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<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Take a Trip!"/> <field type="paragraph" subtype="p" label="Thank you so much for reaching out to me about your next vacation!&nbsp; &nbsp;Please fill out the form below - the more information you can provide, the more personalized your quote will be! I will reach out to you as soon as I can but a full quote might take up to 72 hours for me to send to you.&nbsp; If you have any questions for me, feel free to reach out!&nbsp; kimtower@travelmation.net or 978-309-5579&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Thank you,&nbsp; &nbsp;Kim"/> <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="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Best Contact Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you looking to book:" name="are-you"> <option label="Today" value="today">Today</option> <option label="Within the week" value="within-the-week">Within the week</option> <option label="In the next month or two" value="in-the-next-month-or-two">In the next month or two</option> <option label="I'm just researching" value="im-just-researching">I'm just researching</option> </field> <field type="text" required="true" label="When would you like to travel?&nbsp; If you have flexible dates, please include a date range and the number of nights you'd like to be away for." name="text-1725725394813" subtype="text" className="form-control"/> <field type="text" label="What is your departure city/airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Which destination are you interested in booking?" name="which-destination-are-you-interested-in-booking"> <option label="Disney Destinations" value="disney-destinations">Disney Destinations</option> <option label="Universal Studios Orlando/Hollywood" value="universal-studios-orlandohollywood">Universal Studios Orlando/Hollywood</option> <option label="Cruise" value="cruise">Cruise</option> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Domestic Destination" value="domestic-destination">Domestic Destination</option> <option label="Europe" value="europe">Europe</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="First and last name as listed on passport, gender and birthdate or age (at time of travel) of all travelers." name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" 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"> <option label="$1,500 to $3,000" value="1500-to-3000">$1,500 to $3,000</option> <option label="$3,000 - $6,000" value="3000-6000">$3,000 - $6,000</option> <option label="$6,000 to $10,000" value="6000-to-10000">$6,000 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option> <option label="$20,000+" value="20000">$20,000+</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="radio-group" label="Would you like to include airfare in your quote?" name="would-you-like-to-include-airfare-in-your-quote"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Are you interested in travel insurance?" name="radio-group-1725726443127"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Unsure" value="unsure">Unsure</option> </field> <field type="text" label="Tell me a little more about where you are looking to go." name="tell-me-a-little-more-about-your-desired-vacation-destination-cruise-or-other-requests" subtype="text" className="form-control"/> <field type="textarea" label="Are there any Food Allergies/Medical Conditions/Special Needs to be made aware of" name="are-there-any-food-allergiesmedical-conditionsspecial-needs-to-be-made-aware-of" className="form-control"/> <field type="textarea" label="What else would you like me to know?&nbsp; Are you celebrating anything?&nbsp; The more information you give me, the better!" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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