>&#13;
			<option label="Private villa / vacation rental" value="private-villa-vacation-rental">Private villa / vacation rental</option>&#13;
			<option label="Wellness/spiritual retreat" value="wellnessspiritual-retreat">Wellness/spiritual retreat</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Trip Budget Per Person" name="radio-group-1779996816565" other="true">&#13;
			<option label="Under $1,500" value="under-1500">Under $1,500</option>&#13;
			<option label="$1,500–$3,000" value="15003000">$1,500–$3,000</option>&#13;
			<option label="$3,000–$6,000" value="30006000">$3,000–$6,000</option>&#13;
			<option label="$6,000–$10,000" value="600010000">$6,000–$10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
			<option label="Flexible" value="flexible">Flexible</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Trip Pace" name="radio-group-1758503405120" other="true">&#13;
			<option label="Relaxed  (a lot of downtime)" value="relaxed-a-lot-of-downtime">Relaxed  (a lot of downtime)</option>&#13;
			<option label="Balanced (mix of activity and relaxation)" value="balanced-mix-of-activity-and-relaxation">Balanced (mix of activity and relaxation)</option>&#13;
			<option label="Fast-paced (lots of sightseeing and excursions)" value="fastpaced-lots-of-sightseeing-and-excursions">Fast-paced (lots of sightseeing and excursions)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Top Priorities (check all that apply)" name="what-is-most-important-to-you-check-all-that-apply" other="true">&#13;
			<option label="Cultural experiences (museums, landmarks, history tours)" value="cultural-experiences-museums-landmarks-history-tours">Cultural experiences (museums, landmarks, history tours)</option>&#13;
			<option label="Food &amp; wine experiences (culinary tours, cooking classes, fine dining)" value="food-wine-experiences-culinary-tours-cooking-classes-fine-dining">Food &amp; wine experiences (culinary tours, cooking classes, fine dining)</option>&#13;
			<option label="Adventure &amp; outdoor activities (hiking, kayaking, ziplining, safaris)" value="adventure-outdoor-activities-hiking-kayaking-ziplining-safaris">Adventure &amp; outdoor activities (hiking, kayaking, ziplining, safaris)</option>&#13;
			<option label="Relaxation &amp; leisure (spas, beach days, resort downtime)" value="relaxation-leisure-spas-beach-days-resort-downtime">Relaxation &amp; leisure (spas, beach days, resort downtime)</option>&#13;
			<option label="Family-friendly options (activities for kids, kid’s clubs)" value="familyfriendly-options-activities-for-kids-kids-clubs">Family-friendly options (activities for kids, kid’s clubs)</option>&#13;
			<option label="Luxury extras (private guides, exclusive excursions, butler service)" value="luxury-extras-private-guides-exclusive-excursions-butler-service">Luxury extras (private guides, exclusive excursions, butler service)</option>&#13;
			<option label="Authentic local experiences (markets, festivals, homestays)" value="authentic-local-experiences-markets-festivals-homestays">Authentic local experiences (markets, festivals, homestays)</option>&#13;
			<option label="Cruises (ocean, river, or expedition experiences)" value="cruises-ocean-river-or-expedition-experiences">Cruises (ocean, river, or expedition experiences)</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any dietary restrictions/special needs...etc?" name="notes" className="form-control"/>&#13;
		<field type="textarea" label="Anything else I should know to make your trip amazing?" name="textarea-1756293058273" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>