Share your information with Melissa Pearson

Melissa Pearson

Travelmation, LLC

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="European Vacation Quote Request"/>&#13;
		<field type="paragraph" subtype="p" label="Please fill out this form so we can start planning your dream vacation!&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="Personal Information"/>&#13;
		<field required="true"  type="text" 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" label="Middle name" name="middle-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="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="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" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Names and date of birth of all travelers matching travel documents ie. driver&#39;s license, passport, birth certificate, etc.&amp;nbsp;" name="names-and-date-of-birth-of-all-travelers-matching-travel-documents-ie-drivers-license-passport-birth-certificate-etc-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Do any of the travelers require special needs or accessibility?" name="do-any-of-the-travelers-require-special-needs-or-accessibility" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Details"/>&#13;
		<field type="radio-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" 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" 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="header" subtype="h1" label="Destinations and Interests"/>&#13;
		<field type="text" required="true" label="Which European countries or cities are you interested in visiting?" 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="textarea" required="true" label="Are there any specific attractions, landmarks, or experiences you would like to include (Eiffel Tour, Colosseum, wine tours, etc)?" name="are-there-any-specific-attractions-landmarks-or-experiences-you-would-like-to-include-eiffel-tour-colosseum-wine-tours-etc" className="form-control"/>&#13;
		<field type="textarea" 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="what-type-of-atmosphereambiance-would-best-describe-what-youre-looking-for-example-quiet-peaceful-relaxed-social-fun-upbeat-romantic-active-etc" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are cultural experiences a priority (museums/historical tours)?" name="are-cultural-experiences-a-priority-museumshistorical-tours">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are outdoor activities a priority (hiking, skiing, beach)?" name="are-outdoor-activities-a-priority-hiking-skiing-beach">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are culinary experiences a priority (food tours/wine tasting)?" name="are-culinary-experiences-a-priority-food-tourswine-tasting">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Accommodations"/>&#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="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="header" subtype="h1" label="Budget"/>&#13;
		<field type="radio-group" required="true" 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 $3,000" value="1500-to-3000">$1,500 to $3,000</option>&#13;
			<option label="$3,000 to $5,000" value="3000-to-5000">$3,000 to $5,000</option>&#13;
			<option label="$5,500 to $7,500" value="5500-to-7500">$5,500 to $7,500</option>&#13;
			<option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option>&#13;
			<option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you open to adjusting the itinerary to fit your budget?" name="are-you-open-to-adjusting-the-itinerary-to-fit-your-budget">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" 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="header" subtype="h1" label="Transportation"/>&#13;
		<field type="text" required="true" label="Will you need flights? If so, what is your departure city? (Please list your preferred seating arrangements. ie: Aisle, Window, seats together)" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Preferred mode of transportation within Europe (Train, Rental car, flights, Private transfers)." name="preferred-mode-of-transportation-within-europe-train-rental-car-flights-private-transfers" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Style"/>&#13;
		<field type="text" label="How would you describe your travel style? (relaxed, adventure-packed, luxury, budget-friendly, family-oriented)" name="how-would-you-describe-your-travel-style-relaxed-adventurepacked-luxury-budgetfriendly-familyoriented" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you prefer guided tours, &amp;nbsp;independent exploration or a mixture of both?" name="do-you-prefer-guided-tours-independent-exploration-or-a-mixture-of-both" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="text" label="Have you traveled to Europe before? If yes, where?" name="if-you-chose-other-please-explain-or-referred-by-a-person-i-know-please-list-their-name-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any special occasions or celebrations during this trip?" name="text-1743287459978" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="How did you hear about Melissa Pearson with Travelmation,LLC?" name="how-did-you-hear-about-shannon-trahan-travel">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Travel Leaders" value="travel-leaders">Travel Leaders</option>&#13;
			<option label="Referred by a person I know" value="referred-by-a-person-i-know">Referred by a person I know</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="If you chose &quot;Other&quot; please explain or &quot;Referred by a person I know&quot; please list their name.&amp;nbsp;" name="text-1743287431339" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Please list any accomodations and allergies" 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>