Share your information with Kyra Harris

Kyra Harris

NolaTexan Enterprises

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Vacation Request Form"/>&#13;
		<field type="text" required="true" label="Full name" name="first-name" 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="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" 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="text" required="true" label="Time preference for departure:" name="time-preference-for-departure" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" 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="text" required="true" label="Time preference for return:" name="time-preference-for-return" subtype="text" 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="textarea" label="Estimated trip budget amount per person:&amp;nbsp; (Must include a numerical amount of how much at minimum /maximum you want to spend)" name="estimated-trip-budget-amount-per-person" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What date will EVERYONE be able to make the first payment installment or full payment?&amp;nbsp;&amp;nbsp;(PLEASE NOTE: In order to cut down on providing multiple quotes we will only provide a quote approximately 10 business days prior to the date everyone on the same reservation is able to submit their deposit.&amp;nbsp; Deposits will range between $200-$300 deposit per person - air and hotel packages)" name="what-date-will-everyone-be-able-to-make-the-first-payment-installment-or-full-payment" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" 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="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?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Will you be purchasing travel insurance?&amp;nbsp;&amp;nbsp;We strongly recommend purchasing travel insurance due to the vendors&#39; very strict cancellation policies. I understand that if I elect to decline Travel Insurance I am responsible for any cancellation penalties and all out-of-pocket expenses." name="will-you-be-purchasing-travel-insurance-we-strongly-recommend-purchasing-travel-insurance-due-to-the-vendors-very-strict-cancellation-policies-i-understand-that-if-i-elect-to-decline-travel-insurance-i-am-responsible-for-any-cancellation-penalties-and-all-outofpocket-expenses">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="text" label="Are you interested in learning how you can save money and make money booking your own travel?" name="are-you-interested-in-learning-how-you-can-save-money-and-make-money-booking-your-own-travel" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="I understand there is a non refundable $25 admin fee to submit this booking request.&amp;nbsp; It will include up to 3 searches and 1 revision request (exempts name changes).&amp;nbsp; &amp;nbsp; If you do not accept you may feel free to visit my personalized website and book vacation at your leisure.&amp;nbsp; &amp;nbsp; &amp;nbsp;Please visit http://kyraharris.inteletravel.com if you choose to build your own package. &amp;nbsp;Cash App $KyraHarris Zelle: &amp;nbsp;832-384-6574" name="i-understand-there-is-a-non-refundable-25-admin-fee-to-submit-this-booking-request-it-will-include-up-to-3-searches-and-1-revision-request-exempts-name-changes-if-you-do-not-accept-you-may-feel-free-to-visit-my-personalized-website-and-book-vacation-at-your-leisure-please-visit-httpbitly3eflwgm-if-you-choose-to-build-your-own-package-">&#13;
			<option label="YES" value="yes">YES</option>&#13;
			<option label="NO" value="no">NO</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Your Trip Is NOT confirmed until deposit/payment is received. You will receive an email with your invoice and/or credit card authorization form."/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>