Share your information with Bryna Benkenstein

Bryna Benkenstein

Travelmation - Bryna Benkenstein

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="All-Inclusive Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your All-Inclusive dream vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;Find me on Social Media here:&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="* Instagram: https://www.instagram.com/travelmationbeth"/>&#13;
		<field type="paragraph" subtype="p" label="&amp;nbsp;* Facebook: https://www.facebook.com/Travelmationbeth"/>&#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 Names Below. ( Example: Susie Jones)" 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 Names And Birthdays Below. (Example: Susie Jones 1/2/1985)" name="will-you-be-traveling-with-children-please-list-their-names-and-birthdays-below-example-susie-jones-121985" 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 Travel Dates Flexable?" name="are-your-travel-dates-flexable">&#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="if-airfare-is-needed-what-airports-are-you-willing-to-depart-from" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What Type Of Atmosphere/Ambiance Would Best Describe What You Are Looking For? (Example: quiet, peaceful, relaxed, social, fun, upbeat, romantic, active, etc.)" name="what-type-of-atmosphereambiance-would-best-describe-what-you-are-looking-for-example-quiet-peaceful-relaxed-social-fun-upbeat-romantic-active-etc" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Do You Prefer Adults Only Resorts?" name="do-you-prefer-adults-only-resorts">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Either Option Is Fine" value="either-option-is-fine">Either Option Is Fine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are You Beach People, Pool People Or Both?" name="are-you-beach-people-pool-people-or-both">&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Pool" value="pool">Pool</option>&#13;
			<option label="Both" value="both">Both</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do You Want A Resort With A Nightlife?" name="do-you-want-a-resort-with-a-nightlife">&#13;
			<option label="Yes, I Want Nightlife Experiences" value="yes-i-want-nightlife-experiences">Yes, I Want Nightlife Experiences</option>&#13;
			<option label="No. I Am Looking For Something Quiet And Tranuil" value="no-i-am-looking-for-something-quiet-and-tranuil">No. I Am Looking For Something Quiet And Tranuil</option>&#13;
			<option label="Sort Of, I Want Something With A Little Of Both" value="sort-of-i-want-something-with-a-little-of-both">Sort Of, I Want Something With A Little Of Both</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? (Example: spa, golf, swim with dolphins, horseback riding on the beach, zip lining, snorkeling, jet skiing, ATV, shopping, water park, site seeing, etc.)" name="is-there-anything-specific-you-would-like-to-do-or-see-while-you-are-on-your-trip-example-spa-golf-swim-with-dolphins-horseback-riding-on-the-beach-zip-lining-snorkeling-jet-skiing-atv-shopping-water-park-site-seeing-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? (Example: beach, pool, garden, etc)" name="if-the-view-is-important-what-type-of-view-do-you-prefer-example-beach-pool-garden-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 Any Preferences For Where You Would Like To Go?" name="do-you-have-any-preferences-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" required="true" label="What Is Your All-Inclusive 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="will-you-be-celebrating-anything-during-your-vacation-example-birthday-anniversary-honeymoon-girls-trip-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do You Need Wedding Planning Servies? If Yes, Leave Me Some Details About What You Are Wanting. (Size of the wedding, if you want the ceremony inside or outside etc)" name="do-you-need-wedding-planning-servies-if-yes-leave-me-some-details-about-what-you-are-wanting-size-of-the-wedding-if-you-want-the-ceremony-inside-or-outside-etc" 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>