Yolanda Jones

CnMe Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Client Inquiry 2025"/>&#13;
		<field type="paragraph" subtype="p" label="It is time to enjoy a vacation. We want you to do it in style! Please complete this form to let me know exactly what that style is. If you have any questions please give me a call. 205-201-1079."/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name as on Passport" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name or Initial" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name as on Passport" 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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" description="Some airlines require this infomration" name="gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Important Dates"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="select" required="true" label="Are you Vaccinated" description="Many countries are now requiring you to be vaccinated and possibly tested upon entry and while visiting." name="are-you-vaccinated" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="No, but planning to be" value="no-but-planning-to-be">No, but planning to be</option>&#13;
			<option label="No plans to be vaccinated" value="no-plans-to-be-vaccinated">No plans to be vaccinated</option>&#13;
		</field>&#13;
		<field type="file" label="Vaccine card photo" name="vaccine_card_photo" subtype="file" className="form-control"/>&#13;
		<field type="select" required="true" label="How many people in your room" description="Additional information may be needed to reserve your room." name="how-many-people-in-your-room" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="In order to put anyone in your room at the time of booking I will need their deposit as well as their full name, DOB, phone number, email address, and full address. They may fill out a separate form, but both parties will need to reference each other.&amp;nbsp;If you plan to have a roommate, please provide their info below."/>&#13;
		<field type="text" label="Text Field" name="text-1642483996756" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Type of Room Requested" name="type-of-room-requested" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Single" value="single">Single</option>&#13;
			<option label="Double" value="double">Double</option>&#13;
			<option label="Triple" value="triple">Triple</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Bed preference" inline="true" name="bed-preference">&#13;
			<option label="One Bed" value="one-bed">One Bed</option>&#13;
			<option label="2 Doubles" value="2-doubles">2 Doubles</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you have a valid Passport that does not expire until six (6) months after the trip?" description="Your passport must be valid for six (6) months after your trip." name="do-you-have-a-valid-passport-that-does-not-expire-until-six-6-months-after-the-trip" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="No, but planning to get one" value="no-but-planning-to-get-one">No, but planning to get one</option>&#13;
		</field>&#13;
		<field type="select" label="Are you interested in Pre/Post Hotel stay from your departing city?" name="are-you-interested-in-prepost-hotel-stay-from-your-departing-city" className="form-control">&#13;
			<option label="" value=""/>&#13;
			<option label="Yes/Pre" value="yespre">Yes/Pre</option>&#13;
			<option label="Yes/Post" value="yespost">Yes/Post</option>&#13;
			<option label="Yes, Pre/Post" value="yes-prepost">Yes, Pre/Post</option>&#13;
			<option label="No hotel is needed" value="no-hotel-is-needed">No hotel is needed</option>&#13;
		</field>&#13;
		<field type="text" label="What is the Airport Code you prefer to fly from?" name="what-is-the-airport-code-you-prefer-to-fly-from" subtype="text" className="form-control"/>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="We will be flying Delta so please add your SkyMiles number. Also  please your Marriott Bonvoy number." 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="radio-group" label="Seat preference for flights" inline="true" name="seat-preference-for-flights">&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Middle" value="middle">Middle</option>&#13;
			<option label="Window" value="window">Window</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Flight Accommodation" description="Please select flight comfort" name="flight-accommodation">&#13;
			<option label="Main" value="main">Main</option>&#13;
			<option label="Comfort" value="comfort">Comfort</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
		</field>&#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="What activities are you interested in for this and future trips?" description="Check all that apply" 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 theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Additional Info"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? The ore you tell me, the better the options I can provide." description="What else would you like me to know about your budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Info"/>&#13;
		<field type="text" required="true" label="Contact Name" name="contact-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Contact Number" name="contact-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Contact Relationship" name="contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for trusting in CnMe Travel to help book your vacation. The more information you provide, the more fun we will have. We will have your finalized invoice within 48 hours. Please give us 48 hours to review and respond with your finalized invoice. We may contact before if we have any follow-up questions or clarifications. There is a $25 booking fee. I look forward to working with you and/or your group. There is a 2.9% +$.30 transaction fee. This fee is non-refundable."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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