Share your information with Kim, Lauren & Todd Wells

Kim, Lauren & Todd Wells

Travelmation - Team Wells

<html>
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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="General Vacation Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your dream vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="Want to reach out sooner? Find Me Here:"/>&#13;
		<field type="paragraph" subtype="p" label=" * Facebook: https://www.facebook.com/TravelmationTeamWells"/>&#13;
		<field type="paragraph" subtype="p" label=" * Instagram: https://www.instagram.com/traveldreamsbywishingwells"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest First Name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Lead Guest Last Name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Name" name="preferred-name" 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="header" subtype="h2" label="Mailing 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="Will you be traveling with other adults? Please list their full legal names and birthdates below.&amp;nbsp; (Example: Susie Jones 01/01/1965)&amp;nbsp;" name="will-you-be-traveling-with-other-adults-please-list-their-names-below-example-susie-jones-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Will you be traveling with children? Please list their full legal names and birthdates below. (Example: Susie Jones 1/3/2018)&amp;nbsp;" name="will-you-be-traveling-with-children-please-list-their-names-and-birthdates-below-example-susie-jones-132018-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are you planning this trip as part of a group vacation?" name="are-you-planning-this-trip-as-part-of-a-group-vacation">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Desired Departure Date" 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" required="true" label="Desired Return Date" 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" required="true" 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="checkbox-group" label="Do you need airfare?" name="do-you-need-airfare">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If airfare is needed, what airport(s) are you willing to depart from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What type of atmosphere/ambiance would best describe what you&#39;re looking for? (Example: quiet, peaceful, relaxed, social, fun, upbeat, romantic, active, etc.)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are you looking for beaches, pools, mountains, or something else?" name="are-you-looking-for-beaches-pools-mountains-or-something-else" other="true">&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Pool" value="pool">Pool</option>&#13;
			<option label="Mountains" value="mountains">Mountains</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything specific you would like to do or see while you are on your trip? (Examples: spa, golf, shopping, site seeing, family activities etc.)" name="is-there-anything-specific-you-would-like-to-do-or-see-while-you-are-on-your-trip-examples-spa-golf-shopping-site-seeing-family-activities-etc" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="How important is the view from your room?" name="how-important-is-the-view-from-your-room">&#13;
			<option label="Very Important" value="very-important">Very Important</option>&#13;
			<option label="Important" value="important">Important</option>&#13;
			<option label="Somewhat Important" value="somewhat-important">Somewhat Important</option>&#13;
			<option label="Not Important" value="not-important">Not Important</option>&#13;
		</field>&#13;
		<field type="text" label="If the view is important, what type of view do you prefer? (Examples: beach, pool, garden, mountain, etc.)" name="if-the-view-is-important-what-type-of-view-do-you-prefer-examples-beach-pool-garden-mountain-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any &quot;must haves&quot;?" name="any-must-haves" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Any &quot;don&#39;t wants&quot;?" name="any-dont-wants" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have a preference for where you would like to go?" name="do-you-have-a-preference-for-where-you-would-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anywhere you absolutely do NOT want to go?" name="anywhere-you-absolutely-do-not-want-to-go" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your dream vacation budget?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="text" label="Will you be celebrating anything during your vacation? (Example: Birthday, Anniversary, Honeymoon, Girl&#39;s Trip, etc.)" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Is there anything else I need to know about your vacation needs?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>